The Scottish Mail on Sunday

Ever wonder why... You get cramp when you exercise?

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A stabbing side cramp – commonly known as stitch – occurs during or after exercise. It is widely believed that a lack of blood (and therefore oxygen) supplied to the diaphragm during exercise causes the pain. However, this doesn’t account for cramps that occur in activities which don’t challenge the respirator­y system, such as horseridin­g.

It is more likely that stitch occurs due to a combinatio­n of factors, says Dr Brad Muir, Assistant Professor at the Canadian Memorial Chiropract­ic College. These include stress on abdominal ligaments that hold organs in place; friction and irritation in the tissue of the abdominal wall; and eating or drinking something that is high in sugar or heavy in the stomach prior to exercising. This causes the abdominal ligaments to work harder.

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