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Diastasis Recti: Separation of the Abdominal Wall Muscles

Joette Calabrese, HMC, CCH

May 23rd, 2021  |  57 Comments

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Joette Calabrese


Pregnancy causes numerous changes in the mother’s body — some beautiful and celebrated, some … not so much.

Diastasis recti is a fairly common condition experienced during or after pregnancy in which the muscles in the abdominal wall separate. Some say as many as 60% of new mothers experience this complication.

The separation can present as either an indented gap in the abdomen or a portion of the belly loosely pooched out where the muscles have separated.

Meet Barbara.

She had three young children and had just given birth to her fourth. After the birth, she noticed a stinging, burning pain in her lower back and an unfamiliar appearance to her recovering tummy.

While the separation itself is generally without pain, diastasis recti can cause lower back pain, pelvic burning or hip pain. It also can be challenging to maintain proper posture, and urinary incontinence or bowel issues may ensue.

There had been a hint of diastasis recti during her third pregnancy, but this fourth child brought it on in full force.

Concerned by her symptoms, Barbara called me after she gave birth.

“What am I going to do, Joette? My abdomen looks dented and sticks out in a weird way, and this burning lumbar back pain is awful. While I can manage to lift the baby, I’m too weak to pick up my toddlers. I’m trying to get back to normal, but I feel like my belly is still not my own. Help!”

The information I taught her is not a Banerji Protocol but is a combination I developed with success over my years of practice: Symphytum 200, Ruta graveolens 30 and Calc fluor 12, each taken twice a day — separately, not mixed — until the condition resolves.

Barbara and I met for our next consult two months later. She couldn’t tell me exactly when her diastasis recti abated, but at the two-month mark, Barbara was thrilled to report that the pooch was gone. Her abdomen was back to its old self, and the subsequent lower back pain had subsided.

Homeopathy works!

While some believe that strengthening the core is the answer, I’ve found the homeopathic medicines I’ve mentioned are associated with a stronger core — especially Calc fluor.

In rare instances, if left untreated, diastasis recti can develop into a hernia (where the organs overtly push through the muscle walls). That is an entirely different condition, best handled with the information I previously published in Get Back in the Game: Hernias and Homeopathy.

My focus this month is on moms, but I should point out diastasis recti can also plague men who lift weights (especially too much weight with poor form). However, as is usually the case, the homeopathic medicines are the same for women or men: Symphytum 200, Ruta graveolens 30 and Calc fluor 12, each taken twice a day — separately, not mixed — until the condition resolves.

Even though many of the same conditions can equally affect both genders, the health needs of women are unique. That’s why I developed my course, Feminopathy: How You Can Correct Female Ailments Using Safe, Inexpensive and Effective Homeopathy.

This month, in honor of Mother’s Day, even though it's now past and because mothers are my life's focus, I am offering a special 10% discount on Feminopathy.

And remember — all of my Mighties (Joette’s Mighty Members) qualify for an additional 10% discount on course purchases. 

That’s quite a savings on this comprehensive course that will take you from menarche through menopause. You’ll no doubt use this information for yourself, your daughters, your mothers and your grandmothers. Be the hero for all the women in your circle when you allow me to be your guide through Feminopathy.

Warmly and with a focus on you,

Joette Calabrese


P.S. If you need assistance getting your Mighty Members’ additional discount, email contact@practicalhomeopathy.com for more information.



I am a homeopath with a worldwide practice working with families and individuals via Zoom. I'm also a teacher and most importantly, a mom who raised my now-adult children depending on homeopathy over the last 31 years. I lived decades of my life with food intolerances, allergies, and chemical sensitivities until I was cured with homeopathy, so I understand pain, anxiety, and suffering. You may feel that your issues are more severe or different than anyone else’s, but I have seen it all in my practice and in my work in India. My opinion is that nothing has come close to the reproducible, safe and effective results that my clients, students and I have achieved with homeopathy.

Call today and learn how homeopathy might just be the missing piece in your health strategy.

Joette is not a physician and the relationship between Joette and her clients is not of prescriber and patient, but as educator and client. It is fully the client's choice whether or not to take advantage of the information Joette presents. Homeopathy doesn't "treat" an illness; it addresses the entire person as a matter of wholeness that is an educational process, not a medical one. Joette believes that the advice and diagnosis of a physician is often in order.

We've provided links for your convenience but we do not receive any remuneration nor affiliation in payment from your purchase.

The Author disclaims all liability for any loss or risk, personal or otherwise incurred as a consequence of use of any material in this article. This information is not a substitute for professional medical advice, diagnosis or treatment.


57 thoughts on “Diastasis Recti: Separation of the Abdominal Wall Muscles”

  1. AnnaTazanna says:

    Oh my, a BIG thank you for this one! After two pregnancies I am in such a need of this!

    1. Joette Calabrese, HMC, CCH says:

      Turn your friends and family on to homeopathy. That’s all I ask.

  2. Staci says:

    Thank you Joette! You have perfect timing with your blogs like usual, I was starting to really worry about my symptoms with this especially with moving house soon.
    Have a blessed feast of Pentecost!

    1. Joette Calabrese, HMC, CCH says:

      Staci, All I ask is that you turn your family and friends on to homeopathy. Our world needs this now more than ever.
      And yes, the Feast of Pentecost!

  3. Sara says:

    So would this be effective even 2 yrs post partum? I’ve had 5 children. The last 3 at home and with the 5th my diastasis came on full force. It’s been 2 years and using core exercises has been a struggle to actually repair it.

    1. Joette Calabrese, HMC, CCH says:

      Sara, pls read what I said to Olivia.

  4. olivia says:

    I had no idea this could be treated homeopathically! My third and last child is now 8 years old, is it too late to treat this way?

    1. Joette Calabrese, HMC, CCH says:

      What do you think, dear Olivia?
      Hint: This is God’s medicine.
      God bless your family.

      1. Taryn says:

        Love this . Thank you !

  5. Andrea says:

    Calc fluor 12c or 12x?

    1. Joette Calabrese, HMC, CCH says:

      Usually 12x but 12c would be appropriate too.

      1. Julia Bean Bean says:

        Awesome! Would the two other remedies also be in “x” or “c”? Thank you!!

        1. Joette Calabrese, HMC, CCH says:

          C is the most commonly found potency today in the U.S.

  6. Wendy says:

    It is fabulous that you have covered this topic. There has been a vacuum where it comes to finding out more about this. It also leads to Symphysis pubis dysfunction (SPD) and can cause awful pelvic girdle pain. I have used Symphytum 200 + Hypericum 200 + Bell 3c for this pain and it is the only thing that had ever helped, and it’s been a long term improvement. Thanks, Joette!

  7. Heather says:

    Can you take this safely during pregnancy? I had a mild DR going into my second pregnancy and am currently pregnant but I want to make sure it doesn’t get worse.

    1. Joette Calabrese, HMC, CCH says:

      Pls see my response to Hanna above.

  8. Rachel Lott says:

    Hi Joette!
    I have suffered from major diastis recti and an umbilical hernia, like you mentioned above, all from childbirth.
    My question is, do I treat the umbilical hernia first, or will diving right in and treating the diastis recti right off the bat help correct the whole situation?
    I’m a little overwhelmed with getting a handle on this, as i just barely found out in pregnant again and I’m worried about making matters worse!!
    Thank you for all you do!!!

    1. Joette Calabrese, HMC, CCH says:

      I can’t offer you personal guidance but what I teach in my classes is that we always assess the hierarchy of symptoms. That is, whatever is the most concerning, is what ought to be focused on.
      Having said this, if more than one condition is of concern, two protocols may be used simultaneously.

    2. Erika Puzzo says:

      Hi Rachel. I’m in the same boat as you. I’m going to try taking remedies for both issues simultaneously. There’s a blog article on hernias, I’m sure you saw that link in this blog post, and I’m going to start with Lycopodium 200c for the hernia every other day while also doing this protocol. I’ve had my hernia checked out by 3 doctors and they all said it was small and reducible, surgery is not necessary. I would encourage you to get the hernia looked at by someone you trust. I hope for both of us that these remedies heal our bodies! Best of luck. I’d love to to hear what you decided and if you see improvements <3

  9. Hanna says:

    I have some diastasis recti from my first pregnancy (delivered end of May 2020) and I’m now 10 weeks pregnant with our second baby.
    I’m worried that the separation is going to get much worse since the babies are so close together in age.

    Is this protocol something I could do during pregnancy or would it be better to wait until after I deliver?

    1. Joette Calabrese, HMC, CCH says:

      I can not tell you what you personally can do on this forum but Homeopathy is regularly used throughout pregnancy and the nursing period.
      In fact, I don’t know what I would have done without homeopathy for my last 2 pregnancies 30+years ago.

      1. Hanna says:

        Right. I’ve used homeopathics last pregnancy and this one with good results.

        So, maybe this protocol could help my core keep from pulling apart more than would be expected under the circumstances.

        1. Joette Calabrese, HMC, CCH says:

          This method ought to be used when the condition exists or there’s a noteworthy propensity for such. If you’re considering using this for maintaining core, another method ought to be considered instead.

  10. cristina strenko says:

    Joette- What about separation due to abdominal surgeries? I’m guessing I could at least use the Calc Fluor correct? Thanks a million for this post.

  11. Mia says:

    My husband thanks you for publishing this protocol! He resigned himself to just living with it for the rest of his life. Looking forward to trying it!

  12. Rachel says:

    THANK YOU, JOETTE!!!!! Maybe this will be the “magic bullet” to finally gluing my abs back together. Gonna try to get this DR healed up before I get pregnant with another baby… X-D

  13. Teresa says:

    Joette, when you say to take separately is there a betty amount of time to pass between taking remedies? or can they be taken one after another, just not all mixed in mouth at same time. I suspect I have daistis recti from my pregnancy 2 years ago and am excited to try this protocol but want to do it correctly.

  14. Esther Thomas says:

    How many pellets of each in a dose? When you say not to mix how do you advise taking them if we can’t take them together?

    Thank you!

    Esther Thomas

    1. Joette Calabrese, HMC, CCH says:

      The number of pills is printed on the outside of the bottle. What I mean is that the two different remedies at 2 different times separated by about 10 min or so.

      1. teresa nodal says:

        Hi Joette, I found symph & ruta sold
        together-would it be ok to buy them as a combo? or it should be 3 individual doses of each remedy?

  15. Sara says:

    It’s official. Homeopathy fixes everything! I wish I’d had this information years ago when dealt with this issue. Putting this one in my toolbox! Thanks! 👍

  16. Mary says:

    Thank you so much for sharing your wealth of knowledge and practical tips for moms! May God bless you abundantly! Happy Pentecost!

  17. Jonella Leadon says:

    Thanks so much for writing on this. Even if the baby was born three years ago, it’s not too late to use the remedies?

  18. Andy says:

    Bless you, Joette!! What perfect timing you have. It’s like you heard me ask out loud “I wonder if Homeopathy can help heal DR?” And then you typed up this blog. Haha Thank you SO much! I have had 3 babies and it was a big surprise when my midwife mentioned she felt an almost 3 1/2 (finger width) separation. I’m 7m postpartum and haven’t been intentional on going to see a pelvic floor specialist. Now I am so hopeful of healing with homeopathy and some guidance from my PT. A question: you mentioned DR doesn’t always cause lower back pain and in my case it doesn’t but it does however cause pelvic pain (around the pubic symphysis) and a smidge of leaking. So, if my midwife has confirmed a DR at my 12 weeks pp appointment would it be safe to say I may try this protocol out? I’m also trying to decide between this and the BP for bloating. My abdomen and “mama pooch” (how fun haha) extend pretty far. Should j probably do one to see if it helps diminish the pooch/bloat or may I do both protocols? I hope you’re able to answer my questions! Thanks, again Joette! You’re generosity to educate people about homeopathy is very much appreciate. So grateful to have been introduced to your work!

  19. Anne says:

    Wow, can’t believe I didn’t think of looking for a homeopathic treatment! I suffered for years even with PT and all kinds of diet and exercise programs for DR. I resorted to surgery and it failed above my belly button. My back pain is much improved after surgery but I might try this protocol to see if it can help with the small gap surgery couldn’t fix. Thanks for sharing!

  20. Jane says:

    Would this be the same remedy you would recommend for pelvic organ prolapse?

    1. Joette Calabrese, HMC, CCH says:

      It’s one of the choices but is not my 1st choice. POP is more related to hormones. I cover that fully in my online course, Feminopathy, which happens to be associated with a discount until the end of this month (May 2021).

  21. Laura says:

    Yay! Hope. 🙂 If a pregnant woman is currently dealing with DR AND pelvic – bladder – prolapse (both from previous pregnancies), would this protocol likely assist with both or should she find a second protocol for the prolapse? Would Medorrhinum 200c 2x/day be an appropriate addition for the stabbing bladder pain (not a bladder infection; related to prolapse and pregnancy), or would you have her try the DR (or prolapse) protocol alone? Thank you!!

    1. AnnaTazanna says:

      I would deal woth the DR only after pregnancy, as it is a normal hhing that muscels make room for the baby. If 3 months after giving birth there is still a problem, then this protocol.

  22. Taryn says:

    Would this still be effective years on? I have had three kids and although my youngest is 4 its only now that i realise my core is so weak and i can see the seperation when i do specific core exercises that activate the muscles

    1. Joette Calabrese, HMC, CCH says:

      Pls read the comments.

  23. Anna O. says:

    Thank you Joette!! I’ve been searching for this!! I was so happy when I opened your email! My 3rd baby is 5 y.o. already…but it’s never too late for Homeopathy!!

  24. Leslie says:

    Will this be helpful if it has been 8 years since the diastasis occurred?

  25. Teresa Nodal says:

    For how long should we take this protocol before determining if it is working or not?

    1. Joette Calabrese, HMC, CCH says:

      A small sensation/shift as an indicator that the medicine is indeed acting often presents around 8 weeks. It doesn’t mean that it will be resolved by that time, although that is possible in certain cases. In other cases, it could take as long as several months.

  26. Shalini says:

    Hi Joette
    ,would this protocol also help with what they call pigeon chest?

    1. Joette Calabrese, HMC, CCH says:

      Pigeon chest is a bone malformation; not a muscle/tendon condition. We usually use medicines that are organ specific.

  27. Sarah Keirn says:

    It would be so wonderful if you could write about pigeon chest. I believe 3 of my daughters may have this to some degree.

    On another note: I am so thankful for what you share Joette. My whole family has been blessed and many others because of what I have learned from you.
    I listen to and read so much of your work that I feel like you are a close friend – I would love to meet you some day and thank you in person!

    1. Joette Calabrese, HMC, CCH says:

      It would be my pleasure.

  28. Lexee Halsmith says:

    Thank you, thank you for this!

    It was going to be one of my my questions for our Q&A with you last week, but I had many others already. 🙂

    I already sent this to a few friends and am excited to see how this will help me, too.

    Thank you for sharing your wisdom, Joette!

  29. Teresa Nodal says:

    Hi Joette. Through OHM pharmacy i found symph & ruta sold together in same bottle. Would this be ok or needs to be separate?

    1. Joette Calabrese, HMC, CCH says:

      I believe that the combo would work well.

  30. Linda Heywood says:

    Thank you for sharing this timely post! I have shared it with all the women keeping my family growing and they are thrilled! I saw this post on my loonnnng drive home – as a passenger at the time – from helping with grandbaby #16.

  31. Rebekah says:

    After eight babies and three weeks on the protocol, my belly is getting noticeably flatter. Surprised that this actually worked.

    1. Joette Calabrese, HMC, CCH says:

      Homeopathy works.

  32. Mili says:

    I needed this 14 years ago when my only son was born! My belly was so big, and even with trainers to get my abs back together my separation got worse. They didn’t know what it was, and of course I didn’t either! After a few years I found a doctor that told me about diastasis recti and that the only way to repair it was through surgery. Since I am not too fond of surgeries, I did some more research and found some exercises that helped make the separation smaller….but I still have issues! Am I too late to get these products? How do I contact you to get me on a routine to helping me with this issue? Thank you!

    1. Joette Calabrese, HMC, CCH says:

      Should you be interested in meeting with me you may click on the contact page. Having said this though, there’s no “statutory” time limitation to using homeopathic medicine. Old or new, This is the medicine that I teach for this condition.

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