Medical history (history of illness) represents an important component in the diagnosis of rectal diastasis. Family history Social history What is your occupation? Do you work physically hard? Current medical history/systemic history (somatic and psychological complaints). How long has the cleft in the abdominal midline been present? Do you have lower back pain? Do you … Rectus Diastasis: Medical History
Musculoskeletal system and connective tissue (M00-M99). Cicatricial hernia (scar hernia) after median laparotomy (incision made longitudinally in the middle of the abdomen).
Mouth, esophagus (food pipe), stomach, and intestines (K00-K67; K90-K93). Hernia (hernia of the intestine) (very rare). Musculoskeletal system and connective tissue (M00-M99). Buttock and hip pain Back pain – especially in the lower back Further Weakened abdominal muscles (compensate during childbirth with upright birthing posture and back muscles).
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Abdomen (abdomen) [inspection while lying down and standing]. Shape of the abdomen? [Pregnant woman lying down: patient lies on her back and tenses the abdominal … Rectus Diastasis: Examination
Rectus diastasis is diagnosed on the basis of history and physical examination. Optional medical device diagnosis-depending on the results of the history, physical examination, laboratory diagnosis, and obligatory medical device diagnosis-for differential diagnosis. Abdominal ultrasonography (ultrasound examination of the abdominal organs) – to visualize the structures involved[rectus diastasis: measurement of the distance between the straight … Rectus Diastasis: Diagnostic Tests
As a rule, rectus diastasis does not require surgery! Hernias (hernias of the viscera) in the midline and umbilical region represent an indication for surgery. If surgery is necessary, the abdominal muscles are fixed in the correct position by internal sutures. Furthermore, implantation of a plastic mesh is often performed, which leads to additional stabilization … Rectus Diastasis: Surgical Therapy
To prevent rectus diastasis, attention must be paid to reducing individual risk factors. Behavioral risk factors Physical activity Heavy lifting and carrying during pregnancy Extreme abdominal exercises during pregnancy Intensive strength training Overweight (BMI ≥ 25; obesity). Prevention factors (protective factors) Standing up over the side from lying down. This strengthens the obliques and protects … Rectus Diastasis: Prevention
The following symptoms and complaints may indicate rectus diastasis: Leading symptom Intrusion of the straight abdominal muscles (Mm. recti abdominis) in the area of the linea alba.Note: The resulting gap in the middle of the abdomen is palpable. * The linea alba is a vertical suture of connective tissue in the middle of the abdomen, … Rectus Diastasis: Symptoms, Complaints, Signs
Pathogenesis (development of disease) Usually, the condition is an acquired rectus diastasis. Pregnant women physiologically have rectus diastasis at the time of delivery. The gap between the straight abdominal muscles expands to make room for the growing baby, causing the right and left straight abdominal muscles to deviate to the side. This often occurs in … Rectus Diastasis: Causes
General measures Do not strain the straight abdominal muscles while the rectus diastasis is still palpable! Avoid heavy lifting Avoid pressing when going to the toilet – if constipation (constipation) is present, it should be treated dietary Getting up from bed only over the side, ie first roll to the side and then rest on … Rectus Diastasis: Therapy
