Chest Pain While Marathon Running

I am an elite distance runner and competed for England in the Toronto marathon on Sunday. During the last 3-4 miles I developed a pain in the centre of my chest, this disappeared as soon as I stopped running at the end of the race.

I also felt a bit light headed and had black spots in my vision. Could you please give me some advice on this matter.
Julie




Answer by Dominique:


Hi Julie,
Thanks for your question about chest pain while running.

I am by no means an elite distance runner, nor a doctor. When it comes to running injuries and pain while running there is one big rule I try to follow: better safe than sorry.

Especially when it comes to chest pain. Look, the end of the marathon is a crazy stage. Your body is completely exhausted, you are running on empty. There are plenty of people who need to stop running and start walking, who faint etc. As a top athlete you just keep on going. So it can very well be just a sign of complete exhaustion.

After all, Emil Zatopek, the legendary long distance runner, once said:
"We are different, in essence, from other men. If you want to win something, run 100 meters. If you want to experience something, run a marathon."

But because it is chest pain, I would encourage you to go see a doctor about it, see what the doctor says, maybe get a few tests done.

When the doctor says it is nothing, great, you'll get that confidence back in yout body and can move on. And in case something is up, at least you can then start working on treatment and prevention.



Good luck with this issue and with your further career.
Kind regards,
Dominique

Join in and write your own page! It's easy to do. How? Simply click here to return to Running Injury Helpline.


What's New?

  1. Looking For A Sub40 10k Training Plan

    Expert running coach answers how to train for a sub-40 10k. Complete training plan with mileage progression, periodization, tempo work, and injury prevention strategies.

    Read more

  2. How to Improve My 10k Running Time - Expert Training Advice

    Expert running coach advice for improving 10k times. Specific training strategies, heart rate guidance, and proven methods to run faster 10k races with proper base building.

    Read more

  3. Can I Achieve 10k In 60 Minutes? Expert Running Coach Answers

    Expert running coach answers whether you can break 60 minutes for 10k. Honest assessment of fitness benchmarks, realistic timelines, and specific training advice.

    Read more

  4. Is Sub-40 a Realistic 10k Goal for Me? Running Coach Assessment

    Running coach Dom answers whether a sub-40 10k is realistic based on your current fitness, training history, and circumstances. Personal assessment framework included.

    Read more

  5. 10K Time Getting Slower - Why You're Not Improving Despite Training

    Your 10K time is getting slower despite consistent training? Running coach Dom explains why this happens and shares his proven framework to get back on track fast.

    Read more

  6. 10k Running Tips - 5 Must-Read Tips for Running Your Best 10k

    Get my proven 10k running tips to run your best race. From base building to race strategy, these 5 essential tips will transform your 10k performance.

    Read more

  7. I Want To Shave 10 Minutes Off My 10k Time - Expert Training Analysis

    Expert running coach advice for shaving 10 minutes off your 10k time. Specific training plans, race analysis, and realistic timeline expectations from Dom.

    Read more

  8. Recovery After a 10k Race: Expert Post-Race Protocol and Training Timeline

    Expert advice on 10k recovery protocols, timeline for returning to training, and setting your next running goal. Practical post-race steps from a running coach.

    Read more

  9. How Quickly Can I Get to Sub 40 Minutes for a 10k Run? | Best Running Tips

    Dom answers a runner's question about going from 47 minutes to sub-40 for 10k. Realistic timelines, training strategies, and what it really takes to drop 7+ minutes.

    Read more

  10. Adding Distance to my Runs - From 5k to 10k

    Expert running coach advice on increasing distance from 5k to 10k. Learn the 10% rule, proper mileage progression, and how to build your long runs safely without injury.

    Read more

  11. 10K Race in the Morning as an Evening Runner - Expert Morning Race Strategy

    Expert advice for evening runners racing 10K in the morning. Complete guide to circadian rhythm adjustment, nutrition timing, and race-day preparation strategies.

    Read more

  12. Would Like Help To Improve 1.5 Miles Running Time

    Expert running coach advice for improving 1.5 mile military fitness test times. Specific training plans, pacing strategies, and workout recommendations to achieve your target time.

    Read more

  13. Running to Qualify for Police Physical Test: 2-Month Training Plan

    Expert running coach advice for police physical test preparation. Training plans for 800m in 3:10 and 5k in 25 minutes with just 2 months to prepare.

    Read more

  14. Physical Test Training To Do A Mile In 13:20 Minutes

    Expert running coach answers how to run a mile in 13:20 minutes with just one month to prepare. Specific training plan using run/walk method for complete beginners.

    Read more

  15. How to Improve Running Speed & Endurance: 7 Science-Backed Tips

    running-quote-029.png
    Learn proven methods to improve running performance. Expert running coach shares 7 actionable strategies to build speed, endurance & injury resilience. Free tips.

    Read more