Can Diastasis Recti separate all the way to my sternum? Can it cause it to bulge with severe pain?

Question

I recently had a CT scan for diastasis and possible hernia near sternum.I am aware that I have Diastasis and umbilical hernia.I have a bulge near sternum and it's quite painful when it surfaces.No signs of hernia according to the CT scan.Is is possible that my DR separated to my sternum. If it's not a hernia, is the Diastasis opening and closing with each movement that it is catching on something--which it causes to painfully bulge?If so, what is it catching on?

Michael S. Beckenstein, MD · Answer

The rectus muscle attaches to the ribs and the separation can occur that high. A careful examination can verify this. A negative CT scan helps rule out a true hernia, which could be repaired during an abdominoplasty.

Harry T. Haramis, MD, FACS · Answer

Diastasis can extend all the way up as you describe.  The CT seems to confirm this.  Repair of diastasis is usually performed with a tummy tuck. In sever cases, mesh may be indicated as well.Consultation with a plastic surgeon is recommended who may also involve a general surgeon.

Jerome Edelstein, MD · Answer

Hello,I'm sorry to hear about your discomfort. Yes, the diastasis recti can run from the bottom of sternum to pubic bone. The specific bulge/pain and details of your situation should really be examined in person by a board certified Plastic Surgeon who specialises in the procedure.Take care

Nelson Castillo, MD · Answer

Thank you for your question, and I am sorry to hear about your sternal bulge and pain.  It is possible to have a diastasis of your abdominal muscles from the lower border of your breastbone down to your pubic bone.  This widening of your abdominal muscles allows for the bulge to develop, likely whenever you exert abdominal pressure, such as coughing or sneezing.  This diastasis can be repaired using a tummy tuck exposure, and I would recommend seeing a board certified plastic surgeon who can help you make the best treatment decision.

Joubin Gabbay, MD · Answer

Your rectus abdominis muscles extend down from the pubis up to the rib cage with their highest point at the bottom of the sternum. It is indeed possible to have a diastasis that extends all the way up to the sternum. With regard to the diastasis causing pain, it is difficult to say. I would absolutely get a careful physical examination performed by a surgeon who is certified by the American Board of plastic surgery and has extensive experience in abdominoplasty.I wish you the best.Dr. Gabbay.

Jeffrey Zwiren, MD · Answer

A diastasis is possible all the way up to the base of the sternum.  Pain is unusual and should be evaluated by either a plastic surgeon or a general surgeon

Tom J. Pousti, MD · Answer

I am sorry to hear about the problem you are experiencing. Yes, diastase recti  can extend from the sternum all the way down to the pubic bone. This entire length of the abdominal wall is addressed during tummy tuck surgery (plication).  Whether or not the presence of the diastasis is causing your pain should be evaluated by your physicians in person. Careful  history, physical examination, laboratory study, and imaging may be necessary to do so. Best wishes.

Can Diastasis Recti separate all the way to my sternum? Can it cause it to bulge with severe pain?

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