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Diastasis Recti is a condition in which the rectus abdominis muscles (six-pack muscles) separate along the midline of the abdomen due to stretching and weakening of the connective tissue (linea alba). It is most commonly seen in pregnant and postpartum women, but it can also affect men, newborns, and people who lift heavy weights improperly.
Diastasis Recti occurs when the left and right abdominal muscles separate, creating a visible or palpable gap in the midline of the abdomen. This can lead to a bulging belly, poor posture, and core weakness.
Pregnancy (especially multiple pregnancies)
Rapid weight gain or obesity
Improper abdominal exercises
Heavy lifting without core support
Weak abdominal muscles
Aging
Cesarean delivery
Chronic coughing or straining
Multiple pregnancies
Large baby or twin pregnancy
Poor core strength
Advanced maternal age
Obesity
Bulging or doming of the abdomen
Soft or jelly-like belly
Lower back pain
Poor posture
Weak core strength
Difficulty lifting objects
Pelvic floor dysfunction
Constipation or bloating
Patient lies on the back and lifts the head slightly
A gap of more than 2 finger-widths indicates diastasis recti
Confirms the width of muscle separation
Used in severe or unclear cases
✔ Physiotherapy exercises
Pelvic tilts
Heel slides
Abdominal bracing
Transverse abdominis activation
Kegels
❌ Avoid
Sit-ups and crunches
Planks (early stage)
Heavy lifting
Twisting movements
Maintain proper posture
Avoid straining
Use abdominal support belt
Maintain healthy body weight
Practice safe lifting techniques
Indicated when:
Severe separation (>5–6 cm)
Persistent pain
Hernia present
Failure of conservative treatment
Surgical options:
Abdominoplasty (tummy tuck)
Laparoscopic repair
Strengthen core muscles before pregnancy
Avoid excessive weight gain
Perform pregnancy-safe exercises
Practice proper breathing techniques
Start postnatal exercises gradually
Chronic lower back pain
Poor posture
Hernia formation
Pelvic floor dysfunction
Reduced functional strength
Diastasis Recti is a common but manageable condition. Early diagnosis, proper exercises, and lifestyle modification can significantly improve core strength and quality of life. Surgical treatment is reserved for severe cases only.
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