Diastasis rectus abdominis (RAD), commonly referred to as abdominal diastasis, is common in pregnant women and individuals who perform strenuous abdominal exercises without proper guidance.
A widening white line characterizes RAD. This connective tissue runs down the center of the abdomen, separating the right and left sides of the rectus abdominis muscle. This separation can cause various symptoms, including significant abdominal gaps or bumps, abdominal pain, and weakened core muscles.
How does physical therapy help?
Assessing and personalizing treatment plans: Physical therapists play a vital role in determining the severity of RAD and tailoring treatment plans to meet each patient’s specific needs. Through a comprehensive assessment, including measurements of separation width, tissue compliance, and muscle strength, a physical therapist can design a personalized rehabilitation program.
Targeted core strengthening exercises: Physical therapy focuses on gentle, targeted exercises to strengthen the deep core muscles, including the transverse abdominis and pelvic floor muscles. These exercises help to gradually close the rectus abdominis space and restore abdominal muscle function. Joint exercises initially included pelvic tilts, abdominal compressions, and controlled breathing techniques, which gradually evolved into various high-load and more functional exercises.
Posture and body Mechanics Education: Physical therapists educate patients with RAD on proper posture and body mechanics to reduce tension in the abdominal muscles during daily activities. This includes instructions on weightlifting techniques, sitting posture, and optimal body alignment to promote healing and prevent further stress in vulnerable areas.
Progress monitoring and adaptation: Physical therapy involves continuous monitoring of progress and adjusting treatment plans accordingly. As dispersion shrinks and core strength improves, physical therapists can introduce more challenging exercises to enhance muscle function and overall stability further.
Use of a support device: A physical therapist may sometimes recommend using an abdominal band or support band to support weak muscles and facilitate the healing process. These assistive devices are often used with targeted exercise and lifestyle changes.
Rectus abdominis dispersion can significantly impact a person’s quality of life, affecting their appearance and ability to function. Guided by a skilled physical therapist and through a tailored program, patients with rectus abdominis transfer can begin the journey to regain core strength, reduce symptoms, regain confidence in bodily function, and improve overall health and resilience.
If you are concerned about possible RAD, please make an appointment with Sophie, our Women’s and Men’s health physiotherapist, for an assessment.
