The diaphragm is a dome-shaped sheet of skeletal muscle that divides the thoracic cavity from the abdominal cavity.

That may sound simple, but in fact, the diaphragm is so much more than just a sheet of muscle. In fact, every breath you take is thanks to your diaphragm!

Ok, so let’s begin by looking at the general structure of the diaphragm. It curves superiorly into right and left domes.

It has a mobile, central portion known as the central tendon and a peripheral muscular portion that is fixed to the bones, cartilages, and ligaments of the thoracic cage.

The periphery of the diaphragm can be divided into three parts depending on its specific attachment points.

The sternal part, attaches to the posterior aspect of the xiphoid process; the costal part attaches to the internal surfaces of the 7th to the 12th ribs and their costal cartilages; while the lumbar part attaches to the medial and lateral arcuate ligaments, the L1 to L3 vertebral bodies and the intervertebral discs in between.

Now, the diaphragm is the chief muscle for inspiration; meaning that when it contracts, it helps us breathe in. During contraction, the central portion of the diaphragm depresses, increasing the volume of the thoracic cavity, which, in turn, increases the volume in the lungs.

This makes the intrapulmonary pressure fall below the atmospheric pressure, creating a partial vacuum that allows fresh air to be sucked in!

On the other hand, expiration is largely passive, meaning the diaphragm relaxes and rises, which decreases the volume of the thoracic cavity, and subsequently increases the intrapulmonary pressure to be above the atmospheric pressure, forcing the air in the lungs to be expelled out.

The diaphragm also helps with circulation. During contraction, the increased intra-abdominal pressure and decreased intrathoracic pressure helps venous return of blood towards the heart through the inferior vena cava.