To truly restore function to the abdominal wall and core, progressively loading the connective tissue is essential. As Anthony Lo, a leading physiotherapist and expert in strength-based core rehabilitation, states: “Connective tissue needs load to adapt and strengthen. If we avoid loading it, we miss out on its capacity to heal and become more resilient.”

This means that while gentle foundational exercises like breathwork and deep core activation are crucial, progressive resistance and functional movement must also be introduced in a gradual, controlled manner. Increasing load over time through safe and intentional movement encourages the linea alba to regain tension, allowing for improved force transfer, stability, and overall function of the core.

Many traditional abdominal exercises, like crunches and sit-ups, can exacerbate the issue by increasing pressure inside the abdomen, making the gap worse over time. Instead, a functional and pressure-aware approach is needed for true healing.