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Lauren Matthews

Diastasis Recti Recovery: Can Pilates Help?

Updated: Jan 4, 2024

If you're pregnant or gave birth,, you might hear the term 'diastasis recti' floating around. It can sound alarming, but don't panic! It's just your body's incredible way of making space for your little one. Instead of a gap, it's more like a gentle softening of the connective tissue between your abdominal muscles, which allows them to stretch as your belly accommodates your growing baby. This clever adaptation is nothing to worry about, and the good news is with some guidance and care, you can absolutely recover and regain your core strength after birth.


Why Does Diastasis Recti Happen?


As your uterus expands with your growing baby, it can put pressure on your abdominal muscles and the linea alba. The linea alba, meaning "white line" in Latin, is a fascinating and important structure in the human body. Here's a breakdown of its key features and how Diastasis Recti can happen:


Location and Appearance:

  • Imagine a thin, vertical, fibrous band running down the front of your abdomen, from the bottom of your sternum (breastbone) to your pubic bone. That's the linea alba!

  • It separates the two halves of your rectus abdominis muscle, also known as your "six-pack" muscles.

  • While called a "white line," it's not actually white in color. Its pale appearance comes from the dense collagen fibers that make it up.


Diastasis Recti

Function:

  • The linea alba acts as a strong anchor point for various abdominal muscles, including the external obliques, internal obliques, and transversus abdominis.

  • It helps transmit the forces generated by these muscles, contributing to core stability and trunk movement.

  • Additionally, the linea alba assists in protecting the underlying organs within the abdominal cavity.


Changes During Pregnancy:

  • During pregnancy, the growing uterus stretches the linea alba, often causing a separation between the rectus abdominis muscles. This condition is called diastasis recti.

  • This is perfectly normal and happens to about 60% of pregnant women.

  • The extent of separation can vary depending on factors like fetal size, maternal muscle tone, posture, and number of pregnancies.


Curious if you might have diastasis recti? 


Performing a simple self-check at home can offer some initial insights. While a certified professional can provide a definitive diagnosis, this self-test can be a starting point for conversation and awareness.


Here's how to check for diastasis recti:

Diastasis Recti treatment
  1. Lie flat on your back with your knees bent and feet flat on the floor.

  2. Place your fingertips (about two or three fingers) horizontally above your belly button, pointing towards your toes.

  3. Slowly lift your head and shoulders off the ground just slightly, engaging your core muscles. Imagine you're doing a mini crunch, but only lifting a few inches.

  4. Feel for a gap between the rectus abdominis muscles where your fingers are placed. If you can fit more than two fingers comfortably in the gap, it could be indicative of diastasis recti.

  5. Repeat the process below your belly button as well.


If you suspect that you have diastasis recti, don't panic. With the right approach and guidance, you can absolutely heal and regain your core strength. Early intervention through safe exercises, like Pilates, can be incredibly beneficial in supporting your recovery journey.


How Can Diastasis Recti Affect the Body?


While diastasis recti is common and often resolves on its own after childbirth, it can sometimes lead to:

weakness in the abdomen
  • A doming or bulging appearance of the abdomen

  • Lower back pain

  • Weakness in the core muscles

  • Incontinence

  • Difficulty with certain exercises


But here's the good news: diastasis recti is not a life sentence! You can absolutely recover and regain your core strength. And guess what? Pilates can be a fantastic tool in your journey!


Why Pilates is a Smart Choice for Diastasis Recti Recovery:

  • Strengthens the deep core muscles: Pilates focuses on engaging the transverse abdominis, a deep core muscle that lives beneath the rectus abdominis. This muscle plays a crucial role in drawing the linea alba together and closing the gap.

  • Improves breath control: Proper breathing activates the deep core muscles, further supporting healing.

  • Promotes proper alignment: Pilates helps you stand tall and engage your core, taking pressure off your abdominal wall and reducing pain.

  • Gentle and modifiable: Unlike traditional crunches, which can worsen diastasis recti, Pilates exercises are gentle and can be adapted to your needs and fitness level.


core strength exercise

Finding the Right Pilates Program:


  • Look for a certified instructor with experience in pre- and postnatal Pilates. They'll understand the specific modifications needed for diastasis recti recovery and design a safe and effective program for you.

  • Start small and focus on quality over quantity. Proper form is key!

  • Listen to your body and take breaks when needed. Don't push yourself too hard.


The beauty of Pilates with a certified pre- and postnatal instructor is that you can truly tailor your sessions to your individual needs, even in the very early postpartum period. Think of it as an extension of physical therapy, but with the added benefit of personalized attention and guidance throughout your recovery journey.


Early Postpartum Pilates: A Gentle Start to Healing and Self-Care


private pilates sessions

While your doctor's clearance is recommended, many women find tremendous benefit in starting private Pilates sessions as early as they feel comfortable after birth. These sessions will, of course, look quite different from a typical Pilates class. Focus will be on:


  • Deep core activation and breathwork: Gentle exercises like pelvic tilts and diaphragmatic breathing help reawaken your deep core muscles, promoting healing and stability from the inside out.

  • Postural restoration and alignment: Regaining proper alignment after childbirth can ease back pain and discomfort. Your instructor will guide you through gentle stretches and strengthening exercises to realign your posture and support your body.

  • Safe and effective movement: Forget crunches and harsh abdominal exercises! Pilates offers a wealth of safe and effective movements that target different muscle groups without putting undue strain on your recovering core. Think leg lifts, side planks, and gentle bridges, all modified to suit your unique needs.

  • Mental and emotional well-being: Beyond the physical benefits, postpartum Pilates can be a wonderful space for self-care and mindfulness. Taking dedicated time to focus on your body and its needs can do wonders for your emotional well-being, especially during the often-demanding early days of motherhood.


Remember, even with gentle movements, starting Pilates postpartum is about listening to your body and honoring its needs. Your instructor will be there to guide you every step of the way, ensuring you move safely and effectively as you rebuild your strength and reconnect with your core.


Postpartum life is a whirlwind of emotions and adjustments. But amidst the sleepless nights and endless cuddles, carving out time for self-care is essential. That's where postpartum Pilates shines! Whether you dream of reclaiming your pre-baby workouts or simply crave gentle movement and relief, Pilates offers a safe and effective path to strengthen your core, ease discomfort, and rediscover your inner strength. So, embrace this time as an opportunity to nurture yourself, build a strong foundation for the future, and discover the magic of moving your body with mindful grace.



 Lauren Matthews private session

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