Rectus diastasis (DRA) is a separation of the outermost abdominal muscles (your ‘six- pack’) along the midline connective tissue (linea alba). It is typically called a diastasis when this gap is wider than 2.5 cm or if there is a visible bulge down the middle of your stomach when you exert yourself (like sitting up).
It is most common in pregnancy when the expanding uterus stretches the abdominal muscles and the connective tissues that hold them together. Hormones like relaxin and estrogen also play a role, making these tissues more pliable.
While some separation is normal during/after pregnancy, DRA can cause functional issues. Physiotherapy is a key conservative treatment. It involves:
Assessment: Measuring the separation and evaluating core function.
Techniques: Teaching proper breathing, correcting posture, and functional exercises.
The aim is to improve core strength, enhance trunk stability, and restore optimal abdominal function, with treatment plans tailored to individual needs and severity.
