What Doctor to See for Diastasis Recti
What Doctor to See for Diastasis Recti Diastasis recti, a condition characterized by the separation of the rectus abdominis muscles along the midline of the abdomen, commonly affects women postpartum but can also occur in men and due to other factors like obesity or rapid weight gain. Recognizing the appropriate healthcare professional to consult is crucial for proper diagnosis and effective treatment.
Initially, many individuals start by visiting their primary care physician. These doctors are trained to perform initial assessments, including a physical examination where they evaluate the width of the abdominal gap and assess the overall strength and integrity of the abdominal wall. Primary care doctors can also order imaging tests, such as ultrasound or MRI, if necessary, to confirm the diagnosis. They serve as a good starting point because they can either provide conservative management or refer patients to specialists if more advanced care is needed.
For those seeking specialized evaluation and treatment, a physical therapist with expertise in abdominal and pelvic floor disorders is often the next step. These physical therapists are skilled in performing detailed assessments of core strength, muscle function, and posture. They can guide patients through targeted exercises designed to strengthen the deep abdominal muscles and reduce the separation. Physical therapy is often the first line of conservative treatment and can significantly improve symptoms without the need for surgery. A specialist in pelvic floor therapy can also address associated issues such as pelvic pain, incontinence, or diastasis-related discomfort.
In cases where conservative measures are insufficient or if the diastasis recti is severe, surgical intervention may be necessary. The most common surgical procedure for diastasis recti is an abdominoplasty, often referred to as a tummy tuck, which involves repairing the separated muscles and removing excess skin. For surgical evaluation, a plastic surgeon or a general surgeon with experience in abdominal wall repairs is the appropriate specialist. These surgeons are trained to perform the operation safely and effectively, ensuring the muscles are correctly realigned and secured.
It’s important to note that not all healthcare providers are equally knowledgeable about diastasis recti, especially in its early stages. Therefore, seeking a specialist with experience in postpartum or abdominal wall conditions can lead to better outcomes. Women who are pregnant or planning pregnancy should consult their obstetrician or maternal-fetal medicine specialist if they suspect diastasis, as management may vary during pregnancy.
In summary, the pathway to proper care for diastasis recti begins with a primary care physician for initial assessment and diagnosis. If necessary, a physical therapist with expertise in core and pelvic health should be involved for conservative management. For persistent or severe cases, a plastic or general surgeon can provide surgical options. Recognizing the appropriate healthcare provider ensures timely intervention and the best possible recovery.
