Recently I've had two abdominally challenged gentlemen c/o lumbosacral pain. Both present with significant diastasis recti of 7cm and 10cm. Currently both are performing abdominal crunches with lateral support provided by a back brace belt. I've found no literature on the condition and have never encountered the degree of separation these gentlemen present. Questions: Is surgical intervention ever indicated? With this degree of separation are crunches contraindicated? Any knowledgeable suggestions appreciated. Thanks Hans Meissnest, P.T. %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%