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It’s something endurance athletes are particularly prone to – stitches. That unpleasant pain beneath the ribs has brought many an athlete to their knees, making for a sorry end to their race or match. But what exactly is a stitch, what causes a side stitch, is there anything that can help when you get it, and can anything be done to prevent it? pjuractive takes a closer look.
WHAT IS A STITCH?
When people talk of side stitch, they are referring to a stabbing pain beneath the ribs which athletes suffer from, either on the left-hand side near the spleen or on the right around the liver area. It usually starts off fairly mildly, but can become so severe that athletes have to stop what they are doing. It mostly affects endurance athletes, such as runners, cyclists, swimmers, and rowers.
WHAT CAUSES A STITCH IN THE FIRST PLACE?
A stitch is brought on by physical exertion. It is something a lot of endurance athletes suffer with from time to time, yet the exact cause is still not known. There are plenty of theories about why so many athletes repeatedly suffer from the pain associated with stitches. One suspected cause is reduced blood supply to the organs, such as the spleen or liver. Incorrect breathing, a bent or stooping posture, overstimulation of the intercostal nerves, and an awkward running style can also bring on a side stitch. In addition, it is also assumed that incorrect food consumption and fluid intake can play a role – exercising on a full stomach may in fact be the crucial factor. The blood which the body needs for digestion means that there may not be enough available to the muscles, which can lead to a stitch. Being overweight, a lack of oxygen when doing intensive training, weak core muscles, and even failure to do sufficient warm-up exercises may also be causes.
The vast number of possible causes explains why so many athletes suffer from stitches so often. But can they be prevented? And if so, how?
HOW TO PREVENT STITCHES
Athletes naturally want to prevent stitches in the first place, yet because it is not clear what actually causes side stitch, it is difficult to prevent them. However, there are a few tips which athletes should bear in mind.
Endurance athletes should start their training gradually and slowly increase the intensity. It is only by doing this that the body can adjust the blood supply accordingly. It is also important to be aware of your breathing. Whatever the sport, breathing should always be controlled and abdominal breathing techniques should also be used. When running, for example, athletes are advised to breathe in for two to four paces and out again for exactly the same length of time. The faster the tempo, the fewer steps you take for each breath. When running slowly, take three to four – i.e. more steps per breath. It is also important to warm up properly to prepare the body for the exertion to come. This can prevent stitches, too.
Consumption of food should also be planned in a way that minimizes the risk of getting a stitch. It is recommended that athletes leave at least three hours after a big meal before a training session. Small snacks that are easy to digest are of course fine to eat before training.
Building up strong core muscles can also help prevent stitches in endurance athletes, as poor posture can cause side stitch. Stomach muscles are also important here.
It seems that older people don’t need to worry so much about preventing stitches, as susceptibility appears to decrease with age.
WHAT TO DO WHEN IT’S ALREADY TOO LATE – WAYS HOW TO GET RID OF SIDE STITCH
Have you followed all the tips above, yet still you’ve ended up with a stitch while running, cycling, etc.? There are a few things you can do when this happens:
No matter what the situation, slow down. Whether it’s your cycling speed or your running tempo – to prevent a stitch from getting even worse, first of all it’s important to scale down the intensity of your training a little.
If you are suffering from a side stitch, your breathing must be controlled. Correct breathing helps the diaphragm and the respiratory muscles to relax – you should take really deep breaths and then breathe out very slowly. This can help improve your depth of breathing and allows the muscles to recover.
It can also help to press your hand against the painful area, but only when you breathe in. Release the pressure from your hand again on the out-breath.
If it gets so bad that you have to take a break from your training, you can do light upper-body stretches. The best thing to do is to bend your upper body to the side. Each time you breathe out, you can then stretch your upper body a little further.
It can also help to stand still, control your breathing, and lean your upper body forward. This will relax your abdominal cavity and your diaphragm.
Even though we haven’t been able to find out what exactly causes side stitches when running, cycling and the like, there are ways how to prevent side stitch. And if all that doesn’t help and you still get this unpleasant pain, it’s worth following our tips above. Happy endurance training – despite the stitch!
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Most Olympic marathoners spend their youth focused on running. They join track clubs, compete in national championships, and pursue the sport from an early age.
Julia Mayer’s journey was very different.
Today, Mayer is Austria’s marathon record holder, a multiple national record holder on the roads, and an Olympian. Yet for much of her athletic life, running was not her primary sport.
For 16 years, she played soccer.
Then she discovered something that would change her life.
“I noticed that I was really fast in the fun runs and that it was really, really fun,” Mayer said when reflecting on her transition from soccer to distance running.
What began as curiosity quickly became a passion. She eventually made the bold decision to leave soccer behind and focus entirely on running. It was a move that surprised many people around her, but Mayer believed she had found her true athletic calling.
The decision proved to be the right one.
Within a few years, Mayer developed into one of Europe’s top marathon runners. Her steady improvement carried her from local races to the international stage, where she began rewriting Austria’s record books.
She now holds Austrian records in the marathon, half marathon, and road 10K. Her marathon best of 2:26:08 established her as the fastest female marathoner in Austrian history. Her performances in the half marathon and 10K have further cemented her place among the country’s all-time great distance runners.
Her rise culminated with qualification for the 2024 Olympic Games in Paris.
Competing in the Olympic marathon represented the realization of a dream. On one of the most challenging marathon courses ever used for the Olympics, Mayer ran courageously against the strongest field in the world and finished 55th in her Olympic debut.
Behind the scenes, success has come through extraordinary dedication. During marathon preparation, Mayer trains twice a day and covers approximately 200 kilometers, or 124 miles, each week. The workload demands discipline, patience, and a deep commitment to continuous improvement.
What makes her story especially inspiring is not simply the records or the Olympic appearance.
It is the fact that she found her greatest talent later than many elite runners.
In a sport where athletes are often identified at a young age, Mayer’s journey serves as a reminder that potential does not always reveal itself early. Sometimes it takes years of experience, a willingness to try something new, and the courage to follow a different path.
The former soccer player who once chased a ball across a field is now chasing history on the roads of Europe.
And according to those closest to her, her best performances may still be ahead.
For runners of every age and ability, Julia Mayer’s story delivers a powerful lesson: it is never too late to discover what you are capable of.
From soccer player to Olympian, her journey proves that remarkable achievements can begin when least expected.
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Megan Keith produced the performance of her career in Oslo on Thursday night, shattering one of Scotland’s longest-standing distance running records and cementing her place among Britain’s greatest female 3000m runners.
The 24-year-old clocked a sensational 8:28.35 over 3000m, breaking the Scottish outdoor record that had stood for nearly four decades. In doing so, Keith eclipsed the previous mark of 8:29.02, set by Scottish legend Yvonne Murray back in 1988, ending a record reign that had lasted 38 years.
Keith’s breakthrough run was more than just a national record. The performance also propelled her to third on the UK outdoor all-time list, placing her behind only two of Britain’s most celebrated distance runners — Paula Radcliffe, who leads the rankings with 8:22.20, and Laura Weightman, whose 8:26.07 remains the second-fastest outdoor mark by a British woman.
The significance of Keith’s achievement is amplified by the calibre of athletes she now joins in the record books. For decades, Murray’s mark stood as one of Scottish athletics’ most untouchable records, surviving generations of elite competitors. Keith has now succeeded where many outstanding runners have fallen short, announcing herself as one of the leading distance talents in British athletics.
Her time also compares favourably with the best performances produced indoors. Olympic medallist Laura Muir ran 8:26.41 indoors in Karlsruhe in 2017, underlining just how exceptional Keith’s outdoor effort in Oslo truly was.
The run continues a remarkable rise for the Scottish star, whose progression over recent seasons has transformed her from a promising prospect into a genuine force on the international stage. Running with confidence and composure against elite competition, Keith demonstrated both the speed and endurance required to challenge the very best in Europe and beyond.
With the World Championship season gathering momentum, Keith’s record-breaking display sends a powerful message. Not only has she etched her name into Scottish athletics history, but she has also established herself as a serious contender in one of the sport’s most competitive events.
In Oslo, Megan Keith did far more than break a record. She ended a 38-year wait, climbed into the upper echelon of British distance running, and delivered a performance that may prove to be a defining moment in her career.
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British middle-distance talent Phoebe Gill took another significant step forward in her return to top form, producing a determined victory over 800 metres at the Meeting de Marseille in France on Wednesday.
Competing in challenging, wind-affected conditions, the 19-year-old demonstrated both resilience and composure as she held off a late charge from Switzerland's Veronica Vancardo to secure the win in 2:00.81. Vancardo finished just three hundredths of a second behind in 2:00.84, underlining the fiercely contested nature of the race.
While the margin of victory was narrow, the result represented another encouraging milestone for Gill as she continues to rebuild momentum following her injury setback. The young Briton showed impressive race awareness and strength in the closing stages, maintaining her advantage despite the difficult conditions that made fast running a challenge throughout the evening.
The Marseille triumph adds to a growing body of evidence that Gill is steadily progressing toward her best form. Earlier in her comeback campaign, she clocked 2:01.50 for 800m in Bydgoszcz before demonstrating her versatility with a strong 4:05.53 performance over 1500 metres at the BMC Grand Prix meeting in Trafford.
Those performances have highlighted not only her improving fitness but also her ability to compete across multiple distances as she carefully builds her season. The Marseille victory now provides further confirmation that the European junior star is moving in the right direction.
Gill emerged as one of Britain's most exciting middle-distance prospects through a series of breakthrough performances as a teenager, earning widespread recognition for her fearless racing style and remarkable maturity. Injury temporarily interrupted that upward trajectory, but her recent results suggest she is steadily rediscovering the form that made her one of the sport's brightest young talents.
With each race, the signs of progress become increasingly evident. Winning in difficult conditions and under pressure from a quality field is often a stronger indicator than a fast time alone, and Gill's latest success demonstrated exactly those qualities.
As the summer season gathers pace, the Marseille victory offers another confidence boost for the British teenager, whose return continues to gain momentum. If her recent progression is any indication, Gill could soon find herself back among the leading names on the European middle-distance circuit.
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The NCAA Track and Field Championships delivered a moment few could have predicted as Ja’Kobe Tharp produced one of the most astonishing performances in the history of sprint hurdling, rewriting the record books in spectacular fashion.
Competing in the opening round of the men’s 110-meter hurdles, the Auburn star stunned the athletics world by clocking an incredible 12.75 seconds, becoming the first athlete ever to break the 12.80-second barrier. In doing so, he eclipsed the long-standing world record of 12.80 set by Aries Merritt in 2012, a mark that had stood as one of the sport’s most revered achievements for more than a decade.
What makes Tharp’s breakthrough even more remarkable is the scale of his improvement. Entering the championships, the defending NCAA and U.S. champion had recorded a season-best of 13.05 seconds. Yet under the brightest spotlight, he unleashed a performance that exceeded every expectation, slicing an extraordinary 0.26 seconds from his personal best in a race that instantly became one of the greatest ever run.
The achievement sent shockwaves throughout the track and field community. While Tharp arrived in Eugene as one of the leading contenders for the NCAA title, few envisioned a performance capable of redefining the limits of the event. Instead, the American hurdler delivered a race for the ages, combining flawless technique, explosive speed, and impeccable rhythm from the first hurdle to the finish line.
The historic run not only secured his place in athletics history but also transformed the outlook of the championship. With the world record now in his possession, Tharp advances to the final as the overwhelming favorite, carrying momentum that could make an already unforgettable weekend even more extraordinary.
For years, the 12.80 barrier appeared untouchable. On a stunning day at the NCAA Championships, Ja’Kobe Tharp proved otherwise, producing the kind of performance that reminds fans why sport remains so unpredictable. In a matter of seconds, he turned a routine qualifying round into a landmark moment that will be remembered for generations.
The world record no one saw coming is now a reality—and Ja’Kobe Tharp is the man who changed history.
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A new chapter in middle-distance running may have begun in Oslo after American teenager Cooper Lutkenhaus produced one of the most remarkable performances of the season, narrowly defeating reigning Olympic champion Emmanuel Wanyonyi in a thrilling men's 800m contest at the Diamond League meeting.
The 17-year-old sensation shocked a world-class field by crossing the finish line first in a race that came down to the smallest of margins. After an intense battle over the final metres, Lutkenhaus held off Wanyonyi by just one hundredth of a second, producing a dramatic finish that left the packed stadium in disbelief.
From the opening lap, the pace was relentless as the leading contenders positioned themselves for a fierce showdown. As the athletes entered the home straight, Wanyonyi appeared poised to unleash his trademark finishing kick. However, Lutkenhaus refused to be intimidated, matching the Olympic champion stride for stride before producing a perfectly timed lean at the line to secure a historic victory.
The result marks a breakthrough moment for the young American, who continues to establish himself as one of the brightest talents in global athletics. Defeating an Olympic champion at a Diamond League event is a feat many athletes spend entire careers pursuing, yet Lutkenhaus achieved it before reaching adulthood.
For Wanyonyi, the narrow defeat does little to diminish his status as one of the world's premier 800m runners. The Kenyan once again demonstrated his exceptional class and competitiveness, pushing the race to a world-class standard and forcing his young rival to deliver the performance of a lifetime.
Beyond the result itself, the race offered a glimpse into what could become one of the sport's most exciting rivalries in the years ahead. With established stars and emerging talents now pushing each other to new heights, the men's 800m continues to evolve into one of athletics' most captivating events.
On a memorable night in Oslo, the spotlight belonged to Cooper Lutkenhaus. At just 17 years old, he stood toe-to-toe with an Olympic champion and emerged victorious, announcing himself to the athletics world in spectacular fashion.
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