Diastasis recti in men

Diastasis recti is a separation along the midline connective tissue between the abdominal muscles. In men, it may be associated with changes in body weight, repeated heavy loading, abdominal pressure, or previous surgery. A ridge or doming when sitting up can resemble a hernia, but the two problems are not the same and may need different care.

Some men have no symptoms. Others notice a soft midline bulge, reduced trunk control, back discomfort, or difficulty bracing during lifting. A visible shape alone cannot identify the cause, and a painful or fixed lump should not be self-diagnosed as diastasis recti.

Begin with breathing that does not involve forceful bracing, then practise controlled trunk movements and functional lifting with a manageable load. Avoid breath-holding and straining while symptoms are being assessed. Increase challenge gradually, using comfort and control as guides.

A clinician or [Postnatal Physiotherapy](/treatments/pelvic-floor-and-rehabilitation/postnatal-physiotherapy/) service can assess abdominal tension, movement strategy, and related pelvic-floor or back symptoms. Although the linked service is postnatal in name, rehabilitation principles may still be relevant; ask whether it fits your needs.

Get prompt medical advice for a new painful bulge, a lump that cannot be gently reduced, severe abdominal pain, vomiting, fever, or difficulty passing stool or gas. Seek urgent care for sudden weakness, faintness, or breathing problems. Arrange a routine assessment when the bulge or weakness interferes with lifting, work, sport, or daily tasks.

Ask whether the finding is diastasis recti, a hernia, or another abdominal-wall issue. Discuss safe lifting technique, suitable strengthening, warning symptoms, and whether previous surgery, persistent cough, or bowel strain may be affecting pressure management.