Diastasis Recti

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Diastasis recti is not a condition which causes pain or discomfort . However, the pressence of diastasis is a sign of a severe core malfunction which usually leads to lower back pain and/or pelvic pain.
Diagnosis is based on clinical examination or diagnostic ultrasonagraphy.
Normal Abdominal Muscles
Affected by Diastasis Recti
Treatment methods
Surgical correction is neccesary in severe cases to fix cosmetic appearances, however it does not restore the function. Conservative care can greatly reduce disfigurement as well as restore function of abdominal canister.
At NYNDR we specialize in conservative diastasis recti correction. Initially, we begin with Vojta Therapy which works by reflex activation of the deep abdominal muscles. Then we follow with a more direct training of the deep abdominal wall muscles by using a combination of the DNS (dynamic neuromuscular stabilization) and ISM (integrated system model) approaches. These two methods are evidence based approaches for non surgical diastasis recti correction. Conservative treatment of Diastasis recti requires targeted methods and a specific intervention. Patients should refrain from conventional methods of abdominal wall strenghtening.

Dr Kalika specializes in post partum care by only treating women who’s pelvic pain symptoms originate in the failed load transfer through the core, hip and pelvis as well as coservative diastasis recti correction. Dr. Kalika is certified in the DNS and ISM methods and has over 16 years of experience treating women with post partum back and pelvic pain.


Diastasis Recti

Diastasis recti is a separation of the rectus abdominal wall, coupled with an influx of pregnancy hormones that soften connective tissue. While often painless, many women consider the condition to be cosmetically disfiguring.


Diastasis Recti: a woman with the condition (abdomen expanded) and a woman without it.

Risk Factors for Diastasis Recti include:

  • multiple birth pregnancy
  • multiple pregnancies close together
  • large birthweight baby
  • pregnancy over age 35
  • abdominal surgery
  • abdominal obesity

Because the muscles of the abdominal canister protect the spine and stabilize the pelvis during physical activity, diastasis recti can inhibit and impede physical performance. When left untreated, diastasis recti can lead to low back and pelvic pain, constipation, movement dysfunction, and hernia.



Abdominal canister in normal condition (no diastasis recti)

Diastasis Recti Diagnosis

Diagnosis of diastasis recti entails a manual physical exam and diagnostic ultrasonography to assess the severity of the condition.

Diastasis Recti Treatment

While surgery may be a viable treatment option in severe cases, it will not restore function of the rectus abdominal strengthening exercises like crunches and leg lifts should be avoided, as they can aggravate the condition.

The post-partum specialists at NYDNRehab use conservative targeted methods and specific interventions that are clinically proven to activate the deep abdominal wall, using a combination of DNS (dynamic neuromuscular stabilization) and ISM (integrated system model) approaches.

You do not have today, and see why the sports medicine professionals at NYDNRehab are considered the very best in NYC.



In this instance, an athlete was originally diagnosed with minor quadriceps muscle strain and was treated for four weeks, with unsatisfactory results. When he came to our clinic, the muscle was not healing, and the patients’ muscle tissue had already begun to atrophy.

Upon examination using MSUS, we discovered that he had a full muscle thickness tear that had been overlooked by his previous provider. To mitigate damage and promote healing, surgery should have been performed immediately after the injury occurred. Because of misdiagnosis and inappropriate treatment, the patient now has permanent damage that cannot be corrected.

The most important advantage of Ultrasound over MRI imaging is its ability to zero in on the symptomatic region and obtain imaging, with active participation and feedback from the patient. Using dynamic MSUS, we can see what happens when patients contract their muscles, something that cannot be done with MRI. From a diagnostic perspective, this interaction is invaluable.

Dynamic ultrasonography examination demonstrating
the full thickness tear and already occurring muscle atrophy
due to misdiagnosis and not referring the patient
to proper diagnostic workup

Demonstration of how very small muscle defect is made and revealed
to be a complete tear with muscle contraction
under diagnostic sonography (not possible with MRI)


Complete tear of rectus femoris
with large hematoma (blood)


Separation of muscle ends due to tear elicited
on dynamic sonography examination

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