This book offers a complete diagnosis of concrete samples collected from a pile cap block of residential buildings affected by internal swelling reactions. Covering an extensive laboratory campaign to evaluate the transport properties of concrete samples, as well as their physical and chemical composition using advanced techniques to analyse cores extracted from real buildings that have concrete elements affected by internal swelling reactions (ISR). It features several rehabilitation procedures, pile caps repair and rehabilitation design, executed using strengthening procedures to provide the complete restoration of the structural integrity of the element deteriorated. These rehabilitation procedures proved to be a good solution to retrofit pile cap deteriorated by expansions due to internal swelling reactions of concrete. The book also offers a systematic review of the current state of knowledge and it is a valuable resource for scientists, students, and practitioners in various scientific and engineering disciplines, namely, civil and materials engineering, as well as and other interested parties.