Beginner's Training Program

Great Strides 2007 Shelly Glover
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Week 7:The Stitch

Run Walk Complete Sequence Total Run Time
10 minutes 1.5 minutes 2 times 20 minutes

Runners' Handbook Recommended Readings

  • The Stitch: Pages 531-533
  • Belly Breathing: Page 552
  • Abdominal Exercises: Page 581

Beginner Curriculum Textbook

 

 

The Stitch

There is no pain like the dreaded crampy side stitch. It feels like a knife jabbing into the edge of your rib cage. No one has ever died from a side stitch, although you may feel you are going to be the first. It may strike when you're:

  • Running hard
  • Breathing shallowly
  • Out of shape
  • Running with a full belly - water or food
  • Running hard downhill

The top offenders of this nasty pain are:

Causes

  • faulty breathing
  • stress
  • weak and tense abdominal muscle
  • running too soon after eating
  • intolerance to certain foods
  • running hard down hills
  • improper warm-up
  • starting too fast
  • intestinal gas
  • cramp in the muscles between the ribs
  • spasm in the diaphragm

Treatment:

In case of an attack, try these techniques:

Bend over and raise your knee on the stitch side while pressing your fingers deep into the painful area to relieve abdominal pressure,. The stabbing usually disappears, and you can continue running. Or, just walk while belly breathing and the stitch will gradually subside.

If you don't want to stop running try these approaches:

  • Breathe out against pursed lips like you are blowing up a balloon. Then inhale like you are sucking through a straw. Breathe deeply and noisily. Don't be shy.
  • While running, lean forward, pressing the stitch with your fingers.
  • Try changing your breathing pattern. Most runners breathe out as the same foot--usually the right--hits the ground. We breathe at the ratio of 4:1 or 2:1, footstrikes to breaths. Try breathing off the other foot to break the pattern. Some runners find that doubling their rate of breathing rids them of the stitch pinch.
  • Some folks raise their arms overhead, breathe deeply, expand their stomachs, and, as they lower their arms, exhale loudly and contract their stomachs.
  • A few runners get away with not thinking about the pain, and continuing. Try thinking about something else or talking to another runner.
  • Try picking up the pace and run harder and harder until the stitch goes away. It works--but everything else hurts! If you have tried all the treatments and eliminated all the causes and are still troubled by the stitch, check with a sports doctor. You may have internal problems that should be handled medically.

    A Little More

    Running Coach Shelly Glover has a master's degree in exercise physiology from Columbia University. She co-authored The Runner's Handbook and The Competitive Runner’s Handbook, is a veteran road runner and marathoner. She also coaches The Greater New York Racing Team is available for private coaching. Coaching Services