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Diastasis Recti
Treatment & Physiotherapy

Diastasis recti is the separation of the abdominal muscles along the midline, common after pregnancy. Physiotherapy provides safe and effective treatment through specific core exercises, breathing techniques, and progressive strengthening to close the gap and restore abdominal function.

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Common Symptoms of Diastasis Recti

Visible bulging or doming along the midline of the abdomen
Feeling of weakness in the core
Lower back pain due to reduced core support
Difficulty with sit-ups or lifting
Pelvic floor issues associated with weak core

Symptom Severity Profile

* Typical severity profile. Individual symptoms may vary.

What Causes Diastasis Recti?

Pregnancy stretching the linea alba and rectus abdominis muscles as the uterus expands
Multiple pregnancies or closely spaced pregnancies increasing cumulative abdominal wall stress
Large baby or multiple fetuses creating greater separation forces on the midline connective tissue
Incorrect abdominal exercises such as crunches during or after pregnancy increasing intra-abdominal pressure
Hormonal changes during pregnancy softening connective tissue and reducing linea alba tensile strength

When Should You See a Physiotherapist for Diastasis Recti?

You should consider seeing a physiotherapist if your diastasis recti symptoms have persisted for more than a few days, are affecting your daily activities, or are getting worse over time. Early intervention typically leads to faster recovery and better outcomes.

Seek immediate medical attention if you experience sudden, severe pain, numbness or tingling in your limbs, loss of bladder or bowel control, or symptoms following a significant trauma. These may indicate a more serious condition requiring urgent medical evaluation.

Physiotherapy Treatments for Diastasis Recti

Targeted deep core activation exercises
Diaphragmatic breathing techniques
Progressive abdominal strengthening
Posture and body mechanics education
Pelvic floor coordination training

Recommended Exercises for Diastasis Recti

These exercises are commonly recommended by physiotherapists. Always consult a professional before starting any exercise program.

1
Diaphragmatic Breathing – Inhale to expand the ribcage and belly, exhale with a gentle core brace to begin deep core reactivation
2
Heel Slides – Lie on back with knees bent, engage deep core, then slowly slide one heel along the floor and return without losing core control
3
Dead Bug – Lie on back with arms and legs raised at 90 degrees, slowly lower opposite arm and leg to floor while keeping the lower back flat
4
Clamshells – Lie on side with knees bent and feet together, rotate the top knee upward like a clamshell to strengthen hip stabilizers without abdominal strain
5
Standing Core Brace – Stand tall and gently draw the lower abdominals inward, hold 10 seconds while breathing normally to build functional core stability

Your Recovery Timeline

Weeks 1–4

Reconnection & Awareness

Deep core muscle reactivation with diaphragmatic breathing, education on safe movement patterns, and avoidance of exercises that increase intra-abdominal pressure.

Weeks 5–10

Foundation Core Training

Progressive deep core and pelvic floor exercises, heel slides and dead bug variations, and functional movement retraining for daily activities like lifting.

Weeks 11–16

Load Progression

Gradual introduction of more challenging core exercises, return to low-impact exercise, and ongoing monitoring of gap width and tension using palpation.

Weeks 17–24

Return to Full Activity

Graduated return to all activities including higher-impact exercise, full core and abdominal strength restored, and independent maintenance program established.

Expected Recovery Curve

* Estimates based on typical recovery timelines. Individual results may vary.

Get Back to What You Love

Chat with a licensed physiotherapist – no referral needed, no commitment.

Get Started on WhatsApp

Quick response via WhatsApp

Research & Evidence

Our physiotherapy treatments are supported by published medical research.

1
Effects of exercise on diastasis of the rectus abdominis muscle in the antenatal and postnatal periods: a systematic review

Benjamin DR, van de Water AT, Peiris CL.Physiotherapy, 2014. PMID: 24268942

Exercise including abdominal and pelvic floor strengthening may reduce diastasis recti severity, though more high-quality evidence is needed.

2
Pelvic floor muscle training for prevention and treatment of urinary and faecal incontinence in antenatal and postnatal women

Woodley SJ, Lawrenson P, Boyle R, et al.Cochrane Database of Systematic Reviews, 2020. PMID: 32378735

Postnatal exercise programmes including pelvic floor and core exercises are beneficial for recovery from pregnancy-related conditions.

References are from peer-reviewed medical journals. Click to view on PubMed.

Recommended Services for Diastasis Recti

Exercises for Diastasis Recti

These exercises may help with prevention and recovery. Always consult a physiotherapist before starting any exercise program.

Find Diastasis Recti Treatment Near You

Our network of licensed physiotherapists across Malaysia can help treat your diastasis recti. Select a city below to find physiotherapy services near you.

People Also Ask About Diastasis Recti

What causes diastasis recti?

Diastasis Recti can be caused by various factors including injury, overuse, poor posture, age-related changes, and underlying medical conditions. A thorough physiotherapy assessment can help identify the specific cause in your case.

How long does physiotherapy take to treat diastasis recti?

Treatment duration varies depending on the severity and chronicity of your diastasis recti. Most patients see improvement within 4-8 sessions, though some conditions may require ongoing management. Your physiotherapist will discuss a personalized treatment plan during your first session.

Can diastasis recti be treated without surgery?

In many cases, yes. Physiotherapy is often the first-line treatment for diastasis recti and can be highly effective without the need for surgery. Evidence-based techniques such as manual therapy, therapeutic exercises, and lifestyle modifications can significantly reduce symptoms.

How much does physiotherapy for diastasis recti cost in Malaysia?

Physiotherapy session costs in Malaysia typically range from RM100 to RM250+ per session, depending on the location, type of treatment, and duration. Many insurance plans cover physiotherapy. Contact us via WhatsApp for specific pricing information.

Should I see a physiotherapist or doctor for diastasis recti?

Both can help. If you have been diagnosed with diastasis recti or are experiencing persistent symptoms, a physiotherapist can provide specialized treatment. For new or severe symptoms, seeing a doctor first for diagnosis is recommended, and they may refer you to physiotherapy.

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Professionally reviewed
| Reviewed by Kavitha a/p Subramaniam, BSc Physiotherapy (INTI), Home Visit Physiotherapy Specialist |

Disclaimer: This information is for educational purposes only and does not constitute medical advice. Please consult a licensed physiotherapist or healthcare professional for proper diagnosis and treatment of diastasis recti. In case of emergency, contact your nearest hospital or dial 999. Read our editorial policy.