Exercising with Diastasis Recti - Four Tips for Moms

The physical changes to your body during pregnancy don't immediately disappear postpartum. One common change is diastasis recti abdominis (DRA), also known as abdominal separation. While this might sound intimidating, it's essential to recognize that DRA is a natural part of pregnancy in order to make room for your growing baby. It's also important to note that if you have abdominal separation, with the right guidance, you can regain core strength and confidence, and return to physical activity and exercise.

Understanding Diastasis Recti:

Diastasis recti, or abdominal separation, occurs as the linea alba (the connective tissue that runs vertically in the middle of your abs) widens and weakens to accommodate your growing baby. This caused your rectus abdominis (six-pack abs) to separate from each other. For some moms, the linea alba naturally tightens post-birth, bringing your rectus abdominis muscles closer together again. For others, the separation can persist, leaving a gap. The opinion about diastasis recti has shifted to such that rehabilitation is less about closing the gap, and more about being able to create tension so that your core can act as the stabilizer that it is designed to be.

Pelvic Floor Physical Therapy/Women’s Health PT

Many moms will look toward physical therapists for support. During your treatment, you'll focus on core muscle activation and breathing. This may result in your gap closing, but even if it doesn't you'll learn to have a strong and functional core so that your DRA doesn't impact your quality of life. It’s important to trust the process even if the exercises feel too basic. The basics are what create a strong fitness foundation so that you can progress and reach your postpartum fitness goals.

Exercise After Physical Therapy

After you've focused on core muscle coordination and have regained some strength, you'll be discharged from PT. You may then wonder what's next and still have questions about what exercises are safe. The key here is to realize that there is no one-size-fits-all approach. It's about personalizing your fitness program and performing exercises that allow you to have core strength and control. I've worked with many postpartum moms returning to exercise while managing abdominal separation, or after pelvic floor physical therapy and I’m happy to share my insight with you.

Tips & Strategies for Exercising with Diastasis Recti

Note, that it is recommended you work with a qualified postnatal fitness professional or see a pelvic floor physical therapist if you're looking for diagnosis or treatment.

1. Gradual Progression: Start with exercises that focus on activating your deepest core muscle the transverse abdominis. Move to coordinate that muscle activation with breath and pelvic floor. Progress to more complex movements gradually, incorporating resistance, repetitions, and different positions.

2. Manage the pressure you create within your abdominal cavity: Be mindful of everyday activities that increase your intra-abdominal pressure, such as sneezing, coughing, or lifting. Use your transverse abdominis activation strategies and breath to help manage the pressure and force on your healing abdominal wall.

3. Exercise Selection: Choose exercises that align with your core strength and function. There isn’t a definitive list of “bad exercises” or “exercises to avoid if you have diastasis recti”. Rather it should be based on your personal ability. If you can lift 20 pounds fairly easily without having to bear down or hold your breath, then that exercise may be appropriate. However if someone else goes to bench press 20 pounds and struggles and grunts and has to create a lot of pressure in the abdomen to perform the movement, then that exercise should be avoided until the core is stronger and the tissue is more healed. Most people will void high-impact or heavy-lifting activities initially. 

4. Muscle Recruitment: Pay attention to recruiting the right muscles at the right time. For example, many people think of the chest, shoulders and arms for a push-up and don’t realize that it is very much a core exercise. To stabilize the spine during a push-up your core muscles should engage. Ensure your deep abs activate for stability before movement.

Avoid back pain and incontinence

Although more research needs to be done when it comes to diastasis recti impacting pain and incontinence, many moms that I work with who are concerned about abdominal separation are also concerned about incontinence and back pain. Both of those conditions are common during and after pregnancy so their concerns are valid. Rather than fearing these conditions, I created a free 5-day program to empower you and educate you on how to have a strong and functional core in order to reduce your risk of pain and leaking when you sneeze or cough. By understanding your body and following a tailored fitness approach, you can confidently navigate your fitness journey with diastasis recti or any other condition resulting from pregnancy. 

Ready for more tips? Download 5 Tips for a Stronger Core After Pregnancy.

Apply Four Blue Zone Secrets to Motherhood

For moms, living a long healthy life means seeing our kids grow up and witnessing who they become. In areas called Blue Zones, certain lifestyle habits help residents live to 90, 100, or beyond. Genetics plays a role, but researchers have found it’s our daily behaviors and environment that play a bigger role. So what can moms learn from the Blue Zones in order to live a long happy and healthy life with our children?

Plant-based Isn’t a Fad

In Blue Zones people are eating minimally processed, plant-based foods like fruits, beans, vegetables, and whole grains. Note, that these are not the processed plant-based foods you find in the freezer section. Although Most Blue Zone residents aren’t vegetarians; they just eat meat less often and in smaller portions so plant foods dominate their diet.

Tips to add more plant-based foods:

• Eat more plant proteins like chickpeas and lentils

• Try “meatless” Mondays

• Consider meat a side rather than the main portion of the dish

• Make it a challenge to introduce your child to a new plant food each week

Move More

Blue Zone residents are physically active throughout daily life. They avoid long sedentary periods and can be seen gardening, or doing tai chi. In one study in the British Journal of Sports Medicine they found that for each additional 30 minutes of sedentary time on a typical day, men were 17% more likely to die during the five-year study. However, each 30 minutes of light activity reduced the odds of death by 17%. So for moms that have a hard time fitting in workouts, your daily physical activity is just as important, if not more. You can still have an extremely positive impact on your well-being without hitting the gym.

Tips for moms:

• Working from home? Aim to get up between meetings to stretch or take one walking meeting each day

• Get the guidance you need to stay active during pregnancy and return to exercise after having a baby.

• Rather than sitting on the park bench, chase your child or push them on the swing

• Distribute chores throughout your day versus all at once  

• Make family time active with weekend activities like hikes or biking

Eat Mindfully

People living in the Blue Zones focus not just on what they eat, but how they eat. There isn’t mindless munching on an entire bag of chips while watching TV, instead, they’re putting their fork down between bites and are intentional about how they’re eating, usually stopping when they are 80% full. Residents experience more joy from their food and tend to practice better portion control through mindful eating. 

Tips for moms: 

• No screens during meals

• Make time for meals so that you’re not rushing

• Stop before you’re full

Substitute the Facebook Groups for Real groups

Close community ties help Blue Zone residents stay active and happy. Loneliness, stress, and depression can cause physical health problems. The saying, “It takes a village” isn’t just about the support we need to raise our kids. As a mom, you also need connection and support for yourself and can learn from the benefits of those living in the Blue Zones. 

Tips for moms:

• Arrange playdates for your kids with parents that you enjoy spending time with so that you can benefit too

• Join a prenatal or postpartum fitness, or wellness group

• Find a neighborhood mom to go on walks with

• Limit social media scrolling and call a friend for a quick chat instead

So although we can’t all live in the Blue Zones, we can take a different approach to what it means to lead a healthy lifestyle. As we’re modeling a healthy lifestyle for our family, we can’t forget about the daily habits that have a profound impact on our lifespan and quality of life. Let’s all try to sit a little less, slow down at mealtime, connect with our village, and consider what’s on our plates.