Diastasis Recti and Physiotherapy

pregnant woman stretching
What is Diastasis Rectus Abdominis (DRA)?

DRA is the term for the separation of the rectus abdominis muscles — the two muscles running down the front of the abdomen. Separation occurs along the linea alba, a connective tissue that holds the two sides of the muscle together.

DRA can lead to a noticeable gap or bulge in the middle of the abdomen, which can affect the function of the abdominal muscles and overall core strength. It can be associated with low back pain, connective tissue conditions, and pelvic floor issues.

While DRA is most associated with pregnancy, it can affect anyone, regardless of gender, age, or fitness.

Who does DRA affect?

  1. Pregnant Women: Particularly 2nd and 3rd trimesters.
  2. Postpartum Women
  3. Urogynecological
  4. Post-Operative; abdominal surgeries
  5. Older populations
  6. Menopausal

How Pelvic Health Physiotherapy Helps DRA

  1. Restore Core Strength
  2. Teach Safe Movement/Lifting Patterns
  3. Pelvic Floor Rehabilitation (with a pelvic floor physiotherapist)
  4. Breathing Exercises
  5. Progressive Exercise Plans

Treatment for DRA: What to Expect from a Physiotherapist (PT)

  • Initial Assessment: A PT will evaluate the size of the gap between the rectus abdominis muscles, assess the strength of the core, and identify any other contributing factors
  • Targeted Exercises: Once the assessment is complete, the PT will guide you through exercises that focus on strengthening the deep core muscles without putting unnecessary stress on the abdomen or other surrounding structures.
  • Education & Lifestyle Changes: PT can provide education on avoiding activities that could aggravate the condition and help you make long-term improvements through healthy lifestyle changes. The focus may include reducing the gap and especially on improving the functional aspects and quality of life.

 

When to See a Physiotherapist?

If you notice a gap in your abdominal muscles or experience symptoms like lower back pain, difficulty engaging your core, or pelvic floor issues, it’s a good idea to consult a physiotherapist. Physiotherapy is a non-invasive way to help assess your condition and create a personalized rehabilitation plan to regain abdominal strength, proper posture, and improve functional movement.

For more information please contact the clinic at 778-819-6565 or email us at info@focusphysio.ca

Carmen Fung is Physiotherapist specializing in Pelvic Health,  Dry Needling/IMS and Clinical Pilates.

Click HERE to book an appointment with Carmen.