Abdominal Cramping When Running

Every athlete has experienced abdominal cramping at one time or another while running. Abdominal cramping can be very annoying and painful, causing a runner to have to stop running until the pain goes away. There are a couple of theories on exactly what this pain is and how it can be prevented. The following are the most common causes of abdominal pain and some suggestions on how to alleviate the pain.


Breathing - Probably the most popular theory on abdominal pain right now is due to the athlete's vigorous breathing while running. This pain is called a "side stitch" and is caused while running because the ligaments in the abdomen attaching the diaphragm to the internal organs get stretched. A side stitch is caused when runners take too shallow breaths, preventing the diaphragm from coming completely down and not allowing the ligaments to relax. Concentrating on taking deep, controlled breaths as well as massaging the area that is causing pain will help to alleviate this problem.

Dehydration - Another common theory about why runners get abdominal cramping is due to dehydration. Dehydration is a common occurrence in runners that can be hard to avoid even if you are consciously trying to stay hydrated. There are many factors that go into getting the proper hydration such as the amount of liquid consumed, temperature of the liquid, timing of the liquid being consumed, amount of sweat being produced, amount of food in the stomach, as well as many other factors. Because the absorption of liquids into the body is such a complex process runners may be suffering from dehydration even if they think they are drinking enough fluids. The best way to avoid dehydration in order to prevent cramping is to find out exactly how much water you should be consuming for your age, weight, and height.

Lactic Acid Build-up - The third theory of abdominal cramping that I hear many athletes talk about is lactic acid build-up. Although many people are familiar with this theory, it doesn't relate much to an abdominal cramping. Basically, lactic acid builds up in the muscles when they are not getting enough oxygen when exercising. When the body isn't getting enough oxygen then it must revert to the anaerobic energy pathway to produce energy which has a by-product of lactic acid. This process is more likely to cause larger muscle groups to become sore and not as much the abdominal cramping that is experienced while running. In either case this process can all together be avoided by better oxygen intact and training.

Abdominal cramping while running is an annoyance that most runners have to deal with at one point or another. Although there are different theories as to what exactly causes this pain there are common ways to help alleviate the pain. Deep breathing, hydration, and pressure over the cramp seem to be the best ways to alleviate abdominal cramping.

Dr. Andrew Schneider is a podiatrist in private practice in Houston, TX. He is dedicated to maintaining the health and safety of the feet of athletes and return them to their sport as soon as possible after injury. For more information about foot health in sports, informative videos, and to order Dr. Schneider's FREE book, visit his website and his blog The Houston Running Chronicles



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