Rectus diastasis, also known as diastasis recti, is a condition characterised by the separation of the rectus abdominis muscles, which can lead to a bulging belly and core weakness. This condition is common among pregnant and post-pregnant women but can also affect men and women who have experienced significant weight changes. If you’re dealing with rectus diastasis, understanding the available treatment options is important for restoring core strength and improving your quality of life.
Treatment Options
Surgical Treatment Options
Surgical procedures may be considered when rectus diastasis is severe. Surgical interventions aim to repair the separation of the abdominal muscles and restore the integrity of the abdominal wall. The following are thorough explanations of the surgical treatment options:
Open Method: The open method is a surgical procedure generally used for those with excess skin, often as a result of significant weight loss or pregnancy. This method thoroughly addresses problems with the skin and muscles, giving the illusion of smoother, more toned skin.
During the open method surgical procedure, the incision is made along the bikini line, followed by removing the excess skin. This is to treat potential muscle separation. The rectus muscles are carefully sutured together to improve abdominal firmness.
Close Method: The close method surgery is suitable for those with a noticeable belly bulge but without excess skin. Using the Da Vinci® Robotic Surgical System, this procedure can be performed with minimal scarring through endoscopic techniques.
The procedure begins with creating small keyhole incisions, which are placed to minimise scarring and reduce recovery time. Through these incisions, specialised endoscopic tools are inserted to suture the muscles.
Non-Surgical Treatments
Non-surgical treatments for rectus diastasis focus on strengthening the abdominal muscles and improving overall core stability. These methods are often recommended as a first line of treatment, particularly for mild to moderate cases. Here are some common non-surgical options:
Physical Therapy
Core Strengthening Exercises
A physical therapist can design a specific exercise program to strengthen the core muscles, including the transverse abdominis, obliques, and pelvic floor. Common exercises include:
Pelvic Tilts: Lie on your back with your knees bent, flatten your back against the floor by tightening your abdominal muscles, and then release.
Leg Slides: Lie on your back with knees bent, slide one leg out straight while keeping the core engaged, and then return to the starting position.
Heel Taps: Lie on your back with knees bent, lift one leg at a time to tap your heel on the ground, alternating legs.
Postural Training
Improving Posture
Maintaining proper alignment and standing tall with shoulders back and down, using the core muscles while sitting and standing, and avoiding slouched or hunched postures can lessen the pressure on the abdominal muscles and improve overall posture.
Conclusion
Rectus diastasis can cause significant discomfort and impact daily activities. Non-surgical methods, such as core strengthening exercises and postural training, can benefit mild to moderate cases. For severe cases, surgical options like rectus diastasis plication, and both open and close methods offer definitive solutions, improving both function and appearance.
Whether you’re experiencing mild symptoms or considering surgery, scheduling a consultation with Dr Marco can provide you with the guidance and care you need to achieve optimal results. Addressing rectus diastasis promptly can enhance your quality of life and improve core strength. Don’t let rectus diastasis limit your activities or affect your well-being. Get in touch with our clinic today to discuss your options and take the first step towards a healthier, stronger you.