Understanding Diastasis Recti: Causes, Symptoms, and Exercises

Ian C. Langtree - Writer/Editor for Disabled World (DW)
Published: 2014/03/27 - Updated: 2025/05/15
Publication Type: Informative
Topic: Hernia Information - Publications List

Page Content: Synopsis - Introduction - Main - Insights, Updates

Synopsis: This information provides a comprehensive overview of diastasis recti, a condition characterized by the separation of the rectus abdominis muscles, often resulting in a visible bulge along the midline of the abdomen when sitting up or straining. The article explains that diastasis recti is distinct from hernias, although both can coexist, and clarifies that it is primarily a cosmetic issue with no direct health risks for most people. It discusses causes, including pregnancy, heavy lifting, and sudden weight gain, and offers a simple self-assessment technique for identifying the condition.

The resource is particularly valuable for people with disabilities, seniors, and postpartum women, as it details both non-surgical and surgical treatment options, highlights the importance of correct exercise (while warning against potentially harmful movements like crunches), and provides step-by-step instructions for safe, effective exercises. The information is authoritative and practical, drawing on clinical studies and the expertise of a seasoned disability advocate, making it a helpful guide for individuals seeking to manage or improve this common condition - Disabled World (DW).

Introduction

A Diastasis Recti looks like a ridge, which runs down the middle of your belly area. Some have likened the protrusion to, "about to have an alien burst from the mid section area". Is this an alien baby? No. The protruding bulge is called a Diastasis Recti and it is not a hernia. A umbilical hernia and diastasis recti can co-exist, but are not related.

Focus

Diastasis Recti, also known as, abdominal separation, divarication of the recti, rectus distension or recti split, is defined as a separation of the rectus abdominis muscle into right and left halves. Normally, the two sides of the muscle are joined at the linea alba at the body mid-line. It is essentially a cosmetic condition, with no associated morbidity or mortality. A diastasis recti may appear as a ridge running down the mid-line of the abdomen, anywhere from the xiphoid process to the umbilicus. It becomes more prominent with straining and may disappear when the abdominal muscles are relaxed. Many people have a diastasis recti and don't know it.

A Diastasis Recti is the widening of the gap between the 2 sections of the Rectus Abdominis (or 6 pack) abdominal muscle at the Linea Alba (mid-line connective tissue) at the front of the abdomen. The rectus abdominis muscle, also known as the "abs and lower abdominals," is a paired muscle running vertically on each side of the anterior wall of the human abdomen. There are two parallel muscles, separated by a mid-line band of connective tissue called the linea alba (white line). Diastasis Recti often reveals itself with pooching or doming of your stomach - sometimes making you appear as if you are pregnant - men included. The condition is common in newborns

Women who are pregnant may develop Diastasis Recti due to increased tension on the abdominal wall, (The risk is higher with multiple births or many pregnancies), however, no treatment is needed for pregnant women with this condition.

Males can also develop the condition, often caused by heavy lifting, weight lifting, sudden weight gain, etc. When men have significant pain or associated hernias, a mesh repair can be performed, but typically with a scar placed from the breastbone to the umbilicus. Some cases of diastasis recti in men can be treated with physical therapy alone. You should discuss this with your doctor, who may be able to refer you to a physical therapist who can suggest strengthening exercises for your abdominal muscles. If exercises do not work, then you should talk to a plastic surgeon about a possible abdominoplasty, or "tummy tuck", procedure.

Continued below image.
Fig 1. Diagram of the Human Rectus Abdominis muscle.
Fig 1. Diagram of the Human Rectus Abdominis muscle.
Continued...

Perform a Quick Test for Diastasis

Diastasis Recti Repairs

Healing the connective tissue is all about putting it in a better (narrow) position, bringing blood flow to it and protecting it when doing any type of activities so it is not being stretched nor does it have any intra-abdominal force or pressure on it.

A study in 1988 was conducted to determine if exercises could reduce the amount of separation in the rectus abdominis muscles. After a six week trial, results were shown that exercising greatly reduced the amount of the distasis.

Exercises Shown to Reduce Distasis Recti Separation

Incorrect exercises, including crunches, can actually increase the distasis recti separation.

All corrective exercises should be in the form of pulling in of the abdominal muscles rather than a pushing of them outward.

Consultation of a professional physiotherapist is recommended for correct exercise routines.

Exercises for Females and Males with Diastasis Recti

Surgery

In extreme cases, diastasis recti can be corrected during a cosmetic surgery procedure known as an abdominoplasty by creating a plication or folding of the linea alba and suturing together. This creates a tighter abdominal wall.

The skin is lifted near the pubic hair, and elevated to the level of the breast bone. The muscles are tightened in the mid-line where the tissue had been stretched. Permanent stitches are often used. In the most severe cases, mesh is used to reinforce the central repair area.

Splints, Belly Binders and Abdominal Wraps

Postpartum abdominal binding has also been traditional practice in many parts of the world for generations. This is the process of wrapping or binding your mid-section to draw the split recti muscles back together. Belly binding may 'hold you in' and provide support to your lower back. But wearing a splint or binder won't strengthen or tighten the muscles.

Quick Facts

(Engelhardt, Laura (1988). "Comparison of two abdominal exercises on the reduction of the diastasis recti abdominis of postpartum women". ProQuest Dissertations and Theses. UMI Dissertations Publishing.)

Insights, Analysis, and Developments

Editorial Note: Understanding and addressing diastasis recti is crucial for improving core strength and overall well-being, especially among populations such as postpartum women, seniors, and individuals with disabilities. This resource serves as a valuable tool in recognizing the condition and exploring both conservative and surgical treatment options. Diastasis recti is often overlooked or mistaken for other abdominal issues, yet understanding its nature and management can significantly improve quality of life for those affected. By emphasizing safe, evidence-based exercises and clarifying misconceptions, this article serves as a reliable resource for both laypersons and healthcare professionals. Its focus on inclusivity and accessibility ensures that individuals with varying needs, including the elderly and disabled, can find actionable advice and reassurance - Disabled World (DW).

Author Credentials: Ian is an Australian-born writer, editor, and advocate who currently resides in Montreal, Canada. He is the founder and Editor-in-Chief of Disabled World, a leading resource for news and information on disability issues. With a global perspective shaped by years of travel and lived experience, Ian is a committed proponent of the Social Model of Disability-a transformative framework developed by disabled activists in the 1970s that emphasizes dismantling societal barriers rather than focusing solely on individual impairments. His work reflects a deep commitment to disability rights, accessibility, and social inclusion. To learn more about Ian's background, expertise, and accomplishments, visit his full biography.

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Citing and References

Founded in 2004, Disabled World (DW) is a leading resource on disabilities, assistive technologies, and accessibility, supporting the disability community. Learn more on our About Us page.

Cite This Page: Disabled World. (2014, March 27 - Last revised: 2025, May 15). Understanding Diastasis Recti: Causes, Symptoms, and Exercises. Disabled World (DW). Retrieved May 19, 2025 from www.disabled-world.com/health/hernias/diastasis-recti.php

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