Diastasis recti 1 year postpartum: what to know

Diastasis recti can still be present 1 year postpartum, and focused assessment can guide safe strengthening. The connective tissue between the abdominal muscles may remain stretched, causing a midline ridge or a softer, less supported feeling through the abdomen. Persistent symptoms deserve attention even when the delivery was months ago.

Common signs include doming when sitting up, difficulty bracing the trunk, lower-back discomfort, or a feeling that the abdomen gives way during lifting. A visible gap alone does not show how well the muscles coordinate. A clinician can examine tension along the midline, breathing, posture, abdominal control, and related pelvic-floor function. Diastasis recti is different from an incisional hernia, although both can cause a bulge and need separate assessment.

Begin with gentle breathing and controlled abdominal activation, then progress only when you can keep the midline from bulging. Roll to your side before getting out of bed, avoid straining while holding your breath, and use a close-to-your-body position when lifting. A pelvic-health physiotherapist can tailor a programme to your symptoms, activity and recovery. See [Postnatal Physiotherapy](/treatments/pelvic-floor-and-rehabilitation/postnatal-physiotherapy/) for the relevant treatment option.

Arrange an assessment if the separation is painful, limits exercise or daily tasks, or comes with ongoing back or pelvic-floor symptoms. Seek prompt medical care for a suddenly painful, firm or non-reducible bulge, vomiting, faintness, fever, or rapidly worsening pain. These features may point to another problem rather than uncomplicated muscle separation.

Ask: Could this be diastasis recti or a hernia? Which movements should I pause? How should I progress trunk and pelvic-floor exercises? What signs would mean I need another examination?