Closing the Gap: How a Women's Health Physiotherapist Can Heal Abdominal Separation

What is abdominal separation (DRAM)?

Diastasis recti—also known as abdominal separation or DRAM—is the widening of the rectus abdominis (“six-pack”) muscles. During pregnancy, as the uterus grows, it stretches the linea alba (the connective tissue between these muscles), causing them to drift apart. This condition affects nearly all pregnant women by the end of pregnancy, with up to 60–100% still showing separation in the third trimester.

Symptoms

Common signs include:

• A visible bulge or “pooch” above or below the belly button—especially when lifting the head or straining

• Softness or a ridge along the midline.

• Core weakness, lower back pain, poor posture.

• Some people may experience pelvic or bowel issues.

How a women’s health physiotherapist helps

• Physical assessment: Palpation of the gap—measuring it using fingers, tape, calipers, or ultrasound—and testing core activation in lying or on hands and knees.

• Posture & breathing analysis: Observing your alignment and breathing patterns to identify habits that may hinder recovery.

• Tailored treatment plan: Customized exercises to retrain deep core muscles (like the transverse abdominis) and pelvic floor, alongside posture and breathing re-education.

• Follow‑up and progression: Regular reassessment of the gap, core control, and movement quality, with modifications made to support a safe return to sport and daily activity.

Next Steps

Women’s health physiotherapists expertly assess diastasis recti—measuring the gap and evaluating core strength, posture, and breathing. Book today for tailored support and progression to confidently return to sport and daily life.