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Why Does My Side Hurt After I Run?

Published in Running Pain 2 mins read

The side pain you experience after running, often called a side stitch, can be attributed to several factors, but a primary reason involves your diaphragm.

What is a Side Stitch?

A side stitch is that sharp, stabbing pain you feel on the side of your abdomen during or after running. It's a common complaint among runners, especially beginners.

The Diaphragm Connection

One sport theory suggests that a running side stitch is caused by a muscle spasm in your diaphragm.

  • Your diaphragm, located right below your lungs, is the main respiratory muscle.
  • Just like any other muscle in your body, the diaphragm can get fatigued, especially during strenuous activity like running.
  • This fatigue can lead to spasms, resulting in the sharp pain of a side stitch.

Other Possible Causes

While the diaphragm is often implicated, other potential causes of side pain after running include:

  • Poor posture: Slouching can compress abdominal organs and contribute to pain.
  • Breathing improperly: Shallow breathing can strain the diaphragm.
  • Eating too soon before running: Digestion can divert blood flow away from muscles, potentially leading to cramping.
  • Dehydration: Lack of fluids can exacerbate muscle cramps.
  • Weak core muscles: A weak core may not adequately support the torso during running.

How to Prevent and Treat Side Stitches

Here are some ways to prevent or alleviate side stitches:

  • Improve your breathing technique: Practice deep, diaphragmatic breathing (belly breathing).
  • Strengthen your core: Core exercises can provide better support for your torso.
  • Avoid eating large meals before running: Allow sufficient time for digestion before exercising.
  • Stay hydrated: Drink plenty of water before, during, and after your run.
  • Warm up properly: Prepare your muscles for exertion with a dynamic warm-up.
  • Slow down or stop: If you get a side stitch, reduce your pace or take a break to allow the pain to subside.
  • Stretch: Gently stretch the affected area.
  • Exhale forcefully: Coordinate your breathing with your foot strikes, exhaling forcefully when the opposite foot hits the ground.

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