Is Diastasis Recti Common in Men? Chicago Awareness & Rehab: - IMPACT Physical Therapy

Is Diastasis Recti Common in Men? Chicago Awareness & Rehab:

Diastasis Recti Men
Physical Therapist Tim Rylander

Tim Rylander

PT, EdD, MPT, OCS, CSMT, CBIS, PES, Astym Cert.

  Thu, Oct 23, 2025

When you hear “diastasis recti,” your mind likely jumps to pregnancy and postpartum recovery. And you’d be right – it’s incredibly common in women after childbirth. However, here’s a surprising truth that often gets overlooked: diastasis recti in males is a real and often undiagnosed condition. Yes, ab separation in men can be experienced, leading to a host of uncomfortable symptoms including low back pain and impacting their core strength and function.

At IMPACT Physical Therapy and Sports Recovery, with several Chicagoland clinic locations and one in Champaign ,IL, we’re dedicated to bringing awareness to conditions that affect everyone, regardless of gender. Let’s break down what diastasis recti looks like in men, why it happens, and how targeted core strengthening and rehab can help.

What is Diastasis Recti?

Diastasis recti is the separation of the rectus abdominis muscles (your “six-pack” muscles) down the midline of your abdomen. This separation occurs at the linea alba, a connective tissue band that runs vertically from your sternum to your pelvis. When this tissue stretches and weakens, the muscles move apart, creating a gap. In women, the pressure of a growing uterus is the primary culprit. But for men, other factors come into play.

Diastasis Recti in Men is More Common Than You Think

While not as prevalent as in women, ab separation in men is far from rare. Often, men may not even realize they have it, mistaking the symptoms for general core weakness, a “dad bod,” or just part of aging.

Several factors can contribute to the stretching and weakening of the linea alba in men:

  1. Obesity & Rapid Weight Fluctuations: Significant weight gain, particularly around the abdomen, puts immense pressure on the abdominal wall, stretching the connective tissue.
  2. Improper Lifting Techniques: Consistently lifting heavy objects (whether at the gym or at work) with poor core engagement can strain the abdominal muscles and linea alba. Think about powerlifters or those who do a lot of heavy manual labor.
  3. Chronic Straining: Conditions like chronic constipation, persistent coughing (e.g., from smoking or respiratory issues), or even aggressive ab exercises performed incorrectly (like endless crunches) can exert excessive outward pressure on the abdominal wall.
  4. Age & Genetics: As with many connective tissue issues, genetic predisposition and the natural weakening of tissues with age can play a role.
  5. Previous Abdominal Surgery: Incisions can sometimes weaken the abdominal wall.

How to Spot Ab Separation Men: Symptoms & Self-Check

The most common sign of diastasis recti in men is a “doming” or “ridging” that appears down the midline of the abdomen, especially when trying to engage the core (like doing a crunch).The good news is that for many men, diastasis recti can be significantly improved with targeted physical therapy. At IMPACT Physical Therapy and Sports Recovery, we specialize in core rehab programs designed to safely and effectively address ab separation.

Other symptoms can include:

  • A persistent “pooch” or bulging belly that doesn’t seem to go away with exercise or weight loss.
  • Lower back pain.
  • Poor posture.
  • Gastrointestinal issues like constipation or bloating.
  • Feeling of core weakness or instability.
  • Umbilical hernia (though not always present, it can sometimes accompany ab separations).

Self-Check for Diastasis Recti in Men:

  1. Lie on your back with your knees bent and feet flat on the floor.
  2. Place one hand flat on your belly, fingers pointing towards your feet, just above your belly button.
  3. Gently lift your head and shoulders a few inches off the floor, as if starting a small crunch.
  4. As you lift, feel for a gap or a soft, squishy area between your rectus abdominis muscles. You might feel your fingers sink down.
  5. Note the width of the gap (how many fingers fit) and its depth.
  6. Repeat this process just below and above your belly button.

If you find a gap of two finger-widths or more, it’s a strong indicator of diastasis recti.

Core Strengthening & Rehab: The Path to Recovery

The good news is that for many men, diastasis recti can be significantly improved with targeted physical therapy. At IMPACT Physical Therapy and Sports Recovery, we specialize in core rehab programs designed to safely and effectively address ab separation.

Our approach typically includes:

  • Comprehensive Assessment: A thorough evaluation to determine the severity of the separation, identify contributing factors, and assess overall core strength and function.
  • Education: Understanding how your core functions and what movements to avoid is crucial.
  • Breathing Techniques: Learning to engage your transverse abdominis (your deepest core muscle) through proper diaphragmatic breathing is foundational.
  • Progressive Core Strengthening: A personalized program focusing on deep core activation and stabilization, gradually progressing to more challenging exercises. We emphasize functional movements that translate to everyday life and your fitness goals, while carefully avoiding exercises that can worsen the separation (like traditional crunches or sit-ups).
  • Postural Correction: Addressing any postural imbalances that contribute to abdominal pressure.
  • Manual Therapy (if needed): To release tension or improve tissue mobility.
  • Guidance on Daily Activities: Advice on proper lifting mechanics, getting out of bed, and other movements to protect your core.

Surgery is rarely the first line of defense for diastasis recti in men and is usually considered only in severe cases or when accompanied by an umbilical hernia that requires repair. Conservative physical therapy is almost always recommended first.

Don’t Let Ab Separation Hold You Back – IMPACT Rehab Can Help

If you’re a man experiencing persistent core weakness, back pain, or a noticeable abdominal bulge, don’t dismiss it. Diastasis recti is a condition that deserves attention and proper treatment. Ignoring it can lead to further complications and limit your physical capabilities. Don’t guess, get assessed! If you suspect you have male abdominal separation or are struggling with core weakness, the experienced team at IMPACT is here to help. We have pelvic health specialists in South Loop, Lakeview, Hinsdale, Naperville, Orland Park, and Champaign. Contact us today to schedule an evaluation and start your personalized core rehab program towards a stronger, healthier you.