Diastasis recti, also known as abdominal separation, is a separation of the rectus abdominis muscles (the “six-pack” muscles) along the linea alba, the connective tissue down the middle of the abdomen. It’s common during and after pregnancy, but can also occur in overweight individuals and those who have had abdominal surgery. While it’s not typically painful, it can lead to a bulge in the stomach, back pain, and core weakness.
Causes:
Pregnancy: The growing uterus puts pressure on the abdominal muscles, and pregnancy hormones relax the connective tissue between them.
Weight Gain: Significant weight gain, especially around the abdomen, can also stretch the linea alba.
Straining: Activities that put excessive pressure on the abdominal muscles, like heavy lifting or certain exercises, can contribute.
Age: As we age, the connective tissue can naturally weaken, making it more susceptible to separation.
Symptoms:
A visible bulge or “pooch” above or below the belly button, especially when tensing the abdominal muscles (like when sitting up).
A soft or jelly-like sensation in the middle of the abdomen.
Back pain. Core weakness and difficulty with everyday tasks like lifting or exercising.
Other symptoms may include constipation, bloating, and pain during intercourse.