Abdominal pain is pain felt anywhere from below your ribs to your pelvis. The abdomen is the site of many vital organs including the stomach, liver, bowel and reproductive organs. There are also major blood vessels in the abdomen. Serious causes of abdominal pain include appendicitis and pregnancy problems. However, most abdominal pain is harmless and goes away without surgery.
Rectus abdominis tendinopathy
What is rectus abdominis tendinopathy?
The Rectus abdominis muscle is the long muscle in the middle of the abdomen, otherwise known as the 'six-pack'. Pain can arise from the attachment of the Rectus abdominis muscle at the upper margin of the pubic region.
What causes rectus abdominis tendinopathy?
An unexpected or large force stretching the muscle or overuse due to excessive abdominal contractions e.g sit ups
How does rectus abdominis tendinopathy feel?
Localised sharp pain is experienced with contraction of the muscle, which occurs when the trunk is bent under load or resistance.
Management of rectus abdominis tendinopathy and how to fix it
The assistance of a sports medicine professional is invaluable.This could initially involve imaging techniques. With a more accurate diagnosis an appropriate management plan can be put in place. This may involve activity modification, anti-inflammatory medication and soft tissue techniques such as ice and massage. The correction of surrounding biomechanical abnormalities and a gradual task specific strengthening program will assist in preventing a re-occurence. Occasionally, some clinicians advocate injection of corticosteroid.
Stitch
What is a stitch?
Abdomonal pain occuring during exercise.
How does a stitch feel?
Typically it feels like a very localised sharp crampy pain.
What causes a stitch?
It is not completely understood but it may be due to spasm of the diaphragm muscle, air trapped in the bowel or referred pain from the thoracic spine.
Management of a stitch and how to fix it
If you are experiencing regular sporting stitches, try the following: avoid food for a few hours prior to exercise, adequately hydrate and stretching of the thorax prior to exercising.
Other conditions of greater medical concern
Go straight to your doctor or the emergency department of the nearest hospital if you have any of the following:
Severe pain
Pain lasting for several hours
Pain and/or bleeding if you are pregnant
Pain in your scrotum if you are a male
Pain and vomiting
Pain and vomiting blood
Fever and sweats
Become pale and clammy
Have been unable to pass urine
Have been unable to move your bowels or pass gas