Cramps under Ribs While Running

by Leah Easley
(St Louis, MO, USA)


I am a beginning runner, I am starting off with a 30 minute run.

I would say around 20 min into the run I get a cramp right under my ribs.

It's only on the right side.

I was told you are supposed to run through the cramps. Is that true?

Also what is the correct way to breathe while running? (In the nose out the mouth? Or what is more comfortable for the individual?)


Answer by Dominique:
Hi there,
Thanks for your running questions.

Let's cover your question as follows:

1. Likely cause of your cramps under your ribs
2. Breathing while running


Likely Cause of Your Cramps Under Your Ribs




cramps under ribs while running
Your problem has got to do with your diaphragm. Your diaphragm is connected to your liver, spleen and stomach. As you are running these organs move up and down.

Now, the diaphragm also gets influenced by something else. Your breathing. When you breathe out, your diaphragm moves up, as you breathe in, your diaphragm moves down.

Now consider the following thing happening:
You are breathing out as your right foot hits the ground. You breathing out pulls the diaphragm upwards. When your right foot hits the ground, your liver pulls your diaphragm downwards. This can cause the tension that gives you side cramps or stitches. Do it continuously and your diaphragm muscle could be spasming a bit, which is causing the side stitch.

While some people do suggest running through cramps, it's usually best to slow down or stop for a moment and take some deep breaths to help alleviate the pain. You can also try massaging the area or stretching out your arms above your head to help loosen up the diaphragm.

I have seen it happen quite a bit with beginning runners who push themselves too much. Try to take it a bit easier, i.e. run at a slower pace and/or add some walking breaks into your routine. I suspect the problem may fade away.

Breathing while Running




cramps under ribs while running
As for breathing while running, the most important thing is to find a pattern that is comfortable for you. Most of us find it helpful to take deep breaths in through the mouth and exhale through either the mouth or nose. Some also find it helpful to match their breaths with their strides, taking two or three steps while inhaling and then two or three steps while exhaling.

I prefer to not provide super detailed advice on breathing. For 99% of us the breathing just happens while we are running, without having to pay attention to it.

It's important to keep in mind that everyone's body is different, so what works for one person may not work for another. Experiment with different breathing patterns and find what feels most comfortable for you. Additionally, make sure to stay hydrated before and during your runs, as dehydration can also contribute to cramps and breathing difficulties.

Hope this helps.
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. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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

  9. 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

  10. 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

  11. Hill Running Workouts: 5 Proven Plans for Strength

    running-quote-028.png
    Master hill running with science-backed workouts. Learn tempo, interval, and long hill sessions to build leg strength, speed & injury resilience fast.

    Read more

  12. Taking Time Off My 1.5 Mile Run - Expert Recovery & Performance Tips

    Expert running coach advice on taking time off training and its impact on your 1.5 mile run performance. Learn about detraining effects, recovery timelines, and getting back to peak fitness.

    Read more

  13. How to Run 1.5 Mile in Under 10:30 Minutes

    Expert coaching advice for running 1.5 miles under 10:30. Complete training plan with base building, tempo runs, and interval work from certified running coach.

    Read more

  14. In the Army - Improving my 2 Mile Time | Expert Training Advice

    Expert running coach advice for improving your 2-mile Army fitness test time. Specific training plans, injury management, and pacing strategies from certified coach Dom.

    Read more

  15. Running the 1.5 Mile in Under 10:35 - Expert Training Plan

    Expert running coach advice for achieving 1.5 mile in under 10:35 for fitness tests. Specific training plans, pacing strategies, and workout recommendations with 5 weeks to prepare.

    Read more