What is recti diastasis? This happens when the two long abdominal muscles called rectus abdominis separates during pregnancy or with weight gain. The fascial layers between these muscles widen. 27% of women have a abdominal muscle separation in the second trimester and 66% in the third trimester of pregnancy, Boissonnault & Blaschak (1988). In the first 8 weeks postpartum the diastasis reduces significantly and thereafter there is no further closure without exercise intervention, Coldron et al, 2008. What can be done? Exercises specifically tagetted at closing the abdominal muscles is a crucial part of the programme. Your physiotherapist can check if these muscles close as you exercise. Tapi
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Acupuncture Pain Mona Vale
Patellofemoral malalignment
Is your patella malaligned? Do you get anterior knee pain? It may be that your knee cap does not quite glide centrally in the trochlear groove as you bend and straighten your knee. This may be improved by releasing the structures on the outer side of your knee called the lateral retinaculum and lengthening the ITB. (Lippincott, Williams and Wilkins, 2003) Stengthening the medial quadriceps namely the VMO will improve symptoms. Other muscles such as the deep calf/ soleus may be at fault too. If you experience significant pain, the management may need to be careful initially as patellofemoral symptoms can easily be aggravated by certain strengthening exercises.