Diastasis recti and hernias are both conditions involving the abdominal wall, but they have distinct characteristics and causes. Here’s how to differentiate between the two:
Diastasis recti refers to the separation of the rectus abdominis muscles along the midline
of the abdomen, often due to pregnancy or obesity.
Symptoms: The primary symptom is a noticeable bulge or "pooch" in the abdomen, especially when engaging the core, such as when sitting up or straining. There may also be associated symptoms like lower back/pelvic pain.
Hernia
A hernia occurs when an internal organ or tissue pushes through a weak spot in the
abdominal wall.
Symptoms: Common symptoms include a visible bulge or lump in the abdomen or groin
area, especially when coughing, bending over, or lifting. This bulge may be accompanied
by pain, discomfort, or a feeling of heaviness in the affected area
Key Differences between Diastasis Recti vs Hernia
Location of bulge: Diastasis recti typically presents as a bulge along the midline of the
abdomen, while a hernia may create a lump in various areas (like the groin or near the
belly button).
Nature of the condition: Diastasis recti is primarily a muscular condition involving the
separation of muscle fibers, while a hernia involves protrusion of an organ or tissue
through a defect in the abdominal wall.
Symptoms: Hernia may present with pain or discomfort, especially during physical
activities.
Physiotherapy can be helpful for both conditions. Here at PhysioMatters, our physiotherapists
will create an individualised exercise program to strengthen your core muscles without putting
strain on the abdominal wall and/or hernia.
This is combined with education on proper breathing techniques and ergonomics for daily living. For those who have underwent surgery, post-surgical physiotherapy can help facilitate recovery through gentle exercises, improving mobility,
and gradually returning to normal activities.
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