Diastasis (diastasis of the abdomen, diastasis of the abdomen, diastasis of the rectus) is the separation of the left and right sides of the rectus abdominis muscle, with a simultaneous weakening of the connective tissue – linea alba.
It most often occurs after pregnancy, but also in men with weaker core muscle activation, in obese people, due to improper exercise and after abdominal surgery.
The most common causes of diastasis include:
– increased pressure on the abdominal wall during pregnancy or after a cesarean section,
– hormonal changes that affect the elasticity of connective tissue,
– improper exercise technique and excessive strain on the abdominal muscles,
– obesity and weak core muscles,
– lifting heavy loads without engaging the core,
– genetics and age.
The most common symptoms are:
– a bulge (“doming”) in the midline of the abdomen during physical exertion,
– a feeling of a gap or hollow space under the fingers above or below the navel,
– core weakness and instability,
– lower back pain,
– poor posture and reduced movement control,
– difficulty performing exercises or breathing properly.
At-home test: Lie on your back, place your fingers just above your navel, and slightly lift your head. If you feel a gap between the two abdominal muscles, you may have diastasis recti. However, an official diagnosis should be made by a specialist.
The diagnosis is made by a physiatrist or physiotherapist through a clinical examination, and if necessary, ultrasound imaging. Improperly treated or untreated diastasis recti can lead to: chronic back pain, hernias, pelvic floor weakness, digestive system problems, poor posture, and loss of core functionality. Timely treatment prevents long-term consequences.
Treatment of diastasis recti at Timeless Medic
Our approach to treating diastasis recti is personalized and multidisciplinary, and therapy includes a combination of the most modern physical therapy techniques.
– Proper activation of the core in daily activities,
– abdominal strengthening exercises before and after pregnancy,
– body weight control,
– avoiding sudden lifting of heavy loads,
– proper body posture,
– gradual return to physical activity.
– Modern medical equipment, including Indiba CT9, Compex device, and guided exercises under therapist supervision.
– a team of expert physiotherapists with many years of experience,
– an individualized approach to each patient,
– a pleasant, modernly equipped facility in Belgrade with provided parking and
– painless treatments with no need for surgery.
“After two pregnancies, I thought I would need surgery. With Indiba therapy and exercises at Timeless Medic…”
“Medic, the separation was significantly reduced after just one month.” – M.M.
“Finally, I can activate my core without back pain. Highly recommend the Timeless team!” – S.B.
Yes. Diastasis recti can also occur in men, especially in those who are overweight, who train incorrectly, or who have weak core muscles.
Diastasis recti itself is usually not painful, but it can cause back and pelvic pain due to core weakness.
On average, two to three months, depending on the severity of the condition and the regularity of the therapy sessions.
Surgery is rarely needed and is generally reserved for severe cases. Most patients achieve excellent results with conservative therapy.
Yes, proper core activation is key to long-term success.
During the examination, we assess the condition of the tissue, the width of the separation, postural patterns, and propose a personalized therapy plan.
