Diastasis recti and sports

Introduction

The exact name of the condition which is: rectus abdominis diastasis leads many people to think (wrongly) that this condition can be cured by muscle training.

This concept is completely wrong because the pathology affects the connective component that joins the two straight muscles which cannot regenerate with training.

Many important considerations regarding rectus abdominis diastasis in athletic patients can be drawn on this fundamental principle.

Rectus abdominis muscles and training in healthy subjects

The rectus abdominis muscles are accessory muscles that contract involuntarily with breathing and locomotion; targeted training can emphasize their contraction by stimulating them voluntarily.

This can be translated in healthy subjects in an increase of muscular trophism, and in the compactness of the abdomen. It is a common mistake to think that the training of abdominal muscles can significantly decrease abdominalfat or overweight, which is modulated mainly by metabolism and diet.

There are ultimately perfectly healthy subjects who exaggerate in the physical sports load and self-induce tendon injuries of linea alba and then rectus abdominis diastasis.

Training in subjects with mild diastasis*.

In subjects who have modest lesions of the linea alba (diastasis of slight entity) training specifically aimed at the rectus muscles can within certain limits compensate for the tendon deficit without obviously curing the main problem (the tendon defect remains and the surrounding musculature minimally compensates for the signs and symptoms by becoming more toned).

It is strongly advised in these subjects not to exceed the physical load in order not to unintentionally cause additional tendon injury.

* The extent of diastasis must be evaluated by the specialist and must take into account not only the maximum muscular gap (IRD - Inter Recti Distance), but also the patient's build and the state of the tissues.

Training in subjects with moderate to severe diastasis recti*.

Categorically contraindicated any form of specific training on the rectus muscles so abdominal crunches and the like, contraindication related to multi-joint exercises with important abdominal involvement such as squats and leg press.

In these subjects any muscle training fails to compensate for the tendon deficit and the risks of aggravating the pathology are more than concrete.

* The extent of diastasis must be evaluated by the specialist and must take into account not only the maximum muscular gap (IRD - Inter Recti Distance), but also the patient's build and the state of the tissues.

Training in subjects already operated for abdominal rectus muscles diastasis

If the reconstructive technique has the appropriate characteristics, once the necessary time has elapsed (which can last even a few months, depending on the biological healing times) it is possible to resume full physical load and resume any kind of training.

The robotic technique trans-abdominal pre-peritoneal leading to a correct alignment of the rectus muscles is particularly solid over time and under stress as it regenerates a correct anatomy of the abdominal wall.

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The most modern technique in the most experienced hands. The Dr. Antonio Darecchio has the largest international case history in robotic reconstruction for rectus abdominis diastasis. See the beauty of the results!

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