59 Year Old Male - Do I Need Surgery to Remove Diastasis Recti in Order to Lift Weights? Doctor Answers, Tips
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59 Year Old Male - Do I Need Surgery to Remove Diastasis Recti in Order to Lift Weights?

I am a 59 yr. old male with at least a 6 inch diastasis recti running vertically down my abs. I love lifting weights and exercising. Do I need to get this recti fixed before it could cause a hernia or become a hernina. One doctor told me that just repairing it would only be temporary until I sarted to work out again and I could tear it loose again. Another doctor said that is not true. You get it fixed and it will not tear loose when lifting weights. Who is right?

12 Doctor Answers | Asked by singleman in San Angelo, TX
+3

Rectus muscle separation and weight lifting

I agree with the other Doctors answers, however, you can test the integrity of your muscle wall by the following; lie on your back, bend your knees with feet on the floor, lift head and shoulders off the floor (do a sit up).  If you have a flat abdomen, the supporting fascial layer is intact.  If you have a large outward bulge, you should see a doctor regarding a possible hernia.  The muscle separation and extra loose skin are repaired at the same... more
+2

Diastasis recti and weight lifting

A six inch diastasis recti is huge, and usually indicates the patient has had massive weight loss.  More often than not with a large diastasis recti such as that, there are ventral hernias or significant weakness of the abdominal wall that could theoretically limit strenuous exercise. I would definitely consult with a board certified plastic surgeon to sort out what is going on and what the recommended exercises restrictions would be for you. As always, a thorough... more
+1

Repair of Diastasis Recti?

Thank you for the question. I do not think that repair of the diastasis recti will necessarily prevent the occurrence of herniation. Therefore repair of the muscle separation is purely elective and may improve the contour of the abdomen. After the repair/tummy it will be necessary to abstain from heavy lifting for at least 6 weeks after surgery. Please make sure you are consulting with experienced board-certified plastic surgeons. I hope this helps. more

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+1

Rectus plication and working out

A great majority of my patients work out after I do their tummy tucks with muscle plication.  With a properly healed plication and tight closure, as would be done in your case, the muscles would not pull apart as long as you wait long enough for it to heal.
+1

Fixing a diastasis recti in men.

One common component of abdominoplasty surgery is the suturing of the fashion overlying the abdominal muscles and the correction of the separation of these muscles known as a diastasis. In our practice, we have performed this surgery as well as the correction of the diastasis in both women and men. After the surgery, patients should be aware of the significant recovery process. We typically recommend that patients begin their return to activity slowly to not overextend themselves or... more
+1

A rectus diastasis is not considered a medical necessary condition

A rectus diastasis is not considered a medical necessary condition. That having been said, some consider it to contribute to lower back pain. When exercising you shoul consider muscle toning using a core strengtheining technique.
+1

Diastasis and weight lifting

Just because you have a diastasis does not mean that you can not work out. If you want the diastastis repaired and allow it to heal properly for 6-8 weeks, you should be okay to return to work outs.
+1

Abdomenal muscle separation can be corrected

Your enthusiasm for exercise is to be commended. Yes, correction of large diastasis recti is possible and successful with the use of the newer component separation techniques and/or the use of biological substrates such as Strattice. Seek the advice of a surgeon in your area who is familiar with abdomenal wall reconstruction, your diastasis can be corrected, but it is more involved than just a tummy tuck.  
+1

Diastasis and weight lifting

I do not believe you are at any greater risk to developing a hernia. It may be more comfortable to wear an abdominal binder of some type but maybe not. It is more of a cosmetic concern at this point.
+1

59 Year Old Male - Do I Need Surgery to Remove Diastasis Recti in Order to Lift Weights?

Very interesting dilemma, if there really is a 6 inch diastasis than your chances of eventually having a ventral hernia are quite high. This is due to the laxity of the fascia between the recti muscles. Therefore repair is a recommendation I would presume you should consider. BUT, always a but, if you truly weight lift tha chance of a recurrence due to lifting is real. Even waiting 2 months to allow full healing can not guarantee your lifting would bot cause a hernia. If it was me, I... more
+1

Diastasis recti- What?

A diastasis recti is simply a separation of the rectus muscles in the midline that results from stretching of the fascia (strength layer) that envelops them. This is not a hernia, and should not in and of itself predispose to a hernia.  An abdominoplasty that is done well should not be hurt by weight lifting.   sek
+1

Repairing Diastasis Recti

There is no correct answer.  Just because you have a diastasis does not mean that you will have hernia - these are two different conditions.  Repairing the diastasis will have the shape of your abdomen and may help the orientation of your muscles.  However, after the surgery, you would need to refrain from lifting heavy weights for 6 to 8 weeks to prevent tearing the suture line.  If you do not have the diastasis repaired, there is increased risk of it worsening with... more
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