Prevent & get rid of side stitches
July 5, 2009 by sharm
Filed under Articles by Sharm, Fitness, Highlights
Side stitches are a pain, no pun intended. Side stitches, which is also known as exercise related transient abdominal pain (ETAP) is caused by stretching the ligaments which extend from the diaphragm to the internal organs, expecially the liver. The movement of running while you breathe in and out cause the ligaments to stretch.
Check out the recommendations from Les Whitley (personal trainer) and Howcast.com on how to overcome them.
Video 1: Les Whitley’s recommendations
1) Relax your breathing, take deep breaths – don’t shallow your breathing.
2) Proper nutrition
3) Prepare yourself well, listen to your body, train smart.
Video 2: Howcast.com’s recommendations
1) Avoid eating a big meal before workout
2) Practise deep breathing
3) Strengthen abs muscles (DOn’t do sit ups. Do crunches only)
4) Change breathing pattern
5) Stop and rest.
Sharm’s Thoughts
As mentioned above, side stitches, which is also known as exercise related transient abdominal pain (ETAP) is caused by stretching the ligaments which extend from the diaphragm to the internal organs, expecially the liver. The movement of running while you breathe in and out cause the ligaments to stretch.
It is believed that spasms in the diaphragm are caused by repeated stretching of the ligaments. Research have shown that runners tend to breathe out every 2 or 4 steps. Those who exhale when their right foot hits the ground were found that they are more prone to get side stitches. The impact of the right foot also creates greater ‘impact’ on the liver, which is located below the rib cage, on the right side. The liver is drops down when the diaphragm raises for the exhalation of air.

How to stop a side stitch?
- The best thing to do is to stop running and use your hand to push your hand into the right side of your stomach and then push it upwards – this will lift your liver by a bit. As you’re pushing, breathe in and out deeply.
How to prevent a Side Stitch.
- Take even deep breaths while running.
- If you take shallow breaths, it will increase the risk of cramping as the diaphragm is always slightly raised. It never lowers far enough.
- Do not eat 1 or 2 hours before workout – if you do, you’ll just create more force on the ligaments
- Do side stretches – it can prevent or prevent or relieve a cramp. Raise your right arm straight up and lean toward the left. Hold for 15 seconds, then stretch the other side.
- There’s higher chances of getting side stitch if you’re dehydrated. Drink lots of water before exercise.
- Stretch the diaphragm – by breathing deeply. You can also bend forward to stretch it and lessen the pain.
- Slow your pace down.
Run well!
Written by Sharm
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Sharm (Hisham Musa) is a fitness consultant in Singapore to many high profile clients since 1998. He is equipped with a Master of Science (Exercise and Sports Studies) degree from Nanyang Technological University, (NTU) with 7 distinctions. He also has a Bachelor’s degree from the National University of Singapore (NUS) and Postgraduate in Physical Education and Sports Science from NTU. Armed with international certifications, memberships and affiliations with the American College of Sports Medicine & National Academy of Sports Medicine, he stays current with the latest in the fitness and nutrition industry. He is NCAP 3* certified and is undergoing TRX Master Trainer development. His expertise have been featured in ChannelNewsAsia’s documentary – Vanity the Slim Society, Ch5 & Ch8 Lose To Win Reality TV, The Straits Times, & The Sunday Times. Magazines: Shape, Timeout, Women’s Weekly (Panel of Experts), The Finder, Her World. He is the owner of FitnessBootcamp.sg – the most creative fun group fitness workouts that has more than 500 individual signups in 5 months, with clients losing 10kgs of FAT in 3 months. Sharm shares how you can lose weight and get fit fast at Teamfitnessguru.com
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