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Muscle & Core Concerns

Diastasis Recti & Muscle Loss Richmond, BC

Rebuild core strength with the right plan.

Diastasis recti is a gap between the left and right abdominal muscles that commonly follows pregnancy; muscle loss (sarcopenia) is the gradual decline in muscle with age and inactivity. Physiotherapy, especially pelvic-floor physiotherapy, is commonly recommended first. EMSculpt can help strengthen muscle but does not close the gap. At RAAC in Richmond, BC, Dr. Jiang's team assesses first; results vary.

6-12 Mo
Suggested wait after birth before body treatments
Physio
Physiotherapy is commonly recommended alongside
4 × 30 min
Typical EMSculpt course, 2–3 days apart
Self-Assessment

Is This Happening to You? Recognize the Signs

Muscle loss and abdominal separation affect more than just appearance—they impact your core strength and confidence.

If you checked two or more, a functional assessment is worth booking.

The Science

Why Does Muscle Loss Happen?

Muscle loss is a natural part of ageing (sarcopenia) but can speed up with pregnancy, poor nutrition and an inactive lifestyle.

1

Age-Related Sarcopenia

From about age 30, people gradually lose muscle mass unless they keep up resistance exercise and enough protein. The loss is faster with inactivity.

2

Diastasis Recti (Abdominal Separation)

During pregnancy the abdominal muscles stretch and the connective tissue between them widens, which can leave a gap after birth. Many gaps narrow in the months after delivery.

3

Pelvic Floor Weakness

Often seen alongside diastasis recti, and linked to leaking urine or a feeling of heaviness. Persistent symptoms should be assessed by a doctor or pelvic-floor physiotherapist.

4

Hormonal Changes

Postpartum and menopausal hormone changes can affect muscle maintenance and recovery.

Why RAAC

How We Approach Muscle and Core

29+
Years
7 Days
Open daily, 9am-6pm
UBC
Clinical Instructor
1

Functional Medicine Approach

Dr. Jiang looks at contributing factors such as hormones, nutrition and lifestyle alongside any device treatment.

2

Postpartum Awareness

We understand the changes pregnancy makes to the core and pelvic floor, and we recommend physiotherapy and medical review where appropriate.

3

Comprehensive Assessment

We look at muscle strength, the width of any gap and your symptoms before suggesting a plan.

4

Referral & Coordination

We suggest working with a physiotherapist and your family doctor, and refer you on when your symptoms need it.

Muscle & Core FAQ

Common Questions

It is a gap between the two sides of the rectus abdominis muscle, common after pregnancy. Lying on your back and lifting your head, you may feel a gap above or below the belly button, or see doming. A physiotherapist or doctor can measure it properly.
We generally suggest waiting about 6-12 months to allow natural recovery, and starting with physiotherapy. Device treatments are assessed after that. If you have urine leakage earlier, see your doctor.
No. EMSculpt can strengthen and tone abdominal muscle, which may improve function and appearance, but it does not close the gap. It is usually used alongside physiotherapy. A typical course is 4 sessions of about 30 minutes, 2–3 days apart, and changes are usually noticed 2–4 weeks after the last session.
Many cases are managed without surgery. Abdominoplasty with muscle repair is usually considered for severe cases with significant symptoms or when skin excess is large. A surgeon or your doctor can advise.
No. Sarcopenia is a medical condition; the main ways to slow it are regular resistance exercise, enough protein, and a health review with your family doctor. EMSculpt is a cosmetic muscle-toning treatment that may improve tone in a treated area for women and men. It is not a treatment for sarcopenia and does not replace exercise.
Results are not permanent. Muscle tone is maintained through exercise and nutrition and fades without them. Some people have maintenance sessions, often every 3–6 months, depending on their goals. Results vary.
It stimulates pelvic floor muscles and may help some women with stress urinary leakage. Because incontinence has several causes, see your doctor or a pelvic-floor physiotherapist for assessment first.
Electromagnetic muscle stimulation is not used during pregnancy or breastfeeding, or with a pacemaker, defibrillator or other electronic implant, or metal implants near the treated area. A hernia or recent surgery in the area needs medical clearance first. Tell us your health history before treatment.
Most people describe strong, rhythmic muscle contractions, like a very hard workout, rather than sharp pain. You lie down while the applicator works, and the intensity is built up to your tolerance. A session is about 30 minutes per area. Some people feel muscle soreness or fatigue afterwards, much like after exercise.
Possibly, once you have fully healed. A caesarean is abdominal surgery, so the scar and muscle need time to recover, and your surgeon or family doctor should clear you for normal activity first. Breastfeeding and any abdominal separation also affect timing. Dr. Jiang reviews your recovery before planning, and physiotherapy often comes first.
The abdomen and buttocks are common areas, and the arms and thighs can also be treated. Each area is planned and treated separately. EMSculpt tones muscle and is not a weight-loss treatment. Pelvic floor concerns are addressed separately with EMSella, after a medical assessment.

Ready to Rebuild Your Core?

Book an assessment to review your core, muscle strength and symptoms, and plan next steps.

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