How Real-Time Ultrasound (RTUS) Is Used to Diagnose Diastasis Recti and Pelvic Floor Health?
- PhysioMatters
- 5 days ago
- 3 min read
Diastasis Recti Abdominis (DRAM) is a condition where the two halves of the rectus abdominis muscle separate along the midline of the abdomen. This commonly occurs in pregnant or postpartum women but can also affect men, individuals with obesity, or those who’ve experienced trauma.
While physical examinations are commonly used for abdominal separation diagnosis, Real-Time Ultrasound Imaging (RTUS) offers a precise, non-invasive way to assess the severity of muscle separation and develop a personalised recovery plan.
What is Real-Time Ultrasound Imaging (RTUS)?
RTUS uses high-frequency sound waves to create real-time visual images of muscles, connective tissue, and ligaments. A gel is applied to the skin, and a handheld device (transducer) emits sound waves, which bounce off body tissues and create a visual image on a screen.
Unlike traditional ultrasound scans used in obstetrics, RTUS is focused on muscular and connective tissue function. It is painless, safe to use during and after pregnancy, and requires no internal probes. Most clients enjoy seeing their muscles in action and gain clarity and motivation for rehabilitation.
Why Use RTUS to Assess Diastasis Recti?
Precise Measurements
RTUS provides accurate, objective measurements of the gap between the rectus abdominis muscles. This is more reliable than finger-width assessments, which are often subjective and inconsistent.
Visualisation of the Linea Alba
One of the key structures assessed is the Linea Alba — the connective tissue that binds the abdominal muscles together. RTUS helps visualise its thickness, tension, and quality, offering critical insights into the extent of abdominal separation and healing potential.
Real-Time Muscle Activation
RTUS shows how your core muscles respond during different movements, like lifting or coughing.
This helps to:
Identify muscle imbalances or weaknesses.
Correct faulty movement patterns.
Provide immediate feedback during core exercises.
Using RTUS to Guide Exercise and Recovery
RTUS isn’t just diagnostic — it’s also a powerful biofeedback tool for both physiotherapists and clients.
Clients can see their core and pelvic floor muscles engage (or fail to engage), helping them understand how to move better.
Therapists can tailor individualised core and pelvic floor exercise programmes that align with what is seen on the screen.
This real-time feedback significantly improves client confidence, exercise technique, and outcomes.
Can RTUS Be Used for Pelvic Floor Assessment?
Yes — RTUS is also a safe and effective way to view Pelvic Floor Muscle (PFM) activity, especially in postpartum recovery.
It can reveal:
How well your PFMs contract and relax.
Any signs of incontinence, weakness, or muscle over-activity.
Functional changes in muscle recruitment after birth.
To view PFMs, the RTUS transducer is gently placed over the lower abdomen (no internal probe used). For best imaging, a semi-full bladder is recommended during the scan.
When Should You Consider RTUS for Diastasis Recti?
You may want to book an RTUS session if:
Your physical exam results are unclear or inconsistent.
You want a more detailed view of your core and Linea Alba.
You're uncertain about the severity or recovery progress of your DRAM.
You’re returning to exercise and want guidance that’s evidence-based and safe.
You experience pelvic floor symptoms like leakage, heaviness, or weakness.
Not sure if a physiotherapist is the right fit for your recovery? Explore our expert guide on "Choosing the Right Physiotherapist for Diastasis Recti Treatment in Singapore" to make an informed decision with confidence.
Customer's Review:
"I have had the pleasure of working with Danielle multiple times throughout both of my pregnancies and postnatally, and I can’t recommend her enough. She is an incredibly professional and knowledgeable physiotherapist who truly understands the needs of pregnant women and new mothers. During both pregnancies, Danielle provided invaluable support, especially when it came to managing and recovering from diastasis recti. With her help, I regained strength and mobility, which made a world of difference in my recovery."
Otilia-Elena Veyre ~ Google Review
Is RTUS Safe and Painless?
Absolutely. RTUS is:
Non-invasive and does not require any internal probes.
Safe during pregnancy and postpartum.
Painless, with no radiation.
A supportive experience for those who are visual learners or nervous about core recovery.
Summary
RTUS is a highly effective tool for diagnosing Diastasis Recti Abdominis and monitoring pelvic floor health, offering:
Precision and objectivity in measurements.
Insight into functional core muscle activity.
Real-time feedback that improves confidence and rehabilitation outcomes.
Whether you are newly postpartum, recovering from abdominal trauma, or just looking to safely return to fitness, Real-Time Ultrasound can play a vital role in your journey.
Book an RTUS Assessment with PhysioMatters
Our team — Claire, Xan, and Danielle — are all trained in Real-Time Ultrasound Imaging and have extensive experience in postpartum care and functional rehabilitation. We’ll ensure you receive a clear diagnosis and a targeted, evidence-based plan for your recovery.
👉 [Contact us today to schedule your session or learn more.]
Contact Information
Email: hello@physiomatters.com.sg
Tele: +65 9352 9067
Address: 360 Orchard Road #10-07 International Building, 238869
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