Understand it
What is a Diastasis Recti?

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Read the WebMD article: Abdominal Separation (Diastasis Recti).

Diastasis diagram

 

Diastasis diagram

 

Definition

Diastasis Recti, a condition often ignored by the medical community, is a problem that screams for more attention, and that is why Everybelly® should be checked for a diastasis recti. 

Everybelly® means all women (baby or no baby), men and children.  Many people have a diastasis recti and just don’t know it!

A diastasis recti is a separation of your outer most abdominal muscles. The job of these muscles (called rectus abdominis), is to support your back and your organs.

So why should you care if your muscles are separated? Because separated muscles are weak muscles. Separated muscles cannot do their job of supporting your back and organs. To achieve a strong core, your muscles must be close together.

When the muscles separate, the connective tissue (linea alba) joining these muscles stretches sideways.  This sideways stretching of the connective tissue causes it to become thinner and weaker.  So what happens is this weak saran wrap-like connective tissue is now ineffectively supporting your belly button, back and organs, instead of the muscles if they were close together.

The cause of a diastasis is from continuous stretching of, and intra-abdominal force and pressure on, this connective tissue that joins your outer most abdominal muscles. Right smack in the middle of this connective tissue is your belly button which is a weak spot. That is why when the connective tissue stretches sideways your belly button will become an “outie”.  Pregnancy and doing crunches are examples of intra-abdominal “force” on the connective tissue. Wearing a front loading baby carrier or being in a hands and knees position are examples of “pressure” on the connective tissue.  Movements where you arch your back will flare your ribs. This flaring will stretch your connective tissue. An example of this movement is swimming.   

Everyone is born with their muscles separated! Usually, the muscles come together when we are three years old after our nervous system has developed. But this does not necessarily happen with everyone.  Because our belly button is a weak spot in the connective tissue, even if the muscles do come together, there is always the risk that they may come apart again.  

A diastasis can be closed on anyone at any time.  It does not matter when you had your baby or even if you have had a baby at all! Closing a diastasis is all about healing the connective tissue.  Everyone’s connective tissue will heal at a different rate. It depends on the “condition” of your connective tissue.  The weaker your connective tissue the longer it will take.  Also, the connective tissue on people who have stretch marks will take longer to heal.

Healing the connective tissue is all about putting it in a better (narrow) position, bringing blood flow to it and protecting it when doing any type of activities so it is not being stretched nor does it have any intra-abdominal force or pressure on it.  

Surgery should be your very last resort! If you decide on surgery, your abdominals must be strengthened beforehand  to maintain the integrity of the sutures.  The surgery to repair this requires a hipbone to hipbone incision.  The recovery from this surgery is very difficult.

If mesh is recommended for this surgery, be very careful.  There are many brands and types of mesh. Most of the meshes are absorbable which means it will co-mingle with your connective tissue.  Many people are allergic to the mesh. There is no way to test yourself before the surgery to see if you are.  If after the surgery you find out you are allergic, there is no way to remove it after it has co-mingled with your connective tissue. Thus, your body will be continuously trying to reject it and this will cause pain. A pain that there is no solution for except medication!

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