Sometimes just exercises will clear a diastasis recti but often manual therapy or hands-on work is needed. This is because there can be restrictions of the soft tissue in the low back. If the low back tissue is tight, that prevents the rectus abdominus muscle in the front from coming together. Skin rolling and tissue release in layers is used in the back and sides of the trunk to release the restricted fascia so the anterior muscle bellies can more easily close at midline. With pregnancy, often the gliding potential between the superficial and deep abdominal layers is decreased. Manual therapy can also be done on the belly to release fascial tensions and trigger points, again allowing the rectus abdominus to approximate more easily.