Core strength

Diastasis recti and abdominal wall function.

Core symptoms can come from a hernia, diastasis, muscle weakness, prior surgery, or a combination of factors.

Understanding diastasis

Diastasis recti is a widening between the rectus muscles of the abdominal wall. It is not the same as a hernia, but the two can overlap, and patients may experience bulging, weakness, discomfort, or difficulty with core activation.

Assessment focuses on anatomy, symptoms, patient goals, and whether a true hernia is also present. Some patients benefit from physiotherapy and strength work, while others may require a surgical discussion.

Function first

The goal is to understand how the abdominal wall performs during daily movement, lifting, work, and exercise.

Imaging when useful

Imaging may help distinguish diastasis from a hernia or define a combined abdominal wall problem.

Rehabilitation

Targeted physiotherapy and conditioning can be an important part of treatment, whether or not surgery is planned.

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