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2 Cm Diastasis and Thickening of Fascia Around the Abdominal Wall
asked 11 months ago by Mr. Glass in San Diego, CA
Latest answer by Steven Wallach, MD
Question viewed 445 times
Tags: 130-149 lbs, diastasis recti, workout
I am getting mixed opinions from surgeons.(General and Plastic) I have weakening in my stomach, small bulge in the middle when standing or doing sit-ups. The MRI shows I have approximately 2cm diastasis recti without herniation. I was told 2 cm diastasis recti is nothing. But what causes the small bulge? Is the thickening of fascia causing the pain and weakness? I am very active. I have not been able to do 100% of my workouts since September 2010. I am a Male, 5ft 5inches, 147 lbs.
9 answers to 2 Cm Diastasis and Thickening of Fascia Around the Abdominal Wall
+3
DIASTASIS
Without photos and an examine it is difficult to give an opinion. If the small bulge in the middle is do to a diastasis or weaken fascia or both then a repair would be benefit. If there is excess fat in addition liposuction may be needed to provide the optimal result. I would get a second opinion from another plastic surgeon.
Todd B. Koch, MD
Buffalo Plastic Surgeon
Buffalo Plastic Surgeon
+2
Male abdominoplasty
It is in your best interest to seek consultation with a well trained–experienced board-certified plastic surgeon. Based on your history and physical examination you will be given good advice. As mentioned before, the radiographic findings are of secondary importance.
Having said that, you should be aware that abdominoplasty is a major operation with significant potential risks and complications and should only be undertaken if clear indications exist.
I may be able to be more...
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+2
Rectus sheath diastasis and need for a repair
Quite simply, if you notice a bulge in the middle on standing or while exercising, it will improve with a repair. The MRI done with you lying on your back will not show the actual weakness of the muscles, which is likely to be wider than 2cm to produce a visible bulge. This repair can be done through a small incision or endoscopically.
Anindya Lahiri, MBBS
Birmingham Plastic Surgeon
Birmingham Plastic Surgeon
+2
2 cm diastasis
Clinical exam is really the key here. If you have a bulge that shows up in the sit-up position, then I would recommend repairing it at surgery, regardless of what the MRI (taken at rest) shows. It could also represent fat, as other surgeons here have mentioned.
The repair does not make the operation significantly longer, and it does make the result look better - so "do it if you need it" is our approach.
Hope that helps!
+2
Tummy Tuck San Diego
It is impossible to tell without examining you. Diastasis recti is usually associated with pregnancy, which you obviously have not endured. You may have a localized weakening of the abdominal wall. Any history of trauma or surgery in the area? If not, and there is a bulge on examination that becomes worse with increased abdominal pressure, and this is symptomatic (e.g. interfering with your activities), either this represents a hernia or an abdominal fascial...
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+2
Repair of abdominal bulging
The bulging will be corrected by abdominoplasty, regardless of its cause. At examination, which in this case is much more important than radiographic findings, your surgeon can discuss the best way to design the procedure to maximize your overall aesthetic result result.
Stanley G. Poulos, MD
Bay Area Plastic Surgeon
Bay Area Plastic Surgeon
+2
Abdominal Buldge
To answer you question we really need before pictures and also to examine you. It sounds like you had imaging studies which identified a diastasis recti. You did not mention any other findings. However, if it really bothers you, they you may want to consider diastasis repair. With photos and more information, we may be able to give you more specific advice.
Good Luck.
+1
Diastasis
Without an exam it is difficult to say what can ot can not be done for you. If you have a true hernia( which should show up on MRI) it shoudl be fixed. If just a weakeness, difficult to say without an exam.
+1
Abdominal muscle laxity
A 2cm diastasis of the rectus abdominus muscles is usually nothing, but not when there are specific problems associated with it (like a bulging abdomen)
The phrase "clinical correlation required" comes in to play here. The MRI images must be considered in light of the physical findings you have.
A laxity of the abdominal wall, or rectus diastasis, is a widening of the "linea alba" or connective tissue between the rectus muscles. No amount of sit ups or core...
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