Diastasis Recti

Diastasis recti is a condition in which the two large muscles of the abdomen (the rectus abdominis) separate along the midline. This creates a visible gap and can cause the abdominal wall to appear bulged or weakened. It is most commonly seen during or after pregnancy, but it can also occur in men or individuals with significant weight changes or increased abdominal pressure.

The condition develops when the connective tissue (linea alba) that holds the abdominal muscles together becomes stretched and weakened. During pregnancy, this happens due to the growing uterus and hormonal changes. Factors such as multiple pregnancies, improper core muscle use, obesity, or heavy lifting can increase the risk.

Common symptoms include a noticeable bulge in the middle of the abdomen, especially when straining, sitting up, or coughing. Some individuals may also experience lower back pain, poor posture, or a feeling of core weakness. In many cases, diastasis recti is more of a functional and cosmetic concern rather than a dangerous medical condition.

Diagnosis is typically made through physical examination, where a healthcare provider assesses the width and depth of the separation. Imaging such as ultrasound may be used in some cases for a more detailed evaluation.

Treatment often begins with physical therapy focused on strengthening the deep core muscles and improving abdominal stability. Exercises that emphasize gentle core engagement are preferred, while movements that increase abdominal pressure may be avoided initially. In more severe or persistent cases, surgical repair (abdominoplasty) may be considered to restore the integrity of the abdominal wall.