Diastasis Recti — Myofascial Therapy Effects and Expectations
What recent research suggests and where exercise fits.
TL;DR
- Myofascial therapy may help pain and perceived stiffness, but core rehab (deep abdominal/pelvic floor coordination and load progression) is primary.
- Expect gradual change in function/appearance over weeks; immediate “gap closure” is not a realistic sole target.
What is diastasis recti (DR)?
DR is a widening of the linea alba between rectus abdominis bellies. Postpartum, tissues often recover progressively with time, exercise, and load management.
Evidence summary
- Emerging studies suggest myofascial/manual inputs can improve pain, comfort, and function in the short term.
- Exercise‑first management (breath, pressure management, deep core sequencing, progressive loading) remains the cornerstone of care.
Practical approach
- Screening and clearance: follow provider guidance postpartum; watch for red flags (fever, severe pain, wound issues).
- Breath and pressure strategies: diaphragmatic breathing, 360° expansion, exhale on effort.
- Myofascial input (optional): light strokes 30–60s over abdominal borders/flanks to reduce guarding; avoid surgical scars until cleared.
- Progressive loading: start with low‑load core tasks → add carries, squats, hinges with bracing strategies.
- Track function: symptom change, task tolerance, and confidence trump tape‑measure alone.
Safety and when to seek care
- Avoid tool work over unhealed scars, hernias, or persistent severe pain. Stop with dizziness, numbness/tingling, or unusual swelling.
- Coordinate with pelvic‑floor therapy if leakage/pressure symptoms persist.
FAQs
Can myofascial therapy close the gap?
It may influence tensioning and symptom relief but is unlikely to be the sole driver of lasting gap change; training and time matter most.
How soon postpartum can I start?
Begin with breath and gentle mobility when cleared; delay any abdominal tool work until your clinician approves (especially after C‑section).
Reference
- Postpartum rectus abdominis study: https://pmc.ncbi.nlm.nih.gov/articles/PMC10627697/