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5 Types of Pelvic Floor Therapy for Diastasis Recti

By Dr. Zarina Vitebsky, DPT, MSPT, PRPC, TPS, LPF, DN on 10/18/2023

Clip art of a pelvic floor physical therapy patient's diastasis recti

Types of Diastasis Recti Pelvic Floor Therapy

Introduction

Diastasis recti is a common condition that occurs during pregnancy or after childbirth, where the abdominal muscles separate and create a gap in the midline of the abdomen. This can lead to a variety of symptoms such as back pain, pelvic floor dysfunction, and urinary incontinence. Pelvic floor therapy is a crucial component of diastasis recti treatment, as it helps to strengthen and support the muscles in the pelvic floor and abdomen. In this article, we will discuss the different types of pelvic floor therapy that can be beneficial for those with diastasis recti.

Explanation of Diastasis Recti

Diastasis recti is a condition that occurs when the connective tissue between the abdominal muscles, known as the linea alba, stretches and weakens. This can happen during pregnancy as the uterus grows and puts pressure on the abdominal muscles, or during childbirth when the muscles are stretched to accommodate the baby's passage. Diastasis recti can also occur in men and women who engage in activities that put excessive strain on the abdominal muscles, such as heavy lifting or repetitive bending. It is important to note that diastasis recti is not a medical condition, but rather a cosmetic concern that can lead to other health issues if left untreated.

Importance of Pelvic Floor Therapy for Diastasis Recti

Pelvic floor therapy is a specialized form of physical therapy that focuses on strengthening and rehabilitating the muscles in the pelvic floor. These muscles play a crucial role in supporting the pelvic organs, maintaining bladder and bowel control, and stabilizing the spine and pelvis. In the case of diastasis recti, pelvic floor therapy is essential as it helps to improve the strength and function of the pelvic floor muscles, which can become weakened and stretched due to the abdominal separation. This can help to alleviate symptoms such as urinary incontinence, pelvic pain, and back pain, and also prevent further complications such as pelvic organ prolapse.

Overview of the Different Types of Pelvic Floor Therapy for Diastasis Recti

There are several types of pelvic floor therapy that can be beneficial for those with diastasis recti. These include:

  • Kegel exercises:

    These exercises involve contracting and relaxing the pelvic floor muscles to improve their strength and control. They can be done at home and are often recommended as a first-line treatment for diastasis recti.

  • Manual therapy:

    This involves hands-on techniques such as massage, myofascial release, and trigger point therapy to release tension and improve the function of the pelvic floor muscles.

  • Electrical stimulation:

    This therapy uses low-voltage electrical currents to stimulate the pelvic floor muscles and improve their strength and coordination.

  • Biofeedback:

    This technique uses sensors to measure muscle activity and provides visual or auditory feedback to help individuals learn how to properly engage and relax their pelvic floor muscles.

  • Pilates:

    Pilates exercises can be modified to target the pelvic floor muscles and improve their strength and function.

It is important to consult with a pelvic floor therapist to determine the best type of therapy for your specific needs and to ensure proper technique and progression.

Physical Therapy

Definition of Physical Therapy

Physical therapy is a form of rehabilitation that focuses on improving and restoring physical function and mobility. It involves the use of exercises, manual therapy, and other techniques to treat injuries, illnesses, and chronic conditions.

How Physical Therapy Can Help with Diastasis Recti

Physical therapy can be a beneficial treatment option for individuals with diastasis recti. It can help to strengthen the muscles of the pelvic floor and abdominal wall, which can help to improve the condition and reduce symptoms such as back pain and urinary incontinence.

Specific Exercises and Techniques Used in Physical Therapy for Diastasis Recti

Physical therapists use a variety of exercises and techniques to target the muscles affected by diastasis recti. These may include pelvic floor exercises, core strengthening exercises, and stretches to improve flexibility. They may also use techniques such as biofeedback and electrical stimulation to help activate and strengthen the muscles.

Benefits of Physical Therapy for Diastasis Recti

There are several benefits of physical therapy for diastasis recti, including improved muscle strength and function, reduced pain and discomfort, and improved overall quality of life. Additionally, physical therapy can help individuals learn proper techniques for performing daily activities and exercises to prevent further damage to the muscles.

Types of Diastasis Recti Pelvic Floor Therapy

Pilates

Pilates is a form of exercise that focuses on strengthening the core muscles, including the pelvic floor. It involves controlled movements and breathing techniques to improve posture, balance, and flexibility.

Benefits of Pilates for Diastasis Recti

Pilates can be a beneficial form of pelvic floor therapy for those with diastasis recti. The exercises in Pilates target the deep abdominal muscles, which can help to close the gap in the abdominal muscles caused by diastasis recti. Additionally, Pilates can improve overall core strength and stability, which can help to support the pelvic floor and alleviate symptoms of diastasis recti.

Specific Pilates Exercises for Diastasis Recti

There are specific Pilates exercises that can be incorporated into a pelvic floor therapy routine for diastasis recti. These exercises focus on engaging the deep abdominal muscles and strengthening the pelvic floor. Examples include pelvic tilts, heel slides, and modified planks. It is important to consult with a certified Pilates instructor or physical therapist to ensure proper form and technique when performing these exercises.

Importance of Proper Form and Technique in Pilates for Diastasis Recti

When using Pilates as a form of pelvic floor therapy for diastasis recti, it is crucial to maintain proper form and technique. This means engaging the correct muscles and avoiding any movements that may worsen the condition. A certified instructor or physical therapist can provide guidance and modifications to ensure that the exercises are safe and effective for those with diastasis recti.

Yoga for Diastasis Recti Pelvic Floor Therapy

Definition of Yoga

Yoga is a mind-body practice that originated in ancient India and has gained popularity in recent years for its numerous health benefits. It involves a combination of physical postures, breathing techniques, and meditation to promote overall well-being.

How Yoga Can Help with Diastasis Recti

Diastasis recti is a condition where the abdominal muscles separate during pregnancy or childbirth, causing a gap in the midline of the abdomen. This can lead to pelvic floor dysfunction and other related issues. Yoga can help with diastasis recti by strengthening the abdominal muscles, improving posture, and promoting relaxation and mindfulness.

Specific Yoga Poses for Diastasis Recti

There are specific yoga poses that can be beneficial for those with diastasis recti. These include gentle abdominal exercises such as pelvic tilts, modified plank pose, and bridge pose. It is important to avoid poses that put too much pressure on the abdominal muscles, such as deep twists or backbends.

Importance of Modifications for Diastasis Recti in Yoga Practice

It is crucial to modify yoga poses for diastasis recti to avoid further strain on the abdominal muscles. This may include using props, such as blocks or straps, to support the body and avoid overstretching. It is also important to listen to your body and avoid any poses that cause discomfort or pain. Consulting with a certified yoga instructor who is knowledgeable about diastasis recti can also be helpful in creating a safe and effective yoga practice.

Biofeedback Therapy

Explanation of Biofeedback Therapy

Biofeedback therapy is a non-invasive treatment method that uses electronic sensors to measure and provide feedback on bodily functions such as muscle activity, heart rate, and breathing patterns. This information is then used to help individuals gain more control over these functions and improve their overall health and well-being.

How Biofeedback Therapy Can Benefit Diastasis Recti

Diastasis recti is a condition where the abdominal muscles separate during pregnancy or due to excessive strain on the abdominal area. Biofeedback therapy can be beneficial for individuals with diastasis recti as it helps them become more aware of their muscle activity and learn how to properly engage and strengthen their abdominal muscles.

Process of Biofeedback Therapy for Diastasis Recti

The first step in biofeedback therapy for diastasis recti is to undergo an assessment with a trained therapist. During this assessment, the therapist will attach sensors to the abdominal area to measure muscle activity. The individual will then perform various exercises while receiving real-time feedback on their muscle activity. This allows them to make adjustments and learn how to properly engage their abdominal muscles.

Importance of Consistency and Follow-Up in Biofeedback Therapy for Diastasis Recti

Consistency and follow-up are crucial in biofeedback therapy for diastasis recti. It takes time and practice to learn how to properly engage and strengthen the abdominal muscles, and regular sessions with a therapist can help ensure progress is being made. Additionally, follow-up appointments can help track progress and make any necessary adjustments to the treatment plan.

Types of Diastasis Recti Pelvic Floor Therapy

Pelvic Floor Muscle Training

Pelvic floor muscle training, also known as Kegel exercises, involves strengthening the muscles in the pelvic floor. These muscles support the bladder, uterus, and rectum and play a crucial role in maintaining continence and stability in the pelvic region.

How Pelvic Floor Muscle Training Can Help with Diastasis Recti

Diastasis recti, also known as abdominal separation, is a common condition in which the abdominal muscles separate during pregnancy or due to excessive strain on the abdominal muscles. Pelvic floor muscle training can help with diastasis recti by strengthening the muscles in the pelvic floor, which in turn can provide support to the abdominal muscles and help them heal.

Specific Exercises and Techniques Used in Pelvic Floor Muscle Training for Diastasis Recti

There are various exercises and techniques that can be used in pelvic floor muscle training for diastasis recti. These include Kegel exercises, pelvic tilts, and deep abdominal breathing. It is important to consult with a pelvic floor physical therapist to determine the best exercises and techniques for your specific condition.

Importance of Proper Technique and Progression in Pelvic Floor Muscle Training for Diastasis Recti

Proper technique and progression are crucial in pelvic floor muscle training for diastasis recti. It is important to learn how to properly engage and relax the pelvic floor muscles to avoid any further strain or injury. Additionally, gradually increasing the intensity and difficulty of exercises can help prevent overexertion and promote proper healing of the abdominal muscles.

If you are experiencing pelvic floor dysfunctions associated with the issues above, please reach out to us at Pelvic Health Center in Madison, NJ to set up an evaluation and treatment! Feel free to call us at 908-443-9880 or email us at receptionmadison@pelvichealthnj.com.

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