Understanding Diastasis Recti: Causes, Symptoms, and Rehabilitation

22 October, 2023 |

Understanding Diastasis Recti: Causes, Symptoms, and Rehabilitation


Diastasis Recti is a common condition that affects both men and women, characterized by the separation of the abdominal muscles. It occurs when the connective tissue between the two sides of the rectus abdominis muscle stretches and weakens, leading to a visible gap in the midline of the abdomen. This blog aims to provide a comprehensive understanding of Diastasis Recti, including its causes, symptoms, and rehabilitation methods.

Causes of Diastasis Recti

1. Pregnancy

One of the primary causes of Diastasis Recti in women is pregnancy. As the baby grows, the abdominal muscles stretch to accommodate the expanding uterus. Hormonal changes during pregnancy also contribute to the weakening of the connective tissues, resulting in Diastasis Recti after childbirth.

2. Obesity and Excess Weight

Obesity and carrying excess weight can put significant strain on the abdominal muscles, leading to Diastasis Recti. The increased pressure inside the abdominal cavity can cause the muscles to separate over time.

3. Incorrect Abdominal Exercises

Engaging in certain exercises that place excessive stress on the abdominal muscles, such as sit-ups and crunches, can worsen or trigger Diastasis Recti.

4. Age and Muscle Weakening

As we age, our muscles naturally lose strength and elasticity, making them more prone to separation.

Symptoms of Diastasis Recti

1. Visible Gap in the Abdomen

The most noticeable symptom of Diastasis Recti is the visible separation of the abdominal muscles, usually appearing as a ridge or a depression along the midline of the abdomen when the person is engaging their core.

2. Lower Back Pain

Diastasis Recti can lead to lower back pain due to the lack of support from the weakened abdominal muscles. The condition may also cause pelvic floor dysfunction, leading to additional discomfort.

3. Gastrointestinal Issues

Some individuals with Diastasis Recti may experience digestive problems like bloating and constipation, as the weakened abdominal muscles may struggle to maintain proper bowel function.

4. Postural Changes

The separation of the abdominal muscles can alter the posture, leading to a protruding belly and a weakened core, affecting overall stability and balance.

Rehabilitation of Diastasis Recti

1. Physical Therapy

The first step in rehabilitating Diastasis Recti is through physical therapy. A trained therapist can assess the severity of the condition and prescribe specific exercises to strengthen the deep core muscles gradually.

2. Core Strengthening Exercises

Unlike traditional abdominal exercises, safe core strengthening exercises focus on engaging the transverse abdominis, pelvic floor muscles, and obliques without causing further separation. These exercises may include pelvic tilts, gentle crunches, and modified planks.

3. Breathing Techniques

Learning diaphragmatic breathing can aid in engaging the core muscles effectively while minimizing intra-abdominal pressure.

4. Belly Binding

Some individuals find support from wearing abdominal binders or specialized belts designed to bring the separated muscles closer together during activities that require core engagement. However, these should be used under the guidance of a healthcare professional.

5. Avoidance of Straining Movements

Patients with Diastasis Recti should avoid heavy lifting, straining movements, and exercises that place excessive pressure on the abdominal muscles until the condition is adequately rehabilitated.

Surgical Intervention

In severe cases of Diastasis Recti where conservative methods do not yield sufficient results, surgical intervention may be considered. A procedure called "abdominoplasty" or "tummy tuck" can repair the separated muscles and remove excess skin, resulting in a flatter and more toned abdomen. However, surgery should always be the last resort and considered after consulting with a qualified surgeon.


Diastasis Recti is a prevalent condition that affects many individuals, especially post-pregnancy women. Understanding its causes, symptoms, and rehabilitation methods is crucial to managing the condition effectively. Through physical therapy, appropriate exercises, and lifestyle modifications, individuals with Diastasis Recti can regain core strength, alleviate symptoms, and improve their overall quality of life. Remember to consult with a healthcare professional before starting any rehabilitation program to ensure a safe and tailored approach to recovery.

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