Abdominal wall
Rectus diastasis – more than a cosmetic concern
Rectus diastasis is widening of the connective tissue between the rectus muscles. For some it affects appearance; for others it affects stability and function.
Short answer
Rectus diastasis is not a true hernia. Targeted physiotherapy is first-line treatment. Surgery may be considered for persistent functional symptoms, pronounced diastasis or a coexisting umbilical or epigastric hernia.
Diastasis or hernia?
In diastasis, the midline tissue is widened but remains continuous. A hernia is an actual defect through which fat or bowel can protrude. Both may coexist.
Function and first-line treatment
Some people report bulging, weakness or reduced trunk control. Targeted core rehabilitation is the first step and may improve function even if the measured width remains.
- Midline bulging
- Reduced trunk control
- Symptoms during lifting
- Coexisting umbilical hernia
Reconstructive surgery
Surgery aims to restore a stable midline. The plan accounts for width, length, tissue quality, previous surgery, skin and any hernia. Future pregnancy and general health influence timing and risk.
Next step
Have your symptoms assessed by a specialist surgeon
No referral needed. Short lead times to assessment and treatment in Karlstad, Sweden.
Frequently asked questions
Is diastasis dangerous?
Isolated diastasis does not carry the same incarceration risk as a hernia.
Can exercise close it?
Exercise can improve function, but does not always normalise the connective-tissue width.
When is surgery considered?
For persistent functional symptoms after rehabilitation, pronounced diastasis or symptomatic hernia.
Sources
This text is patient information and does not replace an individual medical assessment.