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Conditions

Aesthetic surgery · Body, breast and appearance

Rectus diastasis

Understand separation of the abdominal muscles, common after pregnancy.

Editorial publication · Medical review pending.

Understand

Rectus diastasis is widening of the midline tissue between the two rectus abdominal muscles without a true hernia opening.

Possible symptoms

A midline bulge may appear when sitting up, with core weakness, discomfort or difficulty during some activities; many people have no pain.

Causes and associated factors

Pregnancy, major abdominal stretching, obesity, repeated strain, chronic constipation, hypermobility and ageing can contribute.

Diagnosis

Assessment reviews onset, symptoms, impact and expectations, examines the area and checks for a medical cause that should be treated first.

Tests

Tests are not routine; imaging, blood tests or specialist review are selected when a change is new, painful, asymmetrical or unusual.

Course of the condition

After childbirth the gap often narrows naturally over the first weeks or months but may persist.

Care options

Education, pressure management and progressive physiotherapy are priorities; surgical repair is mainly considered for lasting functional problems or an associated hernia.

When to consult

Seek assessment if the concern persists, affects function or strongly affects wellbeing, to discuss benefits, limits, alternatives and risks.

Urgent help

Sudden abdominal pain, vomiting or a hard lump that cannot be pushed back suggests a complicated hernia rather than simple diastasis and needs emergency care.

Questions for your doctor

  • Should a medical cause be investigated before any procedure?
  • Which non-surgical options are suitable?
  • What result is realistic and durable?
  • Which risks, scars and follow-up should I expect?
  • Which signs after a procedure require urgent care?

Continue reading

A procedure linked to a condition does not establish an indication for your individual situation.

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