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Diastasis Recti Physiotherapy

Niche Physio & Pilates

niche physio perth

Abdominal separation, also known as diastasis recti, is common during pregnancy and after birth. For some women, the abdominal muscles don’t naturally regain strength and coordination, which can lead to core weakness, back pain, or a feeling that your body doesn’t feel “supported” anymore.

Diastasis recti physiotherapy focuses on restoring abdominal and core function in a safe, structured way — not just closing the gap, but improving how your core works during daily life and exercise.

What Is Diastasis Recti?

Diastasis recti occurs when the connective tissue between the left and right abdominal muscles stretches during pregnancy. This is a normal adaptation — but when recovery is incomplete, it may contribute to symptoms such as:

  • Core weakness or instability
  • A doming or bulging appearance of the abdomen
  • Lower back pain
  • Difficulty returning to exercise
  • Feeling unsupported during movement

Physiotherapy helps improve function, strength and control, regardless of how wide the separation is.

How Diastasis Recti Physiotherapy Helps

Treatment focuses on restoring effective core function, not just appearance.
Physiotherapy can help:

  • Improve deep abdominal muscle activation
  • Restore coordination between core, breathing and pelvic floor
  • Reduce abdominal doming during movement
  • Improve strength for daily activities and exercise
  • Support safe return to gym, Pilates or running

Every program is tailored to your stage of recovery and goals.

What We Assess

A diastasis recti assessment may include:

  • Abdominal muscle function and control
  • Degree of abdominal separation (if relevant)
  • Breathing patterns
  • Pelvic floor contribution
  • Posture and movement strategies
  • Load tolerance for exercise and daily tasks

Common Concerns We Treat

Diastasis recti physiotherapy can help if you:

  • Notice abdominal bulging or doming
  • Feel weak or unstable through your core
  • Have back or pelvic discomfort postnatally
  • Struggle with exercises that used to feel easy
  • Are unsure which exercises are safe
  • Want guidance returning to higher-level activity

It’s never too early — or too late — to improve core function.

Diastasis Recti and Exercise

Not all core exercises are helpful in the early stages of recovery.

Physiotherapy helps you:

  • Understand which exercises to avoid initially
  • Learn safe, effective core strengthening
  • Progress exercises at the right pace
  • Reduce unnecessary strain on the abdominal wall

We focus on exercises that translate into real-world strength, not just gym-based movements.

Frequently Asked Questions

Does diastasis recti always need treatment?
Not always — but if you have symptoms or want to return to exercise confidently, physiotherapy can help.

Is diastasis recti only about closing the gap?
No. Function, control and strength matter more than gap width alone.

Can physio help years after pregnancy?
Yes. Many women see improvement well beyond the early postnatal period.

Will I need surgery?
Most cases are managed conservatively with physiotherapy. We can discuss referral options if needed.

Postnatal physiotherapy can help with:

  • Pelvic floor weakness or heaviness
  • Bladder leakage or urgency
  • Abdominal separation (diastasis recti)
  • Lower back or pelvic pain
  • Pain with exercise or lifting
  • Core weakness or instability
  • Difficulty returning to running or sport
  • Discomfort following caesarean section

You don’t need to wait until symptoms become severe to seek help.

What to Expect at Your Appointment

Your postnatal physio appointment is focused on reassurance, clarity, and practical steps forward.

It typically includes:

  • Discussion of your birth, symptoms, and current activity level
  • Postural and movement assessment
  • Core and pelvic floor assessment (if appropriate)
  • Individualised exercise and recovery plan
  • Advice on lifting, feeding positions, walking and daily tasks

We aim to give you clear guidance — not a long list of exercises you won’t use.

When Should You Book Postnatal Physio?

Many women benefit from physiotherapy:

  • Around 6–8 weeks postpartum,
  • Earlier if experiencing pain, heaviness, or leakage
  • Before returning to gym, Pilates, or running
  • If symptoms persist months or years after birth

It’s never “too late” to improve recovery.

Returning to Exercise After Birth

Returning to exercise too quickly — or without guidance — can increase the risk of pelvic floor symptoms or injury.

Postnatal physiotherapy helps you:

  • Rebuild strength safely
  • Progress exercise at the right pace
  • Avoid unnecessary strain on the pelvic floor
  • Return to higher-impact activities with confidence

We tailor progression to your goals, whether that’s walking, Pilates, gym training, or running.

Frequently Asked Questions

Do I need a referral?
No referral is required.

Is pelvic floor assessment always internal?
No. Assessment options are discussed with you and guided by your comfort and symptoms.

I had my baby months or years ago — can physio still help?
Yes. Many women seek postnatal physio long after birth and see meaningful improvement.

Can you help after a caesarean birth?
Yes. Postnatal physio can assist with core recovery, scar-related discomfort, and return to exercise following caesarean section.

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