Diastasis Recti in Older Women: Causes, Symptoms, and Treatment Options
- PhysioMatters
- May 18
- 2 min read
Updated: May 30
Diastasis Recti, which refers to the separation of the abdominal muscles (specifically the Rectus Abdominis muscles), is often associated with pregnancy. However, it can affect older women as well, even those who have never been pregnant. In older women, Diastasis Recti can occur due to a variety of factors, including age-related changes in the body, hormonal shifts, and lifestyle factors.
Causes in Older Women
Age-Related Muscle Weakness
As we age, muscle tone and strength naturally decline. The connective tissue between the Rectus Abdominis muscles (the Linea Alba) can weaken over time, increasing the risk of separation.
Hormonal Changes
Postmenopausal women experience a drop in oestrogen levels, which can lead to decreased collagen production and connective tissue elasticity. This can make the abdominal wall more prone to separation.
Weight Fluctuations
Gaining and losing weight over time can strain the abdominal muscles and cause them to stretch, leading to Diastasis Recti.
Chronic Pressure on the Abdomen
Repeated heavy lifting, straining (e.g.: during bowel movements), or coughing can also contribute to abdominal muscle separation.
Related Topic: Myths About Diastasis Recti Exercises
Symptoms
Visible Bulge
You may notice a bulge or protrusion in the middle of your abdomen, particularly when you strain, sit up, or engage your core.
Lower Back Pain
The weakened abdominal muscles may contribute to poor posture and back pain.
Poor Posture
Diastasis Recti can affect posture, making you appear to slouch more, which in turn may lead to additional muscle imbalances.
Treatment and Management
Physiotherapy
A Physiotherapist can design exercises specifically to strengthen the core muscles, targeting the deep abdominal muscles and pelvic floor muscles. Choosing the right physiotherapist will influence the outcome of your diastasis recti treatment.
Want to make sure if a physiotherapist is the right fit for your recovery? Explore our guide on "Choosing the Right Physiotherapist for Diastasis Recti Treatment in Singapore"Â to make an informed decision with confidence.
Posture Correction
Focus on improving posture to reduce the strain on the abdominal muscles and prevent further separation.
Support Garments
Some women find wearing abdominal binders or compression garments helpful in providing support to the core muscles as they heal.
Surgical Options
In more severe cases, surgery may be recommended to repair the separation, especially if it causes significant discomfort or functional impairment.
Prevention
Maintaining a healthy weight, avoiding excessive abdominal strain, and incorporating core-strengthening exercises (under the guidance of a Women’s Health Physiotherapist) can help prevent or minimise the severity of Diastasis Recti in older women.
If you suspect you have Diastasis Recti or are experiencing symptoms, please come into PhysioMatters for an assessment and treatment plan, so that we can guide you in the appropriate treatment options.
It’s never too late to address your Diastasis Recti Separation!
We look forward to meeting you soon!
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Contact Information
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