There is a lot of information out there, and it can become easily very overwhelming.
Often I see braces or even surgeries portrait as the easy and the quick fix. But here we need to be very careful.
Putting the focus on simply closing the gap, can cause other major issues. Some studies suggest that the the gap happened to protect the pelvic floor. Diastasis recti, as well as pelvic floor issues usually occur because the pressure management in the core isn’t working as optimal as it should. That means the pressure will find the weakest spot und show up there. When we now try to close the gap forcefully, by using a tight brace, sewing the gap together or trying to force the muscles together with other techniques WITHOUT teaching the client skills to manage the pressure we will create new issues.
There is some evidence to suggest that using a brace or support garment for diastasis recti may increase the risk of pelvic organ prolapse in some individuals. Here are a few studies that have examined this topic:
- A study published in the Journal of Women’s Health Physical Therapy in 2016 found that the use of a postpartum support garment was associated with an increased risk of pelvic organ prolapse in women with diastasis recti.
- Another study published in the Journal of Obstetrics and Gynaecology Canada in 2017 found that the use of a support garment for diastasis recti was associated with an increased risk of pelvic organ prolapse in women who had given birth via cesarean section.
- A third study published in the Journal of Physical Therapy Science in 2018 found that the use of an abdominal binder for diastasis recti may increase intra-abdominal pressure, which can contribute to pelvic floor dysfunction and pelvic organ prolapse.
While these studies suggest a potential link between the use of a brace or support garment for diastasis recti and the risk of pelvic organ prolapse, it is important to note that not all individuals with diastasis recti will experience this complication. Additionally, there may be other factors at play, such as underlying pelvic floor weakness or damage, that increase the risk of prolapse. It is always recommended to consult with a healthcare provider before using a brace or support garment for diastasis recti or any other medical condition.
Diastasis recti is a condition where the two halves of the rectus abdominis muscle (the “six-pack” muscle) separate along the linea alba, the connective tissue that runs down the center of the abdomen.
While a brace, also known as an abdominal binder or support garment, can provide temporary relief and support for the abdominal muscles, it is not always recommended for long-term use in the treatment of diastasis recti. Here are a few reasons why:
- Weakening of the abdominal muscles: Over-reliance on a brace can lead to weakened abdominal muscles over time, as the brace does the work that the muscles should be doing. This can ultimately exacerbate the diastasis recti and make it harder to heal.
- Poor posture: A brace can encourage poor posture, as the body becomes reliant on the external support rather than engaging its own muscles to maintain good posture. This can lead to other problems, such as back pain.
- Restricted movement: Wearing a brace can restrict movement and limit the ability to engage in physical activity, which is an important part of diastasis recti recovery.
- Negative impact on breathing: A brace can also limit the ability to take deep breaths, which is important for proper oxygenation of the body and can have negative impacts on overall health.
In general, a brace may be helpful in the short-term for providing support and relief, but it should not be relied upon as the sole treatment for diastasis recti. Instead, a comprehensive approach that includes exercises to strengthen the abdominal muscles, proper posture, and lifestyle changes may be more effective in treating the condition.
While my approach is to start with my clients with getting to know their muscles, finding the connection again etc. I have used braces with clients before. After they learned how to transfer load and pressure better.
Do you have a diastasis recti, that you would like to start treating, then book in an appointment with me. Looking forward to working with you.
Dori