Why Does my Diastasis Recti Cause Me Intense Abdominal Pain? (photo)

Doctor Answers 9

Diastasis Recti and Pain

    The diastasis can be repaired with or without tummy tuck after other sources of pain are ruled out including hernia.

Los Angeles Plastic Surgeon
4.9 out of 5 stars 492 reviews


You may have pain either from a hernia that needs to be repaired or due to the pressure caused by the diastasis

Norman Bakshandeh, MD, FACS
New York Plastic Surgeon
4.9 out of 5 stars 14 reviews

Pain from rectus diastasis

Many women experience either pain or discomfort with a wide diastasis from pulling against the abdominal muscle.  Your surgeon should make sure you do not have a true hernia.  In either case,  repair of the rectus should improve your pain.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 27 reviews

Diastasis Recti and Pain?

I think my colleagues have advised you well;  it would be best for you to be seen in person by your primary care physician or internist.  Best not to assume that any symptoms you are experiencing are necessarily related to the diastasis recti.

 Best wishes.

Tom J. Pousti, MD, FACS
San Diego Plastic Surgeon
5.0 out of 5 stars 1,488 reviews

Diastasis Recti Typically Does Not Cause Pain

It is atypical for diastasis recti to cause pain.  It is possible that you could have an undiagnosed ventral or umbilical hernia.  Alternatively, you could have some other intra-abdominal cause of pain.  I would recommend evaluation by a General Surgeon or Plastic Surgeon to evaluate your symptoms.  Best Wishes.

Robert F. Centeno, MD, FACS
Columbus Plastic Surgeon
4.9 out of 5 stars 77 reviews

Pain from Diastasis

Diastasis Recti is the separation of the vertical abdominal muscles, called the Rectus Abdominis muscles. Pregnancy causes stretching of the abdominal muscles. Sometimes after delivery, the muscles do join back up in the center, leaving a vertical thin area of separation. This can sometimes be so thin that it allows your "insides" to bulge outward, especially when sitting up, or straining. This pressure can cause pain. Diastasis is different than a hernia, which is basically a hole through which your "insides" can actually push through the hole and get caught. This can sometimes become an emergency medical problem. You should see a doc just to be sure of which you have. 

Ronald Schuster, MD
Baltimore Plastic Surgeon
4.9 out of 5 stars 77 reviews

Why Does my Diastasis Recti Cause Me Intense Abdominal Pain

The first thing that comes to my mind is that you need to look for another cause of pain. Classically, diastasis has no symptoms. A hernia, if present could cause pain, as well as any number of gastrointestinal problems. Starting with an evaluation by your primary physician seems the best approach from which to start. From the photo you have attached, it appears that you would have a nice result from a  tummy tuck, which would include the correction of the diastasis.

Thank you for your question, and for the attached photo. Best wishes. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 reviews

Rectus diastasis is not usually painful

In most all circumstances, a rectus diastasis is not painful.  You should see a general surgeon and ask if maybe you might have a hernia as these can sometimes be painful.  Other pathology inside the abdominal cavity should also be ruled out.  Good luck.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
4.8 out of 5 stars 67 reviews

Diastasis is not a painful condition

Diastasis is a natural separation of the sit up muscles and a relative loss of abdominal tone, and is not a true hernia. Such as it is, a diastasis is not painful, and you will have to see your physician and get a looking over for another source of the discomfort. Let's hope it isn't serious.

Peter E. Johnson, MD
Chicago Plastic Surgeon
4.0 out of 5 stars 42 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.