Investigate Correlation between Diastasis of Rectus Abdominis Muscle and Low Back Pain in Obese Women

Puri, Jahanvi; Sharma, Sunita; Samuel, Asir John; Chahal, Aksh

doi:10.15280/jlm.2021.11.1.38

Cited by 8 publications

(5 citation statements)

References 4 publications

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“…Low back pain [46,47,51,[377][378][379][380], foot pain [72,381,382], knee pain [69,383,384], hip pain [71,385], shoulder pain [386], musculoskeletal pain [60,[387][388][389], headache/ migraine [74,76,[390][391][392][393][394], neuropathic pain caused by nerve injuries and diabetic neuropathy [395][396][397][398], and fibromyalgia [399,400], were reported in overweight/obese subjects. These findings suggest that overweight/obesity, which, as mentioned before, is characterized by excess accumulation of adipose tissue, may trigger pathological pain development, both neuropathic and nociplastic.…”

Section: Obesity and Pain: Crosstalk Between Adipose Tissue And Nocic...mentioning

confidence: 99%

Physiological Changes and Pathological Pain Associated with Sedentary Lifestyle-Induced Body Systems Fat Accumulation and Their Modulation by Physical Exercise

Verdú

Homs

Boadas-Vaello

2021

IJERPH

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A sedentary lifestyle is associated with overweight/obesity, which involves excessive fat body accumulation, triggering structural and functional changes in tissues, organs, and body systems. Research shows that this fat accumulation is responsible for several comorbidities, including cardiovascular, gastrointestinal, and metabolic dysfunctions, as well as pathological pain behaviors. These health concerns are related to the crosstalk between adipose tissue and body systems, leading to pathophysiological changes to the latter. To deal with these health issues, it has been suggested that physical exercise may reverse part of these obesity-related pathologies by modulating the cross talk between the adipose tissue and body systems. In this context, this review was carried out to provide knowledge about (i) the structural and functional changes in tissues, organs, and body systems from accumulation of fat in obesity, emphasizing the crosstalk between fat and body tissues; (ii) the crosstalk between fat and body tissues triggering pain; and (iii) the effects of physical exercise on body tissues and organs in obese and non-obese subjects, and their impact on pathological pain. This information may help one to better understand this crosstalk and the factors involved, and it could be useful in designing more specific training interventions (according to the nature of the comorbidity).

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Section: Obesity and Pain: Crosstalk Between Adipose Tissue And Nocic...mentioning

confidence: 99%

Physiological Changes and Pathological Pain Associated with Sedentary Lifestyle-Induced Body Systems Fat Accumulation and Their Modulation by Physical Exercise

Verdú

Homs

Boadas-Vaello

2021

IJERPH

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“…In addition, I found a correlation between increasing age and increasing DRA grade (Graph 1), and as BMI increased, DRA grade went up as well (Graph 2). 4 In my series, 47% of DRA patients were slim, normalweight or overweight and they did not require abdominoplasty combined with "SM" repair, as in the remaining 53% of DRA patients who were obese. In my experience, this means that a large group of DRA patients can only be treated with laparoscopy to reduce their cosmetic and functional issue due to DRA and associated umbilical hernia.…”

Section: Discussionmentioning

confidence: 67%

“…2 However, DRA may also affect 33% of mothers after pregnancy, 2 increasing progressively after subsequent pregnancies and worsening over the years, especially when DRA is associated with obesity. 4 In addition to being female, pregnant and obese, 2,4 other contributing factors for DRA onset are being an over 50-year-old postmenopausal woman 5 , congenital transmission, 6 multiple pregnancies, 7 having had a caesarean section and a twin pregnancy, 8 natural childbirths at a late age, heavy physical occupational work, overly strenuous and intense physical activity, e.g., body-building.…”

Section: Introductionmentioning

confidence: 99%

“Slim-Mesh” Technique for Diastasis Recti Abdominis, Including Obesity-Related Cases

Canton

2024

JSLS

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Background and Objective: We operated on a series of mostly obese patients with diastasis recti abdominis using the "Slim-Mesh" technique to repair/reinforce the diastasis and linea alba/recti muscles without plicating and traumatizing them. Additional objectives were to decrease operation time and intra-and postoperative complications.Methods: We considered T1 cases diastasis after pregnancy and T2 cases obesity (BMI Ն 30 mg/kg 2 ); D1, D2, and D3 when the diastasis measured 2-3, 3-5, and Ն 5 cm, respectively; H0 and H1 without and concomitant umbilical and/or epigastric hernia, respectively. At our Department, between May 2010 and November 2022, 47 patients with diastasis recti were operated on with the "Slim-Mesh" technique to reinforce/repair the traumatized linea alba/recti muscles, without plicating them. This was a prospective (83%)retrospective study.Results: We studied 23 males and 24 females. Mean age and BMI was 58 years and 29 kg/m 2 , respectively. Groups D1, D2, and D3 comprised 6, 23 and 18 patients, respectively; groups T1, T2, H0 and H1 comprised 22, 25, 13 and 34 patients, respectively. Mean operation time for all cases was 100 minutes. Mean length of hospital stay was 2.3 days and follow-up time was 5 years. We had 6 late postoperative complications: 3 hernia recurrences and 3 trocar site hernias. Conclusion:Considering the lack of agreement on the best surgery for diastasis recti abdominis repair, in our experience the "Slim-Mesh" technique is a valid, safe and easy-to-reproduce way to save, repair and reinforce linea alba/recti muscles in diastasis recti patients, including the obese population (53%).

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“…This condition is often visible as bulging of the midline of the stomach while performing specific movements. It develops above, below, or at the umbilicus, or anywhere along the length of the linea alba [ 24 , 25 , 26 ]. Figure 4 represents diastasis recti at different locations along the linea alba.…”

Section: Dra—a Walkthroughmentioning

confidence: 99%

Efficacy and Challenges in the Treatment of Diastasis Recti Abdominis—A Scoping Review on the Current Trends and Future Perspectives

Radhakrishnan

Ramamurthy

2022

Diagnostics

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Diastasis recti abdominis (DRA) is more prevalent in women during pregnancy and postpartum. However, there is a lack of awareness regarding this condition among women. The prevalence of DRA is high in late pregnancy and reduces during postpartum. The purpose of this study is to provide an overview of the treatment strategies for DRA and to discuss the significance of the technology towards better diagnosis and treatment. This work investigated 77 research articles published in the recognized research databases. The study aims to analyze the diagnostic and treatment procedures and the role of technology within them. The management strategy for DRA can either be conservative or surgical. Exercise therapy has been shown to improve functional impairments. These exercises focus on recruiting the abdominal muscles. Electromyography and Ultrasound imaging have been employed as useful tools in assessing the abdominal muscles effectively. This study has examined the treatment methods for DRA to obtain a better understanding of the existing methods. Further investigation and experimentation into therapeutic exercises is strongly recommended to identify the best set of exercises for a faster resolution. Further studies regarding the role of technology to assess therapeutic exercises would be worthwhile.

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Investigate Correlation between Diastasis of Rectus Abdominis Muscle and Low Back Pain in Obese Women

Cited by 8 publications

References 4 publications

Physiological Changes and Pathological Pain Associated with Sedentary Lifestyle-Induced Body Systems Fat Accumulation and Their Modulation by Physical Exercise

Physiological Changes and Pathological Pain Associated with Sedentary Lifestyle-Induced Body Systems Fat Accumulation and Their Modulation by Physical Exercise

“Slim-Mesh” Technique for Diastasis Recti Abdominis, Including Obesity-Related Cases

Efficacy and Challenges in the Treatment of Diastasis Recti Abdominis—A Scoping Review on the Current Trends and Future Perspectives

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