
RECTUS DIASTASIS
Rectus diastasis, also known as diastasis recti, is a condition where the linea alba becomes wider than normal. Linea Alba is the fibrous structure between the two right and left rectus abdominis muscles (commonly referred to as the “six-pack” muscles). The normal width of the linea alba varies along its length. As per research, the normal width may vary from 15mm – 22mm, a width more than 30 mm may be considered pathological.The most common cause of rectus diastasis is pregnancy. As the uterus expands to accommodate the growing fetus, the abdominal muscles stretch, and this leads to the widening of the linea alba.
While this is a normal adaptation to pregnancy, some women may experience persistent separation after childbirth. Women who have had multiple pregnancies are at a higher risk of developing rectus diastasis, as the repeated stretching of the abdominal muscles can contribute to a more significant separation. The hormonal changes during pregnancy also play a role in this condition. Men also can suffer from rectus diastasis, and the cause may be obesity, sarcopenia, improper straining, or genetic predisposition.
The separation of the rectus abdominis muscles can lead to weakness and reduced stability in the core strength. This may result in difficulties with posture, balance, and physiological functions like coughing and straining for micturition. Disfiguration of the abdomen is visible like a visible bulge or ridge along the midline of the abdomen, particularly during certain movements or activities. There may be an increased risk of developing hernias due to weakness in the thinned-out linea alba.
It’s important to note that not everyone with rectus diastasis experiences symptoms, and the severity of symptoms can vary. For some individuals, especially those with a mild separation, the condition may be asymptomatic and may not require any treatment. However, in cases where rectus diastasis causes functional impairment, discomfort, or disfigurement intervention may be necessary.
Management strategies may include targeted exercises to strengthen the core muscles, physical therapy, and, in certain cases, surgical intervention to repair the separations.