Open AccessStitch in the Side
Author(s) -
E. Randy Eichner
Publication year - 2006
Publication title -
current sports medicine reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.424
H-Index - 51
eISSN - 1537-8918
pISSN - 1537-890X
DOI - 10.1097/01.csmr.0000306432.46908.b3
Subject(s) - medicine , limiting , irritation , differential diagnosis , physical exam , diaphragmatic breathing , physical examination , physical stress , surgery , physical therapy , alternative medicine , pathology , mechanical engineering , engineering , immunology
Side stitch is an acute, localized, sharp, transient pain that occurs during exercise, most often in runners or swimmers, but also in those participating in team sports, and less often in cyclists. The pain is vexing and performance-limiting, but fleeting and benign. Three theories compete to explain it: diaphragmatic ischemia, stress on peritoneal ligaments, and irritation of the parietal peritoneum. The differential diagnosis seems broad, but the classic side stitch is so unique in its features and setting that a reasonable working diagnosis can be made from a careful history and physical examination. Practical tips, although anecdotal, offer lasting solutions.