Feel weakness in the center of the abdomen, noticing a bump when you stand up or experiencing persistent low back pain can lead to concern and frustration. Many patients who come to see the Dr. Jennifer Gaona, a specialist in aesthetic and reconstructive surgery in Bogotá, describe exactly this situation, without knowing that the cause may be a separation of the abdominal muscles, medically known as rectal diastasis.
Understanding what's going on in your body and knowing the real treatment options is the first step in regaining not only the appearance of your abdomen, but also its function and stability.
This article is designed to provide you with a comprehensive, clear, and evidence-based guide to treatment for abdominal separation, explaining why it occurs, how it is correctly diagnosed and what alternatives exist, from specialized physiotherapy to surgery, depending on the severity of each case.
The goal is to help you make informed, safe decisions aligned with your long-term well-being.
The separation of the abdomen occurs when the rectus abdominal muscles move away from each other due to the weakening and stretching of the Linea Alba, the connective tissue that unites them in the center. This condition is not only aesthetic; it affects the Core function, posture and spinal stability.
La abdominal diastasis is the abnormal separation of the rectus muscles along the midline of the abdomen. When this tissue loses tension, a space appears between both muscles that allows the abdominal contents to push out, generating a visible bulge, especially when exercising.
It is important to clarify that Diastasis is not a hernia, although visually they can be confused. In diastasis, there is no complete hole in the abdominal wall, but rather a thinning of the connective tissue.
The sustained increase in intra-abdominal pressure is the main trigger. Pregnancy is the most common cause, especially in cases of multiple pregnancies, large babies, or older pregnancies. However, it is not a condition exclusive to women.
In men and women, factors such as rapid weight gain, central obesity, repeated physical exertion, lifting loads without proper technique and previous abdominal surgeries can also weaken the alba line. With aging, the quality of connective tissue decreases, increasing the risk of separation.
Distinguishing the two conditions is critical to choosing the right treatment. Diastasis involves muscle separation without complete wall defect. Hernia is a true defect of the abdominal wall that allows internal organs to bulge out, posing a greater risk.”
Intense localized pain, a palpable hard spot, or progressive enlargement of the lump may suggest herniation. In the event of any doubt, medical evaluation is essential to avoid diagnostic errors and inadequate treatments.
Diastasis can manifest itself in different ways, not always obvious to the naked eye. Many people live with symptoms for years without knowing the real cause.
The most common sign is a bulge in the midline which appears when getting up from bed, coughing or lifting weight. In addition to this are functional symptoms such as low back pain, a feeling of instability, fatigue when performing daily activities and difficulty activating the abdomen.
In the postpartum period, some women also report posture problems, pelvic discomfort, or a feeling of a “loose” abdomen, even months after pregnancy.
An initial manual test can guide, but the professional diagnosis is key. The specialist evaluates not only the distance between the muscles, but also the fabric quality and core function. Abdominal ultrasound is a useful tool for measuring the separation in centimeters and observing the alba line.
Beyond the number, what is really important is the functional impact. There are patients with moderate separations that are very symptomatic and others with longer distances but good muscle function. Therefore, the diagnosis must be comprehensive and personalized.
El treatment for abdominal separation it's not the same for everyone. It depends on the magnitude of the diastasis, the symptoms, the time of evolution and the patient's goals. In most cases, the approach is progressive, starting with conservative options.
The right exercises seek restore the function of the transverse abdomen, the deep muscle that acts as a natural girdle. Diaphragmatic breathing techniques, controlled core activation and re-education of movement help reduce intra-abdominal pressure.
It is essential to avoid traditional exercises such as classic abs or crunches in the early stages, as they can worsen the separation if they are carried out without control.
Physiotherapy is one of the most effective pillars of conservative treatment. A specialized physical therapist evaluates posture, breathing, pelvic floor and lumbar stability to design an individualized plan.
With perseverance, many patients succeed improve abdominal firmness, reduce bulging and alleviate pain over a period of weeks to months. This approach is especially effective in mild to moderate diastases.
Girdles can provide support and comfort, especially in the beginning stages or during specific activities. However, they should be understood as a complement, not as a definitive solution. Active muscle strengthening remains essential for a lasting recovery.
Surgery is valued when the gap is wide, significant functional symptoms persist or conservative treatment fails to achieve satisfactory results. It is also considered when diastasis is associated with hernias or significant excess skin.
Surgical repair is aimed at restore the anatomy and function of the abdominal wall, providing stability and improving quality of life.
The surgical technique consists of bringing straight muscles closer together using internal sutures, reinforcing the alba line. This procedure returns tension and improves the functional capacity of the abdomen.
In many cases, the correction of diastasis is combined with a Abdominoplasty, especially when there is sagging skin or post-pregnancy changes. This comprehensive approach improves both the function and appearance of the abdomen.
Dr. Jennifer Gaona prioritizes techniques that respect anatomy, seek natural results and are based on careful planning, always considering the patient's safety and expectations.
The recovery is progressive. During the first few weeks, physical effort is limited, followed by a gradual incorporation into the activity with physical therapy support. Most patients experiences a significant improvement in stability, posture and body confidence.
Once the problem is treated, maintaining results depends on appropriate habits. Controlling intra-abdominal pressure, using proper weight lifting technique and maintaining a regular deep core strengthening program reduce the risk of recurrence.
Postural education and consistency are as important as initial treatment to maintain a firm and functional abdomen.
No. Many people improve significantly with physical therapy and specific exercises, especially when the separation is mild or moderate and there are no severe symptoms.
In general, changes are observed in 8 to 12 weeks, although full recovery may take several months depending on each case and the patient's consistency.
Yes. Although it is more common in postpartum women, men may develop diastasis due to weight gain, intense physical exertion, or genetic predisposition.
Surgery offers lasting correction, provided it is accompanied by good habits, weight control and adequate strengthening after recovery.
Treatment for abdominal separation goes far beyond aesthetics. It's about regaining function, stability and quality of life. Having an expert evaluation makes it possible to choose the right path, either through specialized physiotherapy or surgery when it is indicated.
Dr. Jennifer Gaona and his team understand that each abdomen tells a different story. Therefore, the approach is always personalized, safe and oriented to natural and functional results. If you suspect that you may have abdominal diastasis, a professional evaluation is the first step in returning to feeling strong, stable and in balance with your body.
