Comprehensive Approach to Correcting Diastasis Recti Abdominis (DRA) with Pelvic Floor Therapy

Diastasis Recti Abdominis (DRA) is a common condition where the abdominal muscles separate, often seen in postpartum women but also occurring in men and non-pregnant women. As a pelvic floor physical therapist, I focus on a holistic approach to correct DRA. This blog explores how addressing thoracic spine alignment, breathing, coordination of pelvic floor movement with breathing, hip strength, and body mechanics can maximize outcomes for those with DRA.

Understanding Diastasis Recti Abdominis (DRA)

DRA occurs when the rectus abdominis muscles separate, leading to a bulge in the middle of the abdomen. This separation can cause abdominal weakness, lower back pain, hernias, pressure and heaviness, leakage, and other functional limitations. Effective treatment requires a comprehensive approach that addresses the entire body, not just the abdominal separation.

Key Components of a Comprehensive Approach

1. Thoracic Spine Alignment

Proper thoracic spine alignment is crucial for optimal core function. Misalignment can contribute to poor posture, altered breathing patterns, and increased strain on the abdominal muscles.

- Assessment: Evaluate the alignment of the thoracic spine and identify any areas of restriction or misalignment.

- Correction: Incorporate exercises and manual therapy techniques to improve thoracic mobility and alignment, promoting better posture and core function.

2. Breathing Techniques

Proper breathing is foundational to core stability and pelvic floor function. Diaphragmatic or 360-degree breathing ensures that the diaphragm, pelvic floor, and abdominal muscles work harmoniously.

- Assessment: Observe breathing patterns to ensure the diaphragm is functioning correctly.

- Training: Teach 360-degree breathing techniques to enhance core stability and reduce undue pressure on the abdominal wall.

3. Coordination of Pelvic Floor Movement with Breathing

Coordinating pelvic floor movement with breathing is essential for optimal core function. This coordination helps in managing intra-abdominal pressure and supporting the abdominal muscles.

- Assessment: Evaluate the coordination between the pelvic floor and breathing.

- Exercises: Integrate breathing exercises with pelvic floor contractions and relaxations to improve coordination and function.

4. Hip Strength

Strong hips provide a stable base for the pelvis and lower back, crucial for supporting the core and preventing further strain on the abdominal muscles.

- Assessment: Test hip strength and identify any weaknesses or imbalances.

- Strengthening: Incorporate targeted exercises to strengthen the hip muscles, enhancing overall core stability.

5. Body Mechanics

Proper body mechanics during daily activities can prevent further strain on the abdominal muscles and support healing.

- Assessment: Observe how clients perform everyday movements and identify any habits that may contribute to DRA.

- Education: Teach proper body mechanics and ergonomic principles to reduce strain on the core and promote healing.

Implementing a Holistic Treatment Plan

Combining these components into a cohesive treatment plan can effectively address DRA and improve overall function. Here’s how to implement this approach:

1. Initial Evaluation: Conduct a thorough assessment, including thoracic spine alignment, breathing patterns, pelvic floor function, hip strength, and body mechanics.

2. Individualized Treatment Plan: Develop a personalized plan that targets the specific needs and goals of the client, incorporating exercises and techniques for each key component.

3. Progressive Exercises: Start with basic exercises and gradually increase intensity as the client’s strength and coordination improve.

4. Education and Support: Provide ongoing education and support to help clients integrate these techniques into their daily lives and maintain progress.

Conclusion

Correcting Diastasis Recti Abdominis (DRA) requires a comprehensive approach that addresses the entire body. By focusing on thoracic spine alignment, breathing techniques, coordination of pelvic floor movement with breathing, hip strength, and body mechanics, we can maximize outcomes and promote optimal healing.

If you’re dealing with DRA, contact us today to schedule an appointment. Our holistic approach to pelvic floor therapy can help you achieve a stronger, healthier core and improve your overall quality of life.

Take the Next Step

Ready to start your journey to a stronger core? Contact us today to book your appointment and learn how our comprehensive pelvic floor therapy can help you correct Diastasis Recti Abdominis and enhance your overall well-being.