What is Diastasis Recti?
Diastasis recti consists of the abnormal separation of the two rectus abdominis muscles along the linea alba (the midline of the abdomen). This condition is especially common in women after one or multiple pregnancies, although it can also occur in men with significant abdominal obesity or after massive weight loss. The muscle separation causes a visible bulge along the abdominal midline, abdominal wall weakness, lower back pain, difficulty performing physical activities, and in some cases, associated hernias.
When rehabilitation exercises and physical therapy fail to correct the diastasis, surgical repair is the definitive treatment. Dr. Mario Ruvalcaba performs the repair using laparoscopic or open technique depending on the severity of the case, bringing the rectus muscles back to their anatomical position and reinforcing the linea alba. In selected cases, mesh placement may be combined for additional support. The procedure restores abdominal muscle function, improves posture, relieves associated lower back pain, and restores a firmer, more natural abdominal contour.
Benefits
Functional restoration
Restores integrity and strength to the abdominal wall, improving posture, core stability, and the ability to perform physical activities without discomfort.
Cosmetic abdominal improvement
Corrects the visible midline abdominal bulge, achieving a firmer, flatter, and more natural contour.
Lower back pain relief
By restoring anterior muscular support, lower back pain associated with abdominal wall weakness is significantly reduced.
Minimally invasive technique
In selected cases, performed laparoscopically with small incisions, reducing postoperative pain and accelerating recovery.
Who Is a Candidate?
- ✓Women with persistent rectus abdominis muscle separation after one or more pregnancies that does not improve with rehabilitation exercises.
- ✓Individuals with diastasis recti presenting symptoms such as chronic lower back pain, functional abdominal weakness, or associated hernias.
- ✓Post-bariatric patients or those with massive weight loss who have diastasis recti with excess abdominal skin.
- ✓Men with diastasis recti secondary to abdominal obesity that persists after weight loss.
- ✓Adults who have completed at least 6 months of physical rehabilitation without significant improvement and desire a definitive solution.
Recovery Process
First week
Relative rest with early ambulation. Use of compressive abdominal binder 24 hours a day. Pain managed with oral analgesics. Avoid abdominal strain and lifting heavy objects.
2-4 weeks
Continue with abdominal binder. Gradual return to daily and sedentary work activities. Avoid direct abdominal exercises and lifting more than 5 kg (11 lbs).
1-3 months
Progressive removal of abdominal binder as directed by the physician. Start of gentle supervised core strengthening exercises. Moderate physical activity permitted.
3-6 months
Complete recovery. Return to physical activity without restrictions. Final results in terms of abdominal contour and firmness are fully appreciated at 3 to 6 months.
Frequently Asked Questions about Diastasis Recti
How do I know if I have diastasis recti?
Diastasis recti presents as a visible bulge or ridge along the abdominal midline when performing abdominal effort (such as when sitting up from a lying position). It may be accompanied by abdominal weakness, lower back pain, and a feeling of laxity. The diagnosis is confirmed through physical examination and, in some cases, abdominal wall ultrasound. A separation greater than 2 cm between the rectus muscles is considered significant diastasis. Dr. Ruvalcaba performs a comprehensive evaluation to determine the degree of separation and the best treatment option.
Can exercises correct diastasis recti?
In mild cases (separation less than 2-3 cm), a specific exercise program for pelvic floor and deep core rehabilitation, guided by a specialized physical therapist, can significantly improve the condition. However, in moderate to severe diastasis (greater than 3 cm) or when associated hernias are present, exercises alone cannot close the separation, and surgical repair is necessary to restore abdominal wall integrity.
Can it be combined with a tummy tuck?
Yes, in patients who have excess skin and fatty tissue in addition to diastasis recti (common after pregnancy or massive weight loss), the diastasis repair can be combined with an abdominoplasty in a single surgical session. This allows correction of both the muscle separation and excess skin, achieving a comprehensive functional and cosmetic result. Dr. Ruvalcaba works in conjunction with plastic surgeons when this combined approach is required.
Can diastasis recti return after surgery?
Recurrence after proper surgical repair is uncommon (less than 5%). Factors that may increase the risk of recurrence include a new pregnancy, significant weight gain, and performing intense abdominal exertion before completing recovery. For this reason, it is recommended to wait at least 12 months before a new pregnancy and to follow recovery instructions carefully.