Diastasis, also known as diastasis recti and abdominal rectus diastasis, is a condition in which there is an increased vertical distance between the two muscle bulges of the straight abdominal muscle (Rectus abdominis). This condition is common but often misunderstood and can affect both men and women, although it is more common in women during pregnancy. In this comprehensive guide, we explore what diastasis is, its risk factors, symptoms, diagnosis, treatment and much more.
What is diastasis?
Definition and basic understanding
Diastasis refers to the vertical separation of the muscle bellies in the straight abdominal muscle. The increased distance is caused by the stretching of the connective tissue between the right and left abdominal muscles (Linea alba). Diastasis recti usually occurs as a result of excessive pressure on the abdominal muscles. Excessive pressure on the abdominal muscles can be caused by several factors. Common factors include: pregnancy, obesity and excessive exercise.
Diastasis can also occur if the connective tissue between the vertical muscle bellies is subjected to excessive stretching or if it has become thinned.
How diastase affects the body
Diastasis can lead to several physical problems. Impaired function of the abdominal muscles can lead to varying degrees of low back pain. Split abdominal muscles can also cause breathing problems, incontinence, prolapse and difficulty performing certain movements.
Diastasis can also cause cosmetic problems, such as a bulge or ‘puffy’ stomach, which do not improve despite regular exercise. More recently, surgery has become available in Sweden.
Why do you get it/why do you have these problems?
Risk factors for developing diastasis
Risk factors for developing diastasis include pregnancy, especially multiple or closely spaced pregnancies, large children, older age at pregnancy, and certain types of physical activity that increase pressure on the abdominal wall. Also, weakening of the connective tissue between the abdominal muscles or excessive stretching can cause diastasis.
Most common causes of diastasis
In addition to pregnancy, diastasis can also occur due to rapid weight gain, poor lifting techniques of heavy objects, and certain abdominal exercises that strain the abdominal wall, such as sit-ups and crunches.
What is it a symptom of/What symptoms does it cause?
Symptom of diastasis
The most obvious symptoms include a visible cleft or bulge along the midline when the muscles are strained, weakness in the abdominal muscles, and sometimes pain or discomfort in the back and abdomen.
Long-term effects of diastase on the body
If left untreated, diastasis can lead to a deterioration in the function of the abdominal muscles, which can lead to several problems such as chronic low back problems, breathing difficulties, incontinence, prolapse and a potentially increased risk of hernia or other abdominal wall problems.
How we can help you
At Fascia Clinics, we understand the connection between the health of the fascia and the function of the trunk muscles. The fascia is the network of connective tissue that binds and permeates everything in our body. All cells, tissues (even bone), muscles and organs contain fascia. The fascia is also very rich in free pain receptors, known as nociceptors, which react to stimuli such as pressure, and send signals to the central nervous system where it is interpreted as pain.
Through fascia treatments, we can help relieve tension in the abdominal area, thus reducing pressure on the abdominal muscles. We adjust the entire pelvis, releasing tension on the legs and straightening the spine so the body can load more evenly. If there is an imbalance in the body, there is a high risk of it spreading and affecting other structures. That’s why it’s very important to seek help quickly as soon as you notice any symptoms.
Diagnosis and testing
How is diastasis diagnosed?
Diagnosis of diastasis often involves a physical examination in which a specialist assesses the distance between the muscle bellies. It may include visual and manual tests to assess the width and depth of the separation.
Self-test for diastase
There are simple self-tests, such as lying on your back with your feet on the floor and placing your fingers on the midline of your stomach, between the muscle bellies. Gently lift your head and press with your fingertips on your stomach. If you get the feeling of a tinted wall, it is not diastasis. If instead you sink into your stomach or feel a separation, it may indicate diastasis. However, even if the self-test shows diastasis, it is important to get a professional assessment for an accurate diagnosis.
Handling and treatment
Exercises and treatment methods for diastasis
Treatment may include specific exercises to strengthen the transverse abdominal muscles and reduce separation. It is important that these exercises are performed correctly and under the guidance of a specialist to avoid further damage.
Lifestyle changes and prevention
Avoiding certain types of exercises and activities that increase pressure on the abdominal wall is crucial. Lifestyle changes, including proper lifting techniques and posture correction, can also play an important role in the treatment and prevention of diastasis.
Forecast and recovery
Healing time and recovery from diastasis
Recovery time varies depending on the severity and the individual’s commitment to the rehabilitation program. With the right treatment and exercises, many individuals can see improvements within a few months.
Risk of recurrent diastasis
There is a risk of recurrent diastasis, especially if root causes, such as improper exercise or increased abdominal pressure, are not addressed. A long-term core stability and muscle strengthening plan is essential to minimize this risk.
At Fascia Clinics, we are committed to supporting your recovery from diastasis through a highly effective, whole-body approach to treatment. Contact us to begin your road to recovery and to learn more about how we can help you manage and improve diastasis.