When treating diastasis recti, are we missing the real problem?

In this Missing Piece episode from the Rising Vault, we’re tackling one of the biggest oversights in diastasis recti treatment:

💡 The back is often the missing piece.

It’s easy to focus on the front—after all, that’s where the diastasis is! Most treatment plans go straight to engaging the transversus abdominus and strengthening the core muscles.

But diastasis recti is often a symptom of a system problem—and that problem frequently starts in the back.

In this episode, we break down:
✅ Why checking the obliques, paraspinals, and fascia of the back is critical
✅ How weakness or dysfunction in the back contributes to diastasis recti
✅ Why many patients can’t “stack their ribcage over their pelvis” (even if we tell them to!)
✅ How treating the back first often leads to better outcomes

If we truly want to heal diastasis recti, we have to stop waiting until treatment isn’t working to assess the back—it should be part of the initial evaluation.

About Us

Nicole and Jesse Cozean founded Pelvic PT Rising to provide clinical and business resources to physical therapists to change the way we treat pelvic health. PelvicSanity Physical Therapy (www.pelvicsanity.com) together in 2016. It grew quickly into one of the largest cash-based physical therapy practices in the country.

Through Pelvic PT Rising, Nicole has created clinical courses (www.pelvicptrising.com/clinical) to help pelvic health providers gain confidence in their skills and provide frameworks to get better patient outcomes. Together, Jesse and Nicole have helped 600+ pelvic practices start and grow through the Pelvic PT Rising Business Programs (www.pelvicptrising.com/business) to build a practice that works for them!

Get in Touch!

Learn more at www.pelvicptrising.com, follow Nicole @nicolecozeandpt (www.instagram.com/nicolecozeandpt) or reach out via email (nicole@pelvicsanity.com).

Check out our Clinical Courses, Business Resources and learn more about us at Pelvic PT Rising...Let's Continue to Rise!