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Location
Pain
in the side of the diaphragm.
How
it affects your running
Running downhill
increases the forces exerted on the entire body with each foot
strike and may induce side stitches, especially if you are nervous
(for whatever reason) about running downhill to begin with!
Try walking or slowly jogging down any steep hills until you
have mastered deep breathing techniques.
If you tend to suffer from side
stitches, try to avoid eating within 1 hour of running. Water
or gatorade is fine within an hour -- liquid empties from the
stomach faster than solids and shouldn't cause any problems.
Running in extreme cold temperatures
may induce side stitches, as it's less comfortable to take in
deep lungs full of frigid air until you're thoroughly warmed
up. Try doing some sort of warm up indoors first, before hitting
the icy city streets.
Causes
of Side Stitches
A "side stitch"
is a sharp, intense pain under the lower edge of the ribcage
caused by a muscle spasm of the diaphragm. Such pain can occur
during vigorous exercise, such as running, and seems to occur
more commonly in novice exercisers who have not yet established
proper pacing and who tend to breathe more quickly and shallow.
However, about 30% of all runners will experience stitches at
some point. What exactly causes them? On inhalation, we take
air into the lungs, pressing the diaphragm downward. When we
exhale, the diaphragm moves up. If the body has some trapped
air/gas below the diaphragm, if we've eaten too close to exercise,
or if we start exercising too vigorously, the diaphragm may
cramp, causing pain under the rib cage on the right side.
Treatment
of Side Stitches
As with any muscle
cramp, the best immediate treatment is to try to stretch the
cramping muscle as much as possible. How do you get to the diaphragm
on the inside of your body?, Try altering your breathing pattern.
Take a deep breath in as quickly as you can, to force the diaphragm
down. Hold the breath for a couple of seconds and then forcibly
exhale through pursed lips to restrict the outward air flow.
You may also find that bending forward can help you expel as
much air as possible. I have actually found that stretching
up as tall as I could, even to the point of extending arms up
over head, then alternating crouch-tall and tightening/flexing
the abs, helped as well.
You may even have
to stop and walk briskly for a few seconds while concentrating
on deep breathing. Continue running after the stitch goes away.
If you get a cramp in the middle of a race, you might want to
try mixing up your rhythmic breathing/ striding pattern. If
you always exhale when your right foot strikes the ground, try
exhaling with the left foot strike. The organs attached to the
diaphragm on the left side of the body aren't quite as big as
those on the right side, hence there is less strain on the diaphragm.
Another technique that may work for some is peaceful visualization--if
you are feeling stressed from the day or race, try imagining
you are elsewhere, and take deep calming breaths as you run.
Recommended
Link
The complete guide to running injuries on the
internet
Running
Injury
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