No, I’m not taking up track and field. I’m just trying to overcome the hurdles of being a new runner. My biggest obstacle as I’m increasing the length of time I run is what I call side stickers (or side aches, cramps, or stitches). I know if I want to continue to make progress I’ve got to learn more about this! Right now my run-walk routine works well because when I get a side sticker during running I know that walking is in the plan soon and I just push through. But some day I hope that walking will not need to be in the plan. So what to do when the pain is debilitating?
Here are the facts* I’ve learned…
*Disclaimer: These are just googled tidbits, so don’t quote me on any of this.
What is it?
A cramping pain, also known as exercise related transient abdominal pain (ETAP) that occurs in the diaphragm, typically under the right side of the rib cage. Some individuals also have pain on the tip of their shoulder blade, a referred site of pain from the diaphragm, through the phrenic nerve.
I’ve had pain in both of these places! Usually it starts with a sharp pain on my right side and as I continue to run it transfers to my right shoulder.
Why does it happen?
The diaphragm, along with organs attached to it (stomach and the big liver), get pulled down as your right foot hits the ground during running. Then your diaphragm is pulled up when you exhale and your lungs contract. So if you exhale when your right foot hits the ground your diaphragm is being pulled in opposite directions and the stretching causes the pain.
How do I cure it?
- Reduce the intensity of the exercise
- Take deep slow breaths
- Exhale when your left food strikes the ground
- Relax your mind and don’t focus on the stitch
- Put pressure on the area
More importantly, how do I prevent it?
- Warm up
- Take full, deep, belly breaths to fully lower the diaphragm
- Avoid short breaths that leave the diaphragm in a constant up position
- Continue to improve cardiovascular fitness
- Gradually increase running intensity
- Exhale when your left food strikes the ground
- Strengthen core muscles (lower back, abdominal, oblique)
- Stretch lower back and abdominal muscles
- Run on soft surfaces
- Limit or avoid eating before exercising
- Drink plenty of water
I shall put these prevention techniques to the test. In particular I know I need to work on taking longer, slower, fuller breaths. I’m not sure if I have the coordination to exhale as my left foot strikes the ground, but I shall try. I am just picturing myself falling off the treadmill at the gym and flying back onto someone on an elliptical. Embarrassing! And potentially painful! I also need to start to incorporate core strength training into my workout. Perhaps a written plan is in my future?! Of course I’ll keep you posted!
Does anyone else have tips that work for them to prevent or cure a side sticker?