diastasis recti when to intervene
When to intervene in the case of abdominal diastasis? the question is very broad, and it is interesting to explore some aspects related to the timing between the onset of the condition and possible intervention.
When to intervene in post-pregnancy diastasis
The postpartum period is a transitional period that can last a long time during which there is a return to basal conditions from a physical standpoint and hormonal rearrangement occurs that drives a change in tissue consistency .
Tissues gain new texture and the abdominal muscles as a whole regain tone and function.
Interventions too close to delivery are therefore to be avoided because they can lead to rushed labor and on tissue that is not fully ready .
It should also be considered that with the recovery of muscle tone, an excellent recovery is frequently achieved, and it may happen that the subject accepts to live with small diastases thus avoiding surgery.
The best period for any reconstructive surgery on diastasis is therefore quite distant from delivery; in our standards we wait no less than eight months for the first visit and no less than a year for the eventual surgery.
Thus, surgery can be performed on stabilized tissues and starting from an aesthetic and functional framework beyond which spontaneous improvement is not possible.
Be wary of those who advertise early intervention surgery, in addition to working on unstable tissue the end result will not be well quantified, probably overlapping with what nature would have done independently. Diastasis itself is not an urgent condition, and waiting the right amount of time is common sense.
When to intervene in cases of diastasis and overuse
In case of overweight, no action should be taken on diastasis recti.
This is a very important concept and a basic safety rule. Overweight hinders diastasis closure and successful outcome of surgery for a volumetric-compartmental fact, especially when the proportion of visceral adiposity is particularly represented.
It is absolutely necessary to slim down to a healthy weight and to give guarantees that weight loss will be maintained over the long term in order to address a diastasis closure surgery.
It also happens all too often, on the other hand, that some patients are unwilling to lose weight and do not understand its importance as a function of reconstruction for diastasis recti. In that case, the surgery is simply not to be done.
When to intervene in sportsman's diastasis
There are categories of professional athletes who are themselves at risk of developing diastasis recti .
Wheightlifters, bodybuilders, fitness professionals, etc., can develop diastasis recti due to continuous and excessive physical loading, often being individuals who, due to work demands, must adhere to scheduled workouts and predetermined dates for competitions and contests.
In these patients, in principle, there are none of the special features listed in the previous two paragraphs, and in themselves they would be ready right away to face reconstructive surgery in the best possible way. In these cases, however, special care must be taken to plan the timing to meet the necessary expected postoperative recovery.