Diastasis Recti — WildHer Physical Therapy
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Pelvic floor condition

Diastasis Recti

More than a gap in your abs.

Diastasis recti is a separation of the abdominal muscles that affects core stability, posture, pelvic floor health, and movement. It’s extremely common — and very treatable with the right approach.

“Your body has done an extraordinary thing. It deserves support, not just a race back to ‘before.’”

What is diastasis recti?

More than a cosmetic concern — a functional issue.

Diastasis recti is a common condition that many people experience during and after pregnancy. It refers to a separation of the two sides of the rectus abdominis muscles — the “six-pack” muscles — along the midline of the abdomen. While it might look like a bump, ridge, or gap in the stomach, diastasis recti is more than just a cosmetic concern. It’s a functional issue that can affect core stability, posture, pelvic floor health, and overall movement.

Common signs
A visible ridge or bulge along the midline • Difficulty engaging the core • Lower back, hip, or pelvic pain • Poor posture or difficulty lifting • Urinary incontinence or pelvic pressure
What causes it
The growing uterus stretches the abdominal wall, and hormonal changes increase connective tissue flexibility. This combination can cause the rectus abdominis to separate along the linea alba — the central connective tissue strip.

The core connection

The core is a system — and all parts work together.

The core includes the diaphragm, abdominal muscles, pelvic floor, and deep back muscles. These structures work together to stabilise the spine, support the organs, and manage intra-abdominal pressure. When the rectus abdominis separates, the core loses some of its natural tension and support — placing extra strain on the pelvic floor. Over time this imbalance may contribute to urinary incontinence, pelvic organ prolapse, and low back or hip pain.

“Pelvic floor physical therapy addresses diastasis recti by focusing on coordination and integration between the abdominal muscles and pelvic floor — rather than just ‘closing the gap.’”

Why crunches make it worse

The exercises that feel right often aren’t.

Many people assume that strengthening the abs with traditional sit-ups or crunches will fix diastasis recti. In reality, these exercises can worsen the separation by increasing intra-abdominal pressure and pushing the abdominal wall outward. Safe exercises instead promote alignment of the rectus abdominis, improve coordination with the pelvic floor and diaphragm, and reduce rather than increase intra-abdominal pressure.

What treatment includes

  • Assessment of the separation and abdominal muscle function
  • Pelvic floor evaluation to address tension, weakness, or coordination issues
  • Education on posture, lifting, and body mechanics
  • Breathing and core engagement strategies
  • Safe, progressive abdominal strengthening
  • Integration of core and pelvic floor for daily movements
  • Guidance on returning to exercise or athletic activity

Beyond the physical

Confidence & body awareness

“Restoring connection with your core and pelvic floor can improve comfort, reduce pain, and make everyday life easier and safer.”

Diastasis recti can affect self-image and confidence. Many people feel frustrated when their body doesn’t “bounce back” after pregnancy. Pelvic floor physical therapy addresses not only the physical aspects of diastasis but also encourages body awareness, self-care, and empowerment.

Healing takes time. Every person’s body is different, and progress may be gradual. Patience and consistency are essential — and we’re with you every step of the way.

Ready to rebuild your core
the right way?

Start with a free 15-minute virtual consultation —
no referral needed, no commitment required.

Book your free consultation
Questions? Call 410.305.9052 · emily@wildherpt.com