What Is Diastasis Recti? Symptoms, Causes, and Treatment Options
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A visible bulge through the midsection that does not respond to workouts often points to a deeper structural issue involving the core. Dr. Michelle Eagan and our team at New Orleans Plastic Surgery near New Orleans, LA recognize that this condition involves the stretching and thinning of connective tissue that holds the abdominal muscles together.
This type of abdominal muscle separation is especially common after pregnancy, though it can also affect men and individuals who have experienced significant weight changes. It is a key factor in many conversations surrounding postpartum recovery, especially when strength and stability do not return as expected.
What does diastasis recti look and feel like?
Many individuals notice a ridge or abdominal bulge after pregnancy that becomes more pronounced when sitting up, lifting, or engaging the core. Along with visible changes, common diastasis recti symptoms include a sense of weakness through the midsection, poor posture, and difficulty with movements that rely on core stability.
There may also be a feeling that the abdomen lacks support during daily activities. If you are unsure how to tell if you have diastasis recti, a professional evaluation can provide clarity and help determine the extent of the separation.
What causes diastasis recti to develop?
This condition develops when prolonged pressure and stress weaken the connective tissue that holds the abdominal muscles together. Pregnancy is the most common factor, as the growing uterus stretches the abdominal wall while hormonal changes soften the tissue to allow for expansion. Other contributing factors can build over time and increase the likelihood of separation, especially when the core is repeatedly under strain. Common causes of diastasis recti include:
- Increased abdominal pressure during pregnancy
- Hormonal changes that affect connective tissue elasticity
- Improper core engagement during exercise or daily movement
- Heavy lifting or repetitive strain on the midsection
- Significant weight fluctuations that place tension on the abdominal wall
Can diastasis recti go away on its own?
In some mild cases, the body may gradually regain strength with time and guided exercise, particularly in the early stages of healing. However, when the separation is more significant, the connective tissue between the muscles often does not fully return to its original state. Supporting pelvic floor health and focusing on targeted core strengthening can improve stability and function, but these approaches may not close the gap. This is why some individuals continue to see persistent changes despite consistent effort, leading them to consider additional solutions.
What happens if diastasis recti is left untreated?
Over time, the lack of support in the abdominal wall can contribute to ongoing core weakness, lower back discomfort, and challenges with balance or physical activity. In more advanced cases, this is where solutions like a tummy tuck or mommy makeover may be considered to restore structure and improve core stability through surgical repair. Some also find that their abdomen continues to protrude despite maintaining healthy habits, which can feel frustrating.
In certain situations, the weakened structure may increase the risk of hernias or other functional concerns. Addressing the condition early can help improve both comfort and long-term stability, rather than allowing symptoms to gradually progress.
Start rebuilding your core with a solution designed for lasting results
Understanding the answer to when do you need surgery for diastasis recti often comes down to how your body is responding to nonsurgical efforts and your overall goals. When exercise and supportive care are no longer improving strength or appearance, a more complete solution may be worth considering. A tummy tuck for diastasis recti focuses on restoring the abdominal wall through core muscle repair while also addressing excess skin for a smoother, more supported contour.
Dr. Michelle Eagan and our team at New Orleans Plastic Surgery near New Orleans, LA are here to help you explore your options. Schedule your consultation today to get clear answers and move forward with confidence.