Do I need to heal first?
Hey love,
I get asked a version of this question almost everyday:
“Are your workouts good for a person with significant Diastasis Recti or should I focus on fixing that first?” asked a postpartum mama of three this week.
This is what is so profound about this work. This is the healing.
This work applies to every ailment. Yes, even degenerative disc disease, prolapse, scoliosis, the list goes on and on because all those diagnoses are simply telling us that the tension of our fascia in a specific area isn’t right. You aren’t broken, you just need better alignment (there are metabolic diagnoses that are exceptions here, of course).
You, and every body that wants healing, needs to start with the natural foundations of alignment. Then you increase your capacity and those same healing movements turn into your workout. And yes, when you’re doing this correctly you can generate enough stimulus for muscle & bone growth (more on that next week).
Let’s dig deeper into Diastasis Recti, which is when your ab muscles separate, specifically.
Usually when someone goes about trying to heal their diastasis, they find a PT or class that instructs them their deep core is just too weak and that’s why the muscles are separated. You’ll heal through “specific” activation training, hypopressives, and finding your “deep core.”
This is a myth and if you go down this road of tighter core = better, you’ll have to un-pattern it all to open your posture later because they are diametrically opposites. Blunt, but the truth.
Firstly, all babies and all moms have diastasis in the postpartum period. It is a healthy, normal way for mom to make space to grow a baby (doesn’t have to happen as severely if your rib cage isn’t collapsed), and for a baby learning to have a body.
There’s no amount of tightening that makes diastasis not happen. A tighter core actually has a harder time morphing shape to accommodate baby and then go back together. Add this to this list of reasons why I'll never cue you to tighten your core (if you haven’t, you want to read the 45 page long posture pdf I made on my website repatternco.com).
Almost all babies throughout history have healed their diastasis, not through a “deep core” program like women have been sold, but through tummy time, crawling and rolling around (NOT in carriers or bouncers most of the day, but that’s a topic for another time).
Now, the reason this works for babies is because there is a natural alignment hardwired into them. They move with a taco foot, they stick their bums out, they breathe with their diaphragm and they never tighten their core. These principles are entrained out of us by the time we are doing the birthing. And we need to get them back. So that all the daily movements we do are healing our diastasis, just like babies.
Here’s the deal, sometimes these deep core programs work for women. But this depends on what your definition of “work” is. For one, almost every case of diastasis heals with time, no matter what you’re doing (unless you’re tightening your core all the time, then sometimes it never will heal). Secondly, if the gap in your core closes but now you pee when you laugh, have regular low back pain or constipation, did it really “work?”
My definition of work is instead of teaching you how to tighten your core more (which actually often pulls the diastasis wider because you are tightening the fabric that’s already being pulled apart), teaching you how to take up all the space you were made to. This looks like an expanded ribcage that looks confident and magnetic. Easy breathing that heals your pelvic floor. And the principles of tone that babies naturally do.
So that you don’t pee yourself, ever. Your ribs aren’t flared but you didn’t have to contort yourself tighter to make that happen. And you feel like a literal spring inside your body.
And this is never easy. Repatterning back to factory or “baby” settings doesn’t feel like an exercise, it feels like an expansion on every level of your being. And when the basics start getting easier, we increase the intensity until you get ripped muscles like all wild animals that never touch weights.
So, when you think to yourself, “should I heal this issue before I do Dr. Lily’s programs?” Remind yourself that these programs are how you truly heal. The principles I teach help close diastasis, while healing your pelvic floor, while supporting scoliosis, while making you stronger. Because a body that works well is a body that looks and feels well.
If you enroll in REVIVAL, you would start slowly building on the FOUNDATION series and skip the strength training (RETRAIN) sections for a while.
If you enroll in REPATTERN, you’ll go step by step through your healing journey over the 8 modules.
You can use this quiz to see which is the right fit for you
REVIVAL
Short, guided movement practices you can come back to again and again.
REPATTERN
My deeper, structured course for understanding your body, movement patterns, and the principles behind my work.
Work with me 1:1
For more individualized support based on your body and what you’re working through.
All my love in your healing,
Dr. Lily