Diastasis rectus abdominis (DRA) can occur in individuals of any age or gender. However, it is most often a condition associated with pregnancy.

It involves the separation of the linea alba - the connective tissue that lies between the two sides of the rectus abdominis muscle - commonly known as the "six-pack" muscle. This separation can result from changes in core function or pressure management within the abdominal region. Symptoms may include back pain, an overactive pelvic floor, and tight glutes and hips. The extent and duration of the condition varies from person to person.

The transverse abdominis (TVA) is one of the deepest abdominal muscles, playing a crucial role in stabilizing the spine and core. Often referred to as the body's natural weight belt, the TVA acts as foundational support for all movements, whether it's lifting weights, bending over or even standing upright. Engaging the TVA during exercise, particularly in movements requiring core stability, helps protect the lower back from injury. Paired with proper breathing, with the diaphragm and core muscles work together, the TVA ensures that pressure within the abdominal cavity is controlled, promoting both strength and balance.

Pelvic floor muscles work in tandem with the TVA and diaphragm to maintain core stability and control. These muscles, located at the base of the pelvis, support the internal organs and contribute to bladder and bowel control. Proper engagement of the pelvic floor, especially during activities that involve heavy lifting or intense movement, enhances core strength by creating a strong internal brace. Coordinating breath with the contraction of both the transverse abdominis and pelvic floor during exercise not only helps prevent injury but also improves overall functional strength, posture, and body control.

Interestingly, there appears to be a potential link between diastasis recti and pelvic organ prolapse (POP), but it’s complex and not fully understood. Some evidence suggests that individuals with DRA during pregnancy may have a lower risk of conditions such as pelvic organ prolapse. This may indicate that changes in the body's pressure management system, including how the abdominal wall responds, play a protective role.

While some studies suggest that people with diastasis recti may have a lower risk of pelvic organ prolapse, other studies indicate that impaired core function could increase the likelihood of developing prolapse. This study variation may be due to how individuals manage intra-abdominal pressure during daily activities. Poor pressure regulation can stress both the pelvic floor and abdominal wall, contributing to the development of both conditions.

The relationship between DRA and other conditions is still being actively studied. However, strengthening the core, particularly the transverse abdominis and pelvic floor, is recommended to support recovery and reduce the risk of complications associated with both diastasis recti and pelvic floor dysfunction postpartum.

If you have been diagnosed with DRA or are experiencing any of the symptoms mentioned here, call Solstice Physiotherapy at 929-269-2505 or email us at info@solsticept.com to schedule a free 15-minute consultation to discuss your concerns and learn about how one of our professionals may be able to help.