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Why do my ribs hurt after working out: How to Tell the Difference Between Good and Bad Pain


How to Tell the Difference Between Good and Bad Pain

Have you ever given thought to the meaning behind the statement: No pain, no gain?

A great many people take this statement literally, and unfortunately, the end result can be orthopedic injury. It is of utmost importance that we listen to what our bodies tell us both during and after exercise. There is in fact “good pain” and “bad pain”. The following information will hopefully help you to tell the difference.

The most common type of good pain is clinically referred to as “delayed onset muscle soreness,” or DOMS for short. This occurs as the result of challenging a muscle or muscle group with exercise. One to two days after exercising a soreness will be felt in the belly of the muscle. It can be quite tender to touch and tends to be spread out over a large area.

One such example that I recently encountered involved a trip to the batting cages. It had been years since I had swung a bat. I was in the batting cage swinging for a mere fifteen minutes. Starting the next day, my entire rib cage and my abdominal muscles felt incredibly tender and sore. I had not used these muscles in that fashion for some time: sneezing and coughing were quite painful for the next week.

With this type of soreness the muscles actually remodel and become stronger and more efficient. If I had gone back to the batting cages once the pain had subsided, the pain response would have been much less pronounced the second time because of the adaptive changes of the muscles. In this case, “No pain, no gain” holds true.

“Bad pain” comes in many forms. The most common type of bad pain that I see in the clinic involves joint pain. When pain occurs in a joint (such as the knee) rather than in muscle (the quadriceps), it is the body trying to tell us that something is not right. Do not try to work through joint pain while working out. If it occurs each time that you exercise you should have it checked out by your doctor. If your pain is sudden and sharp, stop whatever you are doing and have it assessed.

Another type of pain that should be brought to the attention of a health care professional is radicular pain, or pain that shoots from one area to another. Pain that shoots down your arm or leg may be spinal in origin. Pressure or trauma to the nerve roots as they exit the spinal column tends to be manifested in this way.

As a final note, it is always a good idea to be assessed if pain is recurrent, or if you cannot decide if the pain you are experiencing is “good” or “bad.” Pain can very often be brought under control and even eliminated with proper guidance from your doctor or physical therapist.

muscle soreness – Why are my ribs sore after doing push ups and sit ups?

Yes there are muscles between your ribs. They’re called the intercostal muscles, though “soreness in ribs” might also be caused by soreness in your pectoralis minor (which connects to the front of the rib cage) or your serratus anterior (which connect your back to the side of your rib cage). A good hint that it’s muscle soreness instead of connective tissue soreness is that muscle soreness usually feels good to massage, while tendon/ligament/joint soreness does not.

The main use of the intercostal muscles is in opposing the diaphragm in breathing, but they’re used in lots of movements. I get rib soreness after doing planks for a long period, so I suspect that is the main source of the soreness (a pushup being a like plank++).

I would guess that the reason that your intercostal muscles are sore is because they are being used to hold the rib cage rigid, while forces are being transmitted between the serratus, pectoralis minor and rectus abdiminous. Dynamic tension between these muscles (and many others*) lets your back stay flat and rigid while you’re doing planks or pushups, but since a lot of the force is transmitted through the rib cage, your intercostal muscles contract and get stretched as you go through the movements. Like any other muscles after a working/stretching them, they get sore. It’s probably especially noticeable since you do very few exercises which exercise your ribs.

Here’s a video showing the main muscle groups used in pushups, and here’s an animation showing them in action. Hopefully you can see the stresses put on the rib cage.

Pushups are really great exercises precisely because (if done properly) they strengthen so many different muscle groups (even ones you were unaware you had!). This is also one of the problems with Nautilus machines for strength training: by isolating muscles you miss out on strengthening small stabilizing muscles like the intercostal muscles and you can end up with big muscles but not genuine strength (and an increased risk of injury).

I find that stretching my rib cage can help with soreness (though stretching beforehand or immediately after doesn’t do very much). For soreness from pushups, my ribs tend to get more sore on the sides of my body, and a good stretch for that is the side angle pose from yoga.

Finally, it’s interesting that you get rib soreness after situps. I haven’t had that experience, though situps are also complex exercises which use a lot of different muscles groups. Perhaps another answerer can go into that in more detail.

* There are a ridiculously enormous number of muscles in your back and shoulders. Planks are really complicated exercises.

How to Cope with an Intercostal Muscle Strain – Cleveland Clinic

You finally said goodbye to bronchitis and its earth-shaking cough. But now, you’re left with rib muscle pain that taunts you with every breath. Or, maybe you were a little too enthusiastic about that new exercise program, and the muscles between your ribs won’t stop screaming in protest. What’s going on? You could be dealing with an intercostal muscle strain.

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“Intercostal muscle strain can be scary if you don’t know its cause, and it feels quite intense,” says internal medicine specialist Janet Morgan, MD. 

So, what are intercostal muscles — and how do you strain them? Keep reading to learn more about this common condition and what you can do to alleviate the pain.

The intercostal muscles and causes of

Your intercostal muscles are the muscles between your ribs.
They allow your ribcage to expand and contract so you can breathe. But if they
stretch too far or tear, intercostal muscle strain is the end result.

can strain the intercostal muscles suddenly or by doing certain movements over
and over.

causes include:

  • Coughing.
  • Exercises or sports with repetitive movements, twisting,
    lifting or stretching.
  • Injuries to the chest from a fall or hard hit.
  • Twisting beyond
    your normal range of motion.

can be painful, especially deep breaths,” says Dr. Morgan. “But what muddies
the picture is that sometimes, painful breathing can be a sign of something
serious, such as pneumonia or a blood clot in the lung. So we often end up
doing X-rays to make sure there isn’t something else going on.

Who’s most at risk for muscle strains in
the chest?

Intercostal muscle strain is one of the most common causes of musculoskeletal chest pain. But age or a sedentary lifestyle can place you at higher risk. “Someone who’s older with thinner muscles could strain rib muscles a lot easier than someone who works out and has built up their muscles,” notes Dr. Morgan.

Intercostal muscle strain or pneumonia: how
to tell the difference

Because intercostal muscle strain and pneumonia both cause
chest pain, it can be hard to know the difference. But there are some telltale

Dr. Morgan notes that intercostal muscle strain is more tender and painful when you touch the affected area. “Pain
when you twist or bend over can also be a sign,” she notes. “But these symptoms
aren’t a 100% guarantee that it’s an intercostal muscle strain, so still keep
pneumonia in the back of your mind.”

symptoms of an intercostal muscle strain include:

  • Pain when you breathe, cough or sneeze.
  • Pain when you move the affected muscles.
  • Swelling in the area.
  • Muscle tightness and soreness.

Dr. Morgan urges you to
avoid self-diagnosis, especially if the pain is severe. “I’d rather people have their provider make that call than
assume they’re OK. We need to hear the whole constellation of symptoms to rule
out something more serious, such as rib fracture or even cancer,” she says.
“It’s important to check in with your provider via phone or a virtual visit to
make sure nothing is missed.”

How to find relief from intercostal muscle
strain pain

While you await your appointment, Dr. Morgan recommends
these steps to take the edge off:

  • Good old-fashioned
    If you were working out hard, rest
    the area for 24 to 48 hours.
  • Brace yourself: “If you have a cold, and coughing made you pull your
    muscle, sometimes taking a small pillow and bracing as you cough helps with the
    pain,” Dr. Morgan suggests.
  • Turn up (or down) the temperature: “If your pain has started within the day, you can try ice or heat,” recommends Dr. Morgan. “Generally, with a strain, we start with ice packs for 10 to 15 minutes a couple of times that day. But let your body tell you what works best.”
  • Over-the-counter pain relievers. “If your kidney function’s OK, and you don’t have an
    underlying condition or suspect COVID-19, try ibuprofen with food.
    Acetaminophen may help as well. But get some direction from your doctor first.”
  • Yoga … maybe: Yoga can also help, but Dr. Morgan says those down dogs should be cleared by your doctor. “I worry that people may overdo it. Sometimes stretching can make it a little worse.”

Treatments for intercostal muscle strain

If home remedies and rest aren’t enough, your doctor may

  • An ultrasound device: These wearable devices use ultrasound energy to help you heal.
  • Ointments and emollients: “Use these under the direction of your healthcare provider because you have to be careful when combining them with heat,” says Dr. Morgan.
  • Physical therapy: This may be the route to take if you’ve been dealing with an intercostal muscle strain for a while. “Physical therapists use tools that really help, such as safe stretching exercises and transcutaneous electrical nerve stimulation (TENS) units that they place on you.”

with your provider’s help, muscle strains of any kind take about four to six
weeks to completely heal. But with patience and time, you’ll be pain-free
before you know it.

Why do my ribs hurt after running? – AnswersToAll

Why do my ribs hurt after running?

“The smaller muscles around your ribs expand and constrict during your workout, and they could eventually cramp and cause side stiches.” Your rib cage protects many vital organs, such as your heart and lungs, and is located right below the lungs is the diaphragm—the main muscle used for breathing.

Can you get sore ribs from exercise?

Pain can start either from a sudden injury, or it can begin gradually from repetitive motions. Activities that may cause you to strain these rib muscles include: reaching, like when painting a ceiling. lifting while twisting.

Can you pull a rib muscle from running?

Your intercostal muscles are the muscles between your ribs. They allow your ribcage to expand and contract so you can breathe. But if they stretch too far or tear, intercostal muscle strain is the end result. You can strain the intercostal muscles suddenly or by doing certain movements over and over.

Should you see a doctor if you think you broke a rib?

Anyone who suspects that they have a broken rib should speak to a doctor. If the person has trouble breathing or severe chest pain, they should call 911 or the local emergency number immediately.

Should I go to ER for broken rib?

When to go to the Emergency Room (ER) Get medical care right away if you have: Trouble breathing. Nausea, vomiting, or stomach pain with a sore or bruised rib. Pain that worsens over time.

Why do my ribs feel sore for no reason?

Rib cage pain is a common complaint that can be caused by factors, ranging from a fractured rib to lung cancer. The pain associated with the rib cage may be sudden and sharp or dull and aching. Many cases of rib cage pain are not linked to serious conditions and resolve on their own or with minimal treatment.

What is painful rib syndrome?

The painful rib syndrome is thought to arise from the inadequacy or rupture of the interchondral fibrous attachments of the anterior ribs. This disruption allows for the subluxation of costal cartilage tips, impinging on the intercostal nerves. This may cause a variety of somatic and visceral complaints.

What is a rib subluxation?

Ribs attach to the sternum by means of cartilage, allowing some movement when the chest inflates with a breath. If a rib moves and doesn’t go back to its normal position, its new, painful position is known as a rib subluxation.

Will a dislocated rib fix itself?

In most cases, a fractured rib is caused by some sort of trauma, causing the bone to crack. Though deeply painful, broken ribs usually heal on their own in 1 or 2 months. However, it’s important to monitor rib injuries so that complications don’t develop. Pain is the most severe and common symptoms of an injured rib.

Can a rib move out of place?

Slipping rib syndrome is a condition where the ribs slip away from their usual position. It occurs because the ligaments that help to hold the ribs in the correct place are pulled out of position, causing the ribs to shift.

Side Stitch Occurs Regularly During Runnning

Question: For the past two years I have been getting a pain directly under my right rib pain each time I run. It’s becoming increasingly worse lately. I am a lifelong athlete and know what a side stitch is, this is a completely different pain. In the past I have been able to run past my minor side stitches. I have talked to a handful of doctors about this and all they say is side stitch and send me on my way. Lately this area in my side has been hurting every day for about the past two weeks. One weekend it was so bad that I couldn’t even sleep. I made a doctor appointment and they checked my gallbladder because that’s the area where the pain is located. The tests came back negative. The pain also radiates over my right rib and sometimes to my back. Do you have any idea what this could be? Sometimes the pain comes on slowly and I can handle it, sometimes it feels like something is ripping, and almost all the time that feeling under my rib cage feels swollen and inflamed.

– Shae

Answer:  First, a few words about side stitches:

A stitch (also known as exercise-related transient abdominal pain) is a poorly understood phenomenon that occurs during exertion. Typically pain occurs just under the rib cage (more commonly on the right), but may also occur at the tip of the shoulder blade or over the shoulder. The cause of this problem is not well understood. One theory is that the ligaments of the abdominal organs tug on the diaphragm causing pain. This makes sense for runners, but this is a common problem in swimmers. Food ingestion prior to exercise may contribute to this condition, but cyclists ingest quite a bit of food and liquids during intense exercise without experiencing this problem. Studies have found that ingesting reconstituted fruit juices and beverages high in carbohydrate concentration prior to and during exercise is associated with the development of a stitch. Exhaling when the right foot strikes the ground has also been found to be associated with this condition. (The diaphragm rises during exhalation and the liver drops a little as the right foot strikes the ground).

Try changing your breathing pattern when a stitch develops; exhale when the leg on the opposite side from the stitch strikes the ground.

To prevent stitches, practice belly breathing – lie on your back and place a heavy book on your belly. As you breathe in the book should rise; it should lower as you exhale. Keep this pattern in mind when you are standing. Strengthen your abdominal muscles. Pay attention to posture. Stretch by placing an arm over your head and lean towards the opposite side; repeat on the other side. Avoid drinking reconstituted fruit juices and concentrated liquids prior to exercising. Work on your diet; you should be able to exercise without eating for a couple of hours if you have an adequate nutrition base.

You may need to warm up a little longer as you start running; start at a slower pace and increase intensity gradually.

There are some features in your history that raise concern about another cause of pain. Pain at rest and pain radiating to the back may be consistent with a nerve injury (thoracic spine nerve root or intercostal nerve which runs along each rib). Any problem with the liver, gall bladder, diaphragm or inferior lobe of the right lung may be the cause of pain. Injury to the intercostal muscles may be a source of pain.

(I don’t know your age so some comments may be less relevant) Examination by your health care provider should include listening to your heart, lungs and abdomen and palpation of your chest wall and abdomen at a minimum. Any abnormal findings should result in further testing. The ultrasound of your gall bladder was a reasonable start; your liver and kidneys were probably visualized also. Additional evaluation may include a chest x-ray and possibly x-rays of your ribs and thoracic spine.

The long course of symptoms that are intermittent make neuralgia (nerve pain) due to shingles is less likely but this must be considered. Another remote possibility is blood clots that have moved to the lungs.

This is a difficult problem to assess, because there certainly are features of a side stitch but make sure that you describe pain that prevents you from sleeping. This may wind up being spasm of the rib cage muscles (intercostals), but the history is significant enough that other sources of pain should be ruled out.

Cathy Fieseler, MD

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Not All Pain In the Back Is Back Pain


We had a patient recently how came in with mid-back pain just off to the side of the spine. He thought he strained a back muscle from heavy lifting over the weekend but it turned out that he strained his rib (intercostals) muscles instead. These are muscles between your ribs.

The patient of ours had gone for a massage earlier but it did not help relieve the pain. It hard to move – bending forwards, sideways and breathing deeply elicited the pain. Once we had diagnosed the problem, physiotherapy techniques of releasing the tight muscles and mobilising the affect stiff ribs (yes, we can mobilise the ribs) quickly helped relieved the pain. The pain disappeared by the next day.

Is It Possible To Strain My Ribs?

A strain commonly occurs when a muscle or its tendon is stretched or torn causing symptoms. Similarly, you strain your intercostals muscles if you perform exaggerated or forceful twisting of your body or swinging of your arms. Sports activities at risk for rib pain and strain include golf, tennis, and squash. A direct blow to your ribcage such as that occurs in a tackle in rugby may also cause stretching of your intercostals resulting in strain.

Symptoms Of Rib Pain

The symptoms of rib pain are usually a dull soreness that may increase to a constant ache and/or sharp stabbing pain with deep inhalation, twists or bending.

What Should I Do?

If the rib pain is mild, try stretching and breathing exercises. This will keep the intercostals, as well as the muscles attached to and surrounding the ribs, loose.

If these gentler methods are not working, try physiotherapy techniques. Examples such as postural assessment, manual manipulation (as in the case with our patient) and massage therapy may be effective. This is especially so in cases where pain is increasing or consistent. Massage therapy had not worked for our patient earlier as the initial diagnosis was wrong and the masseuse worked on the wrong muscles.

Experiencing back pain? Find out more about back pain relief and how Core Concepts Physiotherapy Singapore can help resolve your pain.

Broken or Bruised Ribs

What do doctors do for broken ribs?

Broken ribs usually get better on their own within a few weeks or months, depending on how serious the fracture is.

It can be difficult to tell how serious a rib injury is, so see your doctor or go to a hospital as soon as possible if you have injured your ribs.

If you have broken three or more broken ribs or have other serious injuries, you will likely be admitted to hospital for treatment. This may involve surgery.

If your doctor does not think you need treatment in hospital, they can help by giving you painkillers to make sure you can breathe in and out without too much pain.

Your doctor may also recommend deep breathing several times a day, with or without a special device. This can help to prevent your small airways from closing off while your ribs are healing.

How can I tell if my ribs are broken or bruised?

Most people break or bruise their ribs because of chest trauma, such as a fall, a blow to the chest or severe coughing.

It isn’t easy to tell the difference between bruised and broken ribs because both conditions can cause similar symptoms, including:

  • chest pain, especially when you breathe in, laugh, cough or sneeze
  • swelling or tenderness around the affected ribs
  • bruising on the skin

Some people may feel or hear a crack when they break their ribs, but this does not always happen.

Only imaging tests, such as a chest X-ray or CT scan can confirm if you have broken, rather than bruised, your ribs.

How can I care for bruised ribs?

Minor bruised rib injuries are usually left to heal on their own.

You can take painkillers, such as paracetamol or ibuprofen, to help you breathe and cough properly without pain. This is important because you can develop pneumonia if you don’t breathe in and out deeply while your ribs are healing.

However, avoid taking ibuprofen for 48 hours after your injury as it may slow down healing.

Other things you can do to reduce pain, clear your lungs, and help your ribs to heal include:

  • hold an ice pack (or a bag of frozen peas in a tea towel) against the affected ribs for 15-20 minutes, every two to three hours during the first few days
  • rest and take time off work as needed
  • breathe normally and cough when you need to, but hold a pillow against your chest when you cough
  • walk around and sometimes move your shoulders – this can help you breathe better and clear mucus from your lungs
  • take 10 slow, deep breaths every hour
  • try to sleep more upright for the first few nights
  • stop smoking – rib injuries can take longer to heal if you smoke

You should avoid:

  • wrapping a bandage tightly around your chest
  • lying down or staying still for a long time
  • straining yourself or lifting heavy objects
  • doing activities that make your pain worse

How can I care for broken ribs?

Less serious rib fractures are usually left to heal on their own.

Taking painkillers, such as paracetamol or ibuprofen, can help you breathe and cough properly without pain. This is important because you can develop pneumonia if you don’t breathe in and out deeply while your ribs are healing. However, avoid taking ibuprofen for 48 hours after your injury as it may slow down healing.

Other things you can do to reduce pain, clear your lungs, and help your ribs to heal include:

  • rest and take time off work as needed
  • hold an ice pack (or bag of frozen peas in a tea towel) to the affected ribs for 15-20 minutes, every two to three hours during the first few days
  • breathe normally and cough when you need to, but hold a pillow against your chest when you cough
  • walk around and move your shoulders from time to time – this can help you breathe better and clear mucus from your lungs
  • take 10 slow, deep breaths every hour
  • try to sleep more upright for the first few nights
  • stop smoking – rib injuries can take longer to heal if you smoke

You should avoid:

  • wrapping a bandage tightly around your chest
  • lying down or staying still for a long time
  • straining yourself or lifting heavy objects
  • doing activities that make your pain worse

Can you bruise a rib by coughing?

Yes. While most rib injuries are caused by a blow to the chest, severe coughing can sometimes cause bruised ribs.

Can you exercise with broken or bruised ribs?

It is best to avoid exercise and other activities that make your pain worse or that involve lifting heavy objects while your ribs are healing.

If you have broken or bruised your ribs, speak with your doctor to find out when it is safe for you to start exercising again.

How should I wrap broken ribs?

You should avoid wrapping broken ribs while they heal. Wrapping your ribs may stop your lungs from expanding properly, which can lead to pneumonia.

If you are in pain, speak with your doctor. They can advise you on the best way to manage your pain without wrapping your ribs.

How long does it take for broken ribs to heal?

Most cases of broken ribs heal on their own within a few weeks or months. The exact amount of time it takes for broken ribs to heal depends on how serious the injury is.

90,000 Through the pain? What to do in order not to suffer after the first workouts

Unfortunately, summer is coming to an end, which means that there is not only inclement weather ahead, but also the return of the townspeople to their usual working rhythm: traffic will grow on the roads, children will go to school, and there will be sold out in fitness clubs.

Observer of the Moscow 24 portal, fitness expert and TV presenter Eduard Kanevsky will tell you how to make sure that muscle pain or severe fatigue after the first workouts does not discourage the desire to exercise at all (as, unfortunately, often happens).

Photo: depositphotos / lunamarina

You crossed the threshold of a fitness club for the first time or returned after a long break – it doesn’t matter. The important thing is that if you haven’t been practicing for more than three to four weeks, consider that you are starting from scratch. True, there is a difference between people who, in one way or another, previously practiced, and those who have never trained at all. It lies in the fact that the first will see the result much earlier, because there is such a thing as “muscle memory”, plus the training experience itself will accelerate the recovery process.But beginners will have to learn everything gradually: from the technique of performing this or that exercise to experimenting with different techniques, which will give a good result to him.

But if experienced trainees know how to recover competently so that the pain on the following days after training does not turn into a test, then the following tips are relevant for beginners. They will not only help minimize post-workout pain, but also protect against injury and improve overall performance.

The main problem for beginners is excessive enthusiasm. Especially if they bought a card for a fitness club, the price of which includes a pool, group classes, and a gym. The client begins to joyfully conquer the Olympus of physical activity, thinking that the more he does, the better the result will be.

In fact, this approach is not only wrong, but also dangerous to health. An organism that has not trained for years needs to be gradually brought into rhythm, and this is two to four workouts per week for 45-60 minutes, no more.

Photo: depositphotos / liudaboich.gmail.com

If you choose group lessons, be sure to go to the beginner classes. And if you come to the gym, then, firstly, be sure to go through the initial briefing with a trainer, which is included in the contract price – he will give you the opportunity to learn the basic exercises in the gym. Secondly, strength training in the first two weeks should last no more than 45 minutes, and the number of exercises should not exceed five. During this period, your main task is to learn the techniques for performing exercises with such a weight of weights with which you can perform 15-20 repetitions, no less.Do not under any circumstances work to “failure” (this is the state when you can no longer do a single repetition).

It is also important to warm up and cool down before strength training. To do this, you will need any cardio equipment on which you warm up the body a little for 5-10 minutes before training at an easy pace. The purpose of the warm-up is precisely to prepare your body for further physical activity, which will increase the efficiency of the workout and reduce the risk of injury.

But the more important component is the cool down, which is also done with any cardio equipment and also at an easy pace.The task of the cool down is not just to “take out” the body from the load, to lower the pulse, but to make sure that the next day you do not moan from muscle pain, which is an obligatory component after training, especially for beginners.

The fact is that during muscle contraction, the so-called products of metabolites (breakdown) of nutrients accumulate in muscle cells (and muscle fibers). During the warm-up, we accelerate the release of these substances from the muscles, which will allow the tissue to recover faster.

depositphotos / minervastock

Also, in order to minimize muscle pain, it is important not only to perform a large number of repetitions with low weight, as I wrote earlier, but also to carry out some procedures that will speed up the process a little. Firstly, after a workout and a hitch, you can sit in the sauna – not for long, about five minutes (if there are no contraindications). Secondly, if the pain is severe, then you need to go back to the fitness club and work out on a cardiovascular machine, training on which will speed up blood circulation, and with it, recovery.

But you need to understand that if you really overdid it and the next day you can’t get up at all, then of course you can sit in a hot bath, and then force yourself to go to cardio training, but this will not be a panacea, because severe pain is a sign that that you have damaged too much muscle tissue. What does it mean? During muscle contraction at the cellular level, the protein molecules that make up the muscle fiber are “destroyed”, and during the recovery process (with proper nutrition) the protein molecule becomes larger, as if in response to the load you gave during training.Actually, this explains muscle growth, in sports physiology this process is called “supercompensation”. So, if a beginner has trained too much, then his body reacts especially sharply to such “damage”, and until complete recovery occurs, the pain will not go away. I am glad that this process usually takes five to seven days. With training experience, the pain will be less and recovery will be faster. Therefore, neither massage nor a hot bath can significantly help with severe pain, because it is a matter of recovery at the cellular level.

So do not forget the popular saying: if you hurry, you will make people laugh. It can be safely applied to your workouts.

Treatment of a bruised rib

A bruised rib is damage to the soft tissues of the chest as a result of a strong blow. At the same time, the integrity of the skin and bones is preserved.

With regard to the severity of such an injury, the purpose of the ribs is precisely to protect internal organs from damage.However, such a bruise is always particularly painful, and sometimes it can be accompanied by the development of a serious illness.

Symptoms of a bruised rib

  • intense pain syndrome;
  • 90 044 shortness of breath;

  • discomfort during movement;
  • 90,044 edema;

  • hematoma formation;
  • bruise

Features of the treatment of rib contusion

After receiving an injury, the victim must be kept at rest and during the first few days to remain in bed, so as not to provoke an increase in pain.Applying cold immediately is recommended to stop internal bleeding and reduce swelling.

If there is complete confidence in the absence of a fracture or fracture of the rib, then a bandage can be applied. A person without relevant experience is unlikely to be able to do it correctly, so many go to the doctor.

After about two days, you should change the cold to warm compresses, which will facilitate the resorption of the hematoma. Regenerating, pain relieving and antipyretic drugs can be used if necessary.

Only after the pain sensations have subsided should gradually begin to perform stretching exercises.

All these measures are appropriate if the contusion was mild. Otherwise, for example, after a strong blow, when the pain does not stop for a long time, the temperature is high, the victim has difficulty breathing or unnatural dents and protrusions are visible at the site of the injury, it is better to go to a medical institution.

The specialist will conduct an examination, direct the patient to an X-ray, and then prescribe a treatment complex.Perhaps the fears will turn out to be in vain, but on the other hand, it will be possible for certain to exclude serious consequences.

Elimination of the consequences of a severe injury

Sometimes the diagnosis after a bruised rib can reveal a fracture, fissure or the development of hemopneumothorax.

  1. A fracture can damage the pleura and lung. In the case of prolonged swelling, a puncture is used to remove fluid (with hemothorax) or air (with pneumothorax) from the pleural cavity. If clotting blood in the area of ​​the hematoma interferes with this, then surgical intervention is performed to eliminate such accumulations.
  2. If a crack is detected, then a pressure bandage is not applied, but other standard methods of treatment are used For example, physiotherapy procedures (UHF, electrophoresis, sollux, dry heat). It is important to make sure that there is no bleeding in the chest.
  3. Pneumonia can occur after an infection has entered the lung if the injury has resulted in prolonged inflammation. In this case, antibiotics are used.

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Kirovsky district

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+7 (812) 640-55-25

90,000 Severity in the right side under the ribs – pain in the right hypochondrium: causes

Pain in the right hypochondrium, a feeling of heaviness and bloating may indicate various liver problems.

Failures in the work of this organ can have serious consequences, therefore it is important to understand in a timely manner the causes of uncomfortable sensations, which are called “right hypochondrium syndrome” 4 .

Causes of pain in the right hypochondrium

Often, the body signals about problems with internal organs by discomfort in the right hypochondrium: aching pain, cuts, pulling sensations. All this can manifest itself after physical activity or at rest 4 .

The causes of pain in the right hypochondrium can be:

  • increase in the size of the liver;
  • other diseases of the digestive tract;
  • diseases of other organs.

Pain in the right hypochondrium can occur with pathologies of the kidneys, heart, lungs, or can be explained by other reasons 4 . However, let’s take a closer look at exactly those cases where liver problems may be the cause of pain.

Viral hepatitis and cirrhosis

In hepatitis and cirrhosis, the severity and pain in the right hypochondrium can be caused by the reaction of the glisson capsule (fibrous membrane of the liver). Painful sensations may increase after exercise. This symptom alone is not enough to make a diagnosis, but cirrhosis or hepatitis may be suspected if there is free fluid in the abdomen and jaundice. In this case, the pain is usually localized and is felt in the upper right abdomen 1 .

In addition to external symptoms, laboratory tests (changes in active samples, high transaminase activity, etc.) and instrumental studies (ultrasound, radiography), as well as liver biopsy 1-3 can more accurately confirm the diagnosis.

Drug-induced liver damage

More than a thousand drugs are known that have a hepatotoxic effect 1.3 . The appearance of discomfort in the right hypochondrium (dull pain), jaundice, itching, loss of strength and muscle weakness and other symptoms can signal about drug damage to the liver.

In 90% of people with drug-induced liver damage, the activity of liver enzymes increases more than 2.5 times. Diagnosis is based on a detailed study of the medical history, the definition of a list of drugs with hepatotoxic action that the patient took. The difficulty lies in the fact that liver damage can develop on average 2-3 months after the initial intake of the hepatotoxic drug

4 .

Enhanced liver function

The liver is the “blood depot” of the body.When you exercise, such as running, lifting heavy weights, or pedaling, this organ grows in size and begins to put pressure on its outer capsule, which contains many nerve endings. Because of this, pain may appear in the right side 4 .

Discomfort can arise from improper nutrition. This explains the appearance of pain in the right hypochondrium after eating fatty foods or carbohydrate-rich foods, especially if they were consumed immediately before physical training or immediately after it.In this case, the liver will have to face increased stress, and it can react accordingly – pain syndrome.


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Tablets Heptral ® 400 mg is an over-the-counter drug. Its active ingredient is the active amino acid ademetionine. A healthy liver usually synthesizes this vital amino acid on its own in an amount of about 8 g per day 6 , however, with problems with the liver, the level of ademetionine in it decreases and the recovery processes slow down 7 .

Heptral ® replenishes the level of a natural amino acid for the body and stimulates
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  4. Restoration of cell structure.
  5. Regeneration of liver cells.

The drug improves liver function after the 1st week of taking 5 . Also, Heptral ® is the only hepatoprotector indicated for people with increased fatigue, which is a common symptom of chronic liver diseases 5.8 .

Tablets Heptral ® 400 mg are convenient to take: it is possible to take
once a day, and the effect of taking it can last up to 3 months after the end of treatment 5 .

90,000 How even a mild course of COVID-19 can end

Now there are many fucking @ bov who recommend that you quickly get sick with COVID-19 and, thus, “get immunized.” Omitting the question that now it turns out that antibodies quickly disappear, and some do not appear at all, even a mild course of COVID-19 can have serious consequences.Take care of yourself!

… According to the headquarters, today more than half a million Russians have recovered from COVID-19. MedPortal spoke with people who had an infection and found out that many still do not feel well. “Postcovidniks,” as they call themselves, have been struggling for months with the severe consequences of the infection and still fear for their lives.

At the moment, hundreds of studies have been published on the course of coronavirus infection, but there is still very little information about what consequences it leaves.Often, those who have recovered are offered to “be patient”, or they blame what is happening on hypochondria, so you have to look for ways to recover on your own. At the same time, many of them did not receive a full examination and learned that they only underwent covid after passing an antibody test, and therefore their cases were not included in the statistics. “Post-viewers” gather in groups and chats in messengers, study new treatment protocols, share the experience and contacts of doctors and simply support each other. Almost everyone who told us their stories asked to change their names, fearing that friends and colleagues would recognize them.

“A mild course of covid made me disabled”
Ekaterina, 36 years old, Yekaterinburg

At the beginning of March, my retired mother and my teenage son felt severe discomfort accompanied by pain in the chest and a terrible ache. By the end of April, mom and son had already recovered and felt fine, but I just didn’t go crazy from insomnia, suffocation and overwhelming pressure. It was possible to call an ambulance and get a CT scan only through a call to the Ministry of Health.The study showed nothing, the PCR test was also negative. By the way, I did a total of five PCR tests, and they were all negative. The fact that we really had been ill with coronavirus, we learned only in June, having passed tests for antibodies. Moreover, the mother had the highest titer, and the son did not have them at all. And they found my antibodies, but then they disappeared.

Two months after the illness, my mother had an ischemic stroke on the background of low blood pressure and taking anticoagulants, which she was taking to treat two chronic diseases.Perhaps it was they who saved her from the severe course of covid with thrombosis. Mom is already working hard in the garden, and every day I get worse and worse. I completely lost my ability to work, the capillaries in my eyes burst, bruises appear, the gums are inflamed, cramps. The suffocation rolls over in waves – sometimes I can breathe normally for several days, then it squeezes again in my chest. As a result, I am diagnosed with vasculitis, an autoimmune disease with a survival rate of up to five years with treatment. And without treatment – no more than a year.I cannot go to the hospital now, because the rheumatology department has been redesigned for the treatment of coronavirus. The local doctor comes, shrugs his shoulders and prescribes another unnecessary antibiotic.

In fact, the “mild course” of covid made me disabled. Now I chat with people from all over the country who have faced the same disaster, share information, try to heal on our own at our own peril and risk. Doctors have no time for us now. Dispatchers of the ambulance in Yekaterinburg receive 4,000 calls every day, doctors work in the “red zones” around the clock.

I do not know if I will wake up the next morning, every day my tests are getting worse. I’m even tired of being afraid. I continue to fight and hope for a miracle for the sake of my loved ones.

“Any tension makes the muscles ache like from intense training”
Elena, 35 years old, St. Petersburg

On April 15th I suddenly got a pain in my armpit and lower abdomen on the left. And the next morning, the taste and smell were gone. So much so that I did not feel the taste of garlic and condensed milk.By lunchtime, the temperature rose, the whole body ached – pain similar to a toothache, only in every bone. There was monstrous weakness, diarrhea, and breathing problems. But there was no cough or runny nose. On the third day, I managed to call a doctor who issued a referral for hospitalization. An X-ray was done, not a CT scan, which showed 30% of the lung damage. I was admitted to the Vvedensky hospital, redesigned for Kovidnikov, where I spent ten days on IVs. All these days I prayed to just breathe normally on my own.I will note that I do not fall into any of the risk groups – I am 35 years old, I have no chronic diseases, I weigh 58 kilograms.

I got sick three months ago, but my sense of smell and taste have not recovered yet. All the time I feel tired, overwhelmed, muscles ache from any tension as after an intense workout. All the usual things are very difficult, I just can’t concentrate. And eye problems also began: at the end of May, conjunctivitis began, and then suddenly the lenses for the left eye became small.In mid-August, I will have to return to the city and go to work. I did not go to the doctor, I left for a village far from the city, I am trying to recover myself. I really hope that by then I’ll start living a normal life again.

“I was told: you are nervous, drink glycine”
Anna, 21 years old, Tver

In April, I felt a strong burning sensation and aching in my chest. Since before that I had contacted a person who had confirmed covid, I decided not to wait for a referral from the clinic and did a CT scan for money.A focus of pneumonia was found in my lungs, and from that moment my walking in the circles of hell began. In the clinic where I did the CT, they recommended that I go to the district police officer and be treated at home. The district police officer who came after my persistent calls asked in surprise: why can’t you come to the clinic yourself? I didn’t have a smear for PCR, didn’t measure the saturation. They never called me from the clinic. She began to heal herself, partly intuitively. But I was getting worse, new symptoms appeared. I did a CT scan again for my own money, which showed not a lesion, but a full-fledged pneumonia.

Two weeks later, problems with the legs began, hemoptysis appeared. Several times I called an ambulance and every time I was told: it’s nervous, drink glycine. As a result, she achieved hospitalization, was put in a covid hospital for ten days. The focus of inflammation in the lungs has passed and I was told: there is no pneumonia, you are healthy, we are discharging.

For three months I have been sitting at home, I have a fever, my whole body hurts, I have problems with my heart, liver and gastrointestinal tract, my blood pressure is constantly jumping.The doctors I turn to say: Covid has been cured for you, so bear with it. And how much more to endure? …

“Not a trace is left of my previous endurance”
Nina, 51 years old, KhMAO

I am a kindergarten teacher, I got sick in early March. Most likely, she contracted the infection from one of the children who was vacationing with their parents in Thailand. At the same time, another 12 children fell ill. The first symptoms were very similar to ARVI: a small runny nose, but a very severe sore throat, a wet cough, the tonsils looked like a piece of meat.On the fourth day, the sense of smell was abruptly lost. Head splits, confusion, terrible weakness, no appetite. And then the cough sharply became dry and tearful, until vomiting, the temperature rose to 38.5. In the clinic I was diagnosed with ARVI and prescribed antibiotics, which were of no use. They did not give me tests, at that time we simply did not have them.

15 days later I was discharged with low-grade fever. At that time, new symptoms appeared – a strong burning sensation in the region of the lungs and in the hypochondrium.The manager heard my cough and did not allow me to work, I had to take a vacation at my own expense. But it didn’t get any easier for me – fever, cough, weakness.

Now I want only one thing: to fall asleep and wake up in my old life. During all this time, I have lost 10 kilograms. The temperature is gone, but rises at the slightest hypothermia, chills all the time. There is no trace of my previous stamina, and I have no idea how I will return to work. Has become very distracted, difficult to concentrate.I took another vacation, because I’m afraid of getting infected again from children. If doctors are provided with some kind of protection, then teachers are not entitled to it, we are now all in a high-risk zone. There are a lot of asymptomatic children among children, but they are not examined en masse.

“All this time I was treated for non-existent osteochondrosis”
Lyudmila, 31 years old, Kursk

I fell ill in early April on the way to Moscow. There was severe chills without fever, choking, chest pain.I called an ambulance, they told me – you have osteochondrosis, you don’t need a test. I was treated at home as much as I could, but I was getting worse – low-grade fever, constant feeling of lack of air, bruises all over the body, confusion, pain under the ribs, numbness of the limbs. The eyes became inflamed, the capillaries burst, yellow spots appeared on the proteins, and the rash was not on the cheeks. She choked so that she lost consciousness. Panic attacks and bowel problems began. The ambulance doctors who came to my next call gave me a couple of tablets of glycine.To my requests to do the test, they answered me: you did not contact the sick person and did not travel abroad, you are not entitled to the test.

CT of the lungs, which I did at my own expense, did not reveal any pathologies. At the end of May, I passed an antibody test in a private laboratory, the result was positive. It was covid, and I never received any examination or treatment. Now, three months later, periodically there is a low-grade fever, constant weakness, shortness of breath, wandering pains under the ribs and in the muscles, a feeling of numbness in different places.Bruises all over the body, increased venous pattern. I have not received any medical recommendations, except for how to treat non-existent osteochondrosis, I am trying to find ways to recover myself.

“I still have problems with blood vessels”
Alla, 31 years old, Krasnoyarsk

At the beginning of April I felt severe weakness and headache, the temperature rose. I thought it was a common ARVI, but then diarrhea started.I called the ambulance and was advised to take antiviral drugs. Two weeks later, the temperature and diarrhea remained, my throat was very sore, and I began to choke a lot. An ambulance arrived and the doctor said that it was intestinal flu, and my throat was sore, because, most likely, she had caught ARVI along the way.

I was refused the test, even for money: the doctors insisted that with covid there could be no diarrhea. Almost every day, new symptoms were added: my kidneys began to hurt, leg aches, swelling.After 21 days, I suddenly woke up without pain and with normal breathing, I was very happy. A week later, all symptoms returned. The skin became transparent, with a vascular network, rashes appeared, which still do not disappear. Panic attacks and confusion appeared. In total, I was ill for over two months. The diarrhea has gone without a trace, but I still have vascular problems, and I still have a high fever.

“We often hear from doctors: you have psychosomatics.”I was pounding so that my teeth chattered. After that, new symptoms began to appear every day: tightness in the chest, severe pain in muscles and joints, cough, diarrhea, rash, loss of smell. I called an ambulance, they refused to test me, because at that time they were only made contact and returned from abroad. Nobody really knew what to do with us.

I began to search for information myself on the Internet, to meet people who have encountered similar symptoms.There were more and more of us and we decided to create a chat in Telegram for the prompt exchange of information. People began to join us, and today there are more than 2000 of us – those who have been suffering from similar symptoms for months, including after the official “recovery” from covid, and those who have not been able to obtain a diagnosis. People get sick with whole families, face severe complications of the kidneys, liver, cardiovascular and nervous systems. And also psycho-emotional exhaustion and anxiety begins, which is replaced by anger due to the inability to return to normal life.

Now, three months after the start of the epidemic in Russia, both I and thousands of people continue to have symptoms of the disease, and some are even worse. And we often hear from doctors: it seems to you that you have psychosomatics. No. It doesn’t seem to us. And we really need help.

“I can’t get to work in this state.”
Julia, 34 years old, Moscow

throat, dry cough, fever, conjunctivitis.And also the sense of smell and taste have disappeared. I called an ambulance, the doctor listened, measured my oxygen saturation and told me to take sedatives. The next day, a doctor came from the clinic and prescribed an antibiotic. Then they came again and took a smear, but the result never came. I was asked to sign a document stating that I undertake to self-isolate for two weeks.

Three weeks later I felt better, but the temperature remained. And after five days, all symptoms returned.Plus the strongest weakness and sweating, even from minimal exertion. In June, I went to the clinic and described my condition, they took tests and prescribed another antibiotic.

And the strangest thing began at the end of June. My 13-year-old son broke his leg and has a fever. The skin became covered with a rash, red spots and blisters appeared all over the topic, veins began to appear. The traumatologist said that against the background of the fracture, the temperature can last 3-5 days. But time passed, but it did not get any easier – subfebrile temperature, which rises during the day and falls by night, plus severe sweating was added, as if a bucket of water had been poured on him, his heart literally jumped out of his chest.

I began to remember his symptoms at the time when she fell ill herself – he sneezed and he had conjunctivitis, I did not attach this importance. According to the analyzes, the pediatrician concluded that the son had been ill with a mild coronavirus, and these are postcoid phenomena.

We still both feel very bad. My son has a temperature of 37.2 in the afternoon, by the evening it drops to normal values. I also have a fever, constant weakness, my joints ache, my head is spinning.When I once again turned to the polyclinic at my place of residence, they told me that they again wanted to put me in self-isolation for two weeks. In tears, I explain that I have been ill since April and I need an examination. And what do you think? I was offered to be tested for HIV and syphilis. Further, I will be examined only in private clinics.

Now I pray to God for only one thing – to extend distance learning at school. I am a teacher working with children. In such a state, I simply cannot get to work and I am very afraid of re-infection from children…


Side hurts when running: what to do

All runners, without exception, periodically face this problem. It is much more common among beginners. What to do when your side hurts while running so that this minor problem does not interfere with your training plans, we learned from professional running coaches.

Monitor breathing and posture

Ilya Belousov, head coach of the running club Run Or Die:

If you do not have chronic diseases of the liver, pancreas or gallbladder, then pain in the right or left side while running is an absolutely natural sensation.What to do to make the pain go away? It is necessary to slow down the pace, it is better to stop and restore breathing, taking several deep breaths and exhalations.

In order to avoid pain in the side while running, the following rules must be followed:

  • Always warm up before starting a workout;
  • Never run on a full stomach;
  • watch your breathing, breathe evenly, talking while running is not recommended;
  • Watch your posture: an even back while running is a guarantee of correct deep breathing and an uncompressed diaphragm;
  • 90,044 the pace and intensity of training should be increased gradually – this is the most important thing.

It’s no surprise if your side hurts after a break in training. If you run regularly and follow a training plan, the body will adapt to the loads and to gradually increase them, and you can forget about the pain in your side .

Go to step

Yana Khmeleva, founder and head coach of the running school Bestia.club:

The side hurts usually in beginners. When we first start practicing, our untrained heart is small, capillary vessels are not enough.During training, the capillary network expands. When we run, lactate is produced. It enters the bloodstream. The blood is cleared of lactate through the liver. The capillaries cannot cope with the amount of blood containing lactate, so there is a spasm and pricks in the side.

If the side begins to hurt, you need to go to a step, dose the load. Do not accelerate too much at the beginning. You should improve your physical fitness gradually.

Massage the side while exhaling

Sergey Sorokin, co-founder and head coach of the Jaxtor marathon club:

Training plans for marathon and half marathon.Download and start preparing today.

The liver has no nerve endings, so the liver does not hurt. When a lot of blood enters this organ, and less comes out, the liver enlarges and begins to press on those places where nerve endings are present. For example, the fascia (membrane) of the liver has a lot of nerve endings, and when the liver is enlarged, painful sensations arise.

To stop hurting in the side, you need to take a deep breath and, on a strong exhalation, thoroughly massage the liver area with strong pressure.By doing this, you stimulate blood flow and the pain will go away.

On the eve of the start, avoid eating fatty, fried, food, because it overloads the liver, which needs to process lactic acid while running.

Always warm up

Maxim Denisov, founder and head coach of the Gepard school:

Most often, the side begins to hurt in insufficiently trained people. If you are just starting to run, then at first you may often encounter this problem. Nothing wrong with that.Just slow your pace down to a comfortable level. Keep running, and with increasing fitness, everything will pass. Experienced runners are much less likely to do this, but they are not immune either. The side can get caught at the most inopportune moment, for example, at a competition.

Do a good warm-up and never start with a full stomach. Come to the start in advance, taking into account the warm-up time. A full warm-up is a 2 km run at an easy pace, a joint warm-up and a few short accelerations.Be sure to time your meals before starting or exercising.

Relax and breathe deeply

Denis Vasiliev, trainer of the running club Runlab running laboratory, St. Petersburg:

Pain in the right hypochondrium is a common problem when running, especially for beginners. There can be many reasons. I will list a few of the main ones.

Load on the liver. Think back to when was the last meal you ate before the run and the day before. If it was heavy food, and even eaten just before the run, then the reason is most likely clear.If pain occurs regularly, it may be worth rethinking your diet. So that the pain does not take by surprise at the competition, I advise you to take a couple of no-shpa or spazmalgon tablets with you.

Curvature of the bile ducts. In medical terminology, the diagnosis sounds different, but the essence of this does not change: there is a violation of the outflow of bile. But this is, rather, not a pathology, but a feature of the structure of the gallbladder. If you are afraid that the pain may overtake during an important race, then I recommend drinking a course of choleretic herbal collection in advance of the start.This is a simple, affordable and at the same time effective tool. Before using the drugs, it is recommended to consult a specialist.

Load on the heart. The systemic circulation supplies oxygenated blood to our organs and tissues. In simple terms, the heart works in an intensive mode, pushes a large volume of blood to the organs and to the liver as well. And the liver cannot cope with such a volume of blood. In this case, the best remedy would be to slow down the running pace and the intensity of the load, respectively.

In all three cases, it will not hurt to relax, take several deep breaths and exhalations, connecting the diaphragm to the breathing process. If pain occurs regularly, then of course, you should see a doctor.

Get some rest

Oleg Babchin, founder and head coach of the Second Wind school:

Any pain, except for muscle, must be able to analyze, identify really serious ailments or temporary inconveniences. If the left side hurts, it is likely that it is the pancreas or spleen.As a rule, this is a temporary spasm, which can be leveled by simple palpation or temporary rest, after which you can continue training. It is quite another matter if the right side is ill – this is the liver and the adjacent links, the biliary tract. In this case, you should be more careful, but there are possible ways to solve the problem, as well as with the right side. There can be several reasons for pain: late meals, problems with the organs signaling pain, incorrect running pace, in which the body cannot cope with an excess of lactic acid.

90,000 Pain in the muscles of the chest

Pain in the back, chest in medicine is defined by a general concept – dorsalgia. Dorsalgia is considered one of the most common syndromes with which doctors of various specializations work – from a surgeon, a neuropathologist to a gastroenterologist, a vertebrologist and other areas. A painful symptom in the chest area, including pain in the muscles of the chest, is called thoracalgia and is noted in 85-90% of people, regardless of age or social status.This syndrome has different causes and is not an independent nosological unit. In order to classify pain in the muscles of the chest, a complex, complex diagnosis is required, including specific anatomical, topographic designations of the localization of pain. Thoracalgia, in turn, is as common as abdominalgia – abdominal pain, in contrast to acute painful abdominal symptoms, chest pain in 25-30% of cases is not due to the pathology of internal organs, but to skeletal muscle lesions, therefore, with myalgia.

Causes of chest muscle pain

The causes of thoracalgia, as well as the causes of pain in the muscles of the chest, can be associated with both vertebrogenic pathologies, caused specifically by muscle lesions, and neurogenic factors, as well as diseases of the heart and gastrointestinal tract. Actually thoracalgic syndromes are infringement, irritation or compression of the intercostal nerves, the result of which is muscle spasm and pain of a different nature, localization and duration.Thus, any cause of thoracalgia, to one degree or another, can be a factor provoking pain in the muscles of the chest.

There are several well-studied clinical forms of vertebral thoracalgia, which are diagnosed in 65-70% of cases:

  1. Functional thoracalgia due to degenerative changes in the spine in the lower cervical spine. Pain in the chest, nerve endings and muscles is localized in the upper zone and radiates to the neck, shoulder, and often to the arm.The symptom is directly related to the condition of the spine and can increase with various movements, physical activity.
  2. Thoracalgia caused by degenerative processes in the upper thoracic spine. The syndrome is characterized by diffuse pain in the retrosternal space, between the shoulder blades, depends on the depth of breathing, but does not change at all during movement due to inactivity.
  3. Pain in the chest, back, associated with the defeat of the scapular zone.The pain is characterized by stabbing, sharp, cutting sensations, depends on the depth of breathing, partly on movements and radiates towards the direction of the intercostal nerve endings.
  4. Thoracalgia due to lesion, compression of the front of the chest. Painful aching, prolonged, localized in the middle or lower part of the chest, depending on motor activity

It should be noted that the causes of pain in the muscles of the chest can be both vertebrogenic and non-vertebral in nature:

  • Osteochondrosis.
  • Kyphoscoliosis.
  • Xyphoidalgia.
  • Injuries of the spine (thoracic region).
  • Tietze Syndrome.
  • Infectious diseases (herpes).
  • Hernia, infringement, protrusion of discs.
  • Vertebral-muscular coronary syndrome.
  • Myalgia associated with overexertion, lifting or moving heavy objects.
  • Myofascial pain syndrome – musculoskeletal thoracalgia.

Why chest muscles hurt

What is the pathogenetic mechanism of the syndrome, why does the chest muscle hurt?

Any of the etiological factors provoking thoracalgia leads to irritation, infringement, compression of the nerve endings, which are surrounded by ligaments, fascia and muscles. Irritation can cause inflammation and swelling of the nerve, it can be damaged – nerve tears, compression and compression of the nerve endings can occur. The damaged nerve no longer fulfills its function; it can only transmit a pain signal to nearby soft tissues, most often to muscles.

The reasons explaining why the chest muscles hurt may be myofascial manifestations – musculoskeletal thoracalgia. Myofascial pain syndrome in the chest is directly related to prolonged physical exertion of a certain muscle group, the symptom intensifies and is activated by awkward turns and movements. But the pain is most fully manifested on palpation of the so-called trigger zones, which are diagnostically important and determine the MFBS itself. Muscle irritation in the trigger zones is accompanied by either clearly localized or reflected pain, which can spread beyond the trigger point.Among the causes of MFBS can be not only purely physical factors, myofascial chest pains are often caused by latent rheumatic diseases, osteochondritis, radiculopathy, neurogenic pathologies, metabolic disorders.

In any case, no matter what the pain symptom in the muscles of the chest is provoked, there is one pathogenetic reason – it is damage to the nerve, which can lead to its swelling, tear or compression. The nature, localization and duration of pain, that is, the symptoms themselves, depend on the type of damage to the nerve ending.

Why does the muscle under the chest hurt

If the muscle under the chest hurts, it can mean a variety of non-muscle-related problems.

  • Tietze’s syndrome or perichondritis, costal chondritis, anterior chest wall syndrome and other names. Judging by the variety of definitions of the syndrome, its etiology is still unspecified, but the clinical manifestations have been studied quite well. According to the version of the author, who first described the syndrome in detail at the beginning of the last century, the disease is associated with an alimentary-dystrophic, food factor, that is, with metabolic disorders and degeneration of the cartilaginous structure.There are also theories explaining chondritis by constant trauma, infectious and allergic diseases. Tietze’s syndrome is characterized by acute, shooting pain in the area of ​​attachment of the sternum to the costal cartilage, more often in the zone of the II-IV-th rib. Inflamed cartilages provoke a pain symptom similar to an attack of angina pectoris, that is, left-sided pain. However, complaints are often noted that the muscle under the breast on the right hurts, and symptoms that resemble signs of cholecystitis, gastritis, pancreatitis are also common.
  • The chronic form of Tietze’s syndrome is called xyphoiditis or xyphoid syndrome, when pain is localized in the xiphoid process, less often in the lower chest (under the breast). The pain radiates to the epigastrium, to the area between the shoulder blades, increases in motion, especially when bending forward. A characteristic symptom of xyphoiditis is an increase in pain when overeating, overflowing the stomach. Unlike gastrointestinal pain, xyphoiditis manifests itself clinically in a sitting, half-sitting position.
  • Hernia of the esophagus (diaphragm) often provokes pain similar to muscle spasms in the lower chest. The pain is felt as colic, localized in the retrosternal space, but can move to the area under the chest or to the side, sometimes resembling an attack of angina pectoris. The symptom depends on the position of the body, increases in a horizontal position and subsides in a vertical position, which helps to distinguish it from angina pectoris.
  • Abdominal musculoskeletal pain in the chest area may indicate an atypical development of myocardial infarction.The pain is localized in the upper abdomen, under the chest, accompanied by a feeling of nausea, bloating. The clinic of such a syndrome is very similar to the signs of intestinal obstruction, which greatly complicates both the diagnosis and the timeliness of assistance.

In general, if a muscle hurts under the chest, below the chest, the patient should immediately consult a doctor, since most often such signs indicate serious, sometimes life-threatening conditions. It is extremely rare that the localization of muscle pain under the breast concerns the myofascial syndrome.

Symptoms of pain in the muscles of the chest

The main signs of thoracalgia, including symptoms of chest muscle pain:

  • Pain localized to the right or left in the chest. The pain is constant, feels like a shingle, shooting, paroxysmal. The pain can spread in the direction of the intercostal nerve endings, depends on many types of movement – turning, bending, coughing, sneezing, breathing.
  • Burning pain, accompanied by numbness, radiating to the area of ​​the scapula, to the heart, less often to the lower back.A burning sensation can spread in the direction of the nerve branches. Often this symptom is characteristic of intercostal neuralgia.
  • Pain associated with the muscles of the shoulder girdle, extensor muscles of the back, muscles of the scapula. This symptom is not associated with compression or compression of the nerve, rather it is caused by hypertonicity of muscle tissue, provoked by overstrain, both dynamic and static. The pain is felt as increasing, aching, and intensifies with the load on the muscle damaged by stretching (turns, tilts, lifting weights).
  • True thoracalgia must be differentiated from intercostal neuralgia, which is a common diagnostic problem. In addition, the symptoms of chest pain are very similar to the pain symptoms of other syndromes – cervicalgia (neck pain) and thoracobrachialgia (pain in the shoulder, arm).
  • Intercostal neuralgia is characterized by acute, piercing pain, most often localized in the anterior chest zone.
  • Thoracobrachialgia is characterized by pain radiating to the arm.
  • Cervicalgia is specific for the onset of a pain symptom directly in the neck, if the pain spreads into the chest zone, it is characterized as cervicothoracalgia.

To determine the exact syndrome for musculoskeletal chest pain, use the following scheme:

Definition of the syndrome

The zone of localization of trigger points, determined by palpation

Feeling and nature of pain

Sternum syndrome

Breast area, synchondrosis

The pain is felt in depth, in the retrosternal space

Costo-sternum syndrome

Intercostal muscles (zone II of the IIIrd rib), as well as costo-sternum joints, more often on the left

Pain of a constant, aching nature, the symptom depends on many movements – turns, tilts, from coughing, sneezing


Zone of the xiphoid process

Pain that depends on the position of the body.Strengthens in flexion and extension of the body, in squatting, body position – half-sitting, depends on abundant food (large volume)

Anterior costal syndrome

Zone VIII-X-th rib, area of ​​the edge of the cartilage

Severe, sharp pain in the lower chest, in the precordial zone, aggravated by movement, when turning

Tietze syndrome

Zone II-III costal joint, hypertrophied cartilage is palpable

The pain is prolonged, aching, does not subside at rest, in the area of ​​compacted cartilage

Myofascial syndrome is the most common cause of chest pain that is not associated with vertebral pathology.

Myofascial dysfunctions are chronic, can be localized in different zones, but rarely migrate beyond certain diagnostic trigger points. It is these points that are pathognomonic criteria that determine MFBS – myofascial pain syndrome. On palpation in the trigger zones, a painful compaction is revealed, a muscle cord measuring from 2 to 5-6 millimeters. If mechanical pressure is exerted on the pain point, both from the outside and due to body movements, the pain intensifies and can be reflected in the nearby soft tissues.The characteristic signs of MFBS that determine the symptom – chest muscles ache:

  • Symptom of reflection – “jumping”, when when pressing on a hardened muscle, the pain intensifies and increases.
  • Pain can increase spontaneously when the affected muscle is loaded (active trigger point) with exertion, pressure.
  • A feeling of stiffness, aching pain is characteristic of latent trigger points. The pain symptom limits the range of motion of the chest muscles.
  • Pain with MFBS often inhibits muscle function and provokes its weakness.
  • Myofascial pain can be accompanied by neurovascular symptoms characteristic of compression syndromes, if a nerve, a neurovascular bundle is located between the trigger points.

The reasons why MFBS develops and the chest muscles hurt may be as follows:

  • Acute muscle overload, strain due to physical exertion.
  • Static posture, long-term preservation of antiphysiological body position.
  • Hypothermia.
  • Congenital anatomical skeletal anomaly (asymmetry of the pelvis, different lengths of the legs, asymmetry of the structure of the ribs, and so on).
  • Metabolic disorders.
  • Viral, infectious diseases in which MFBS is a secondary syndrome.
  • Rarely – psychogenic factors (depression, phobias).

It should be noted that the most common complaint is “chest muscles ache” among those who begin to play sports, training, especially strength types – bodybuilding, that is, physical overload of the spinal column and surrounding muscles.Unfortunately, other causes of chest pain symptoms often remain undiagnosed in a timely manner, the pain becomes chronic, nonspecific, which makes it difficult to identify the true cause and prescribe adequate treatment.

Diagnosis of chest muscle pain

Pain in the muscle tissue of the chest can indicate a variety of diseases, including life-threatening conditions. Therefore, the diagnosis of pain in the muscles of the chest should be not only timely, but also as differential and accurate as possible, which is rather difficult, given the polysymptomatic nature and variability of sensations of this nature.According to statistics, musculoskeletal chest pains are the result of the following pathologies:

  • Cardialgia – 18-22%.
  • Osteochondrosis and other vertebral pathologies – 20-25%.
  • Diseases of the digestive system – 22%.
  • True benign muscle diseases, more often MFBS (myofascial pain syndrome) – 28-30%.
  • Injuries – 2-3%.
  • Psychogenic factors, depression – 3-8%.

In order to quickly differentiate purely muscle pathologies from coronary cardialgia and other serious diseases, the doctor conducts and prescribes the following types of examinations:

  • Collecting anamnesis, including hereditary, determining the objective cause of pain, its connection with food intake, neurogenic factor, body position, and so on.
  • Exclusion or confirmation of typical signs of angina pectoris.
  • Electrocardiogram.
  • Samples with antiangial drugs are possible.
  • Identification of symptoms of possible vertebral diseases. The deformity of the spine, its biomechanical disorders are visually determined, with the help of palpation, muscle clamps are revealed at the trigger points. In addition, the limitation of movements, the presence of areas of hyperesthesia are determined.
  • X-ray exclusion or confirmation of degenerative changes in the spine.
  • Conducting a manual examination of muscle tissue.

If MFBS (myofascial pain syndrome) is preliminarily determined, the affected muscle can be identified by the localization of pain and a more accurate therapeutic strategy can be drawn up.

Pain symptom zone


Front of the chest

Large, small, scalene, sterno-subclavian, sternoclavicular (mastoid) muscles

Posterior sternum, upper part

Trapezius as well as levator scapula muscles

Middle chest, middle

Rhomboid and latissimus dorsi, serratus posterior superior and serratus anterior and trapezius

Back of the chest, lower zone

Iliocostal and posterior inferior dentate muscles

In addition, the diagnosis of pain in the muscles of the chest takes into account the following conditions and signs:

  • Relation of pain with the position and posture of the patient’s body, as well as with hand movements.
  • Absence or presence of radiological signs of vertebrogenic syndrome, or muscle-tonic manifestations.
  • The presence of concomitant symptoms, including feelings of anxiety, fear.
  • Absence or presence of osteofibrous areas in the upper chest.
  • The absence or presence of pronounced abnormalities on the ECG.
  • Reaction to the use of anticoagulants and nitroglycerin.
  • Pain dependence on massage, biomechanical correction.

Summarizing, it can be noted that an experienced doctor always remembers the so-called “red flags” in the process of diagnosing dorsalgia in general and thoracalgia in particular. This allows you to quickly exclude or confirm serious pathologies and begin adequate therapeutic measures.

Treatment of chest muscle pain

If the vertebrogenic nature of pain in the muscles of the chest is revealed, treatment is aimed at the main provoking factor. The pain is relieved either by injection blocks using corticosteroids or by prescribing anti-inflammatory drugs in tablet form, it all depends on the nature of the pain.The remission stage involves acupuncture, traction therapy, massage, physiotherapy exercises.

Tietze’s syndrome is treated with warming treatments and ointments containing NSAIDs. If the pain is intense, infiltration with local analgesic drugs is prescribed, more often with novocaine, less often with corticosteroids.

The costal-sternum syndrome is treated with a blockade of intercostal nerve endings, then, according to the patient’s condition, massage, exercise therapy.

Treatment of pain in the muscles of the chest with sternoclavicular syndrome (hyperostosis) consists in the use of anti-inflammatory nonsteroidal drugs, both in tablet form and in the form of ointments.Warming compresses, physical therapy, and muscle strengthening exercises are also indicated.

Myofascial syndrome is treated in a complex way, since it is necessary to influence all the numerous links of the process. Pain relievers, NSAIDs, antidepressants, muscle relaxants, massage and stretching of the affected muscles, thermal procedures, electrical stimulation, and even botulinum toxin injections are prescribed. Local applications with Dimexide and lidocaine, post-isometric relaxation, manual gentle therapy are effective.

In general, the treatment of pain in the muscles of the chest is a competent combination of drug therapy and non-drug methods, which allows not only to stop the pain symptom, but also to significantly reduce the risk of recurrence of the syndrome.

Prevention of chest muscle pain

To date, unfortunately, there are no special, generally accepted recommendations for preventing pain in the muscles of the chest. This is due to polysymptomatics and a variety of causes that provoke pain syndrome.

Obviously, the rules to avoid trauma, illness throughout life relate to the observance of the norms of a healthy lifestyle. However, even those who constantly take care of their health are not immune from certain painful sensations in the muscles of the body, including in the chest area. Nevertheless, given that most of the factors provoking myalgia are associated with degeneration of the spine and overexertion, muscle stretching, we can offer the following advice:

  • It is necessary to lead an active lifestyle, taking into account the total physical inactivity inherent in our age of high technologies.A sedentary, sedentary lifestyle is a sure way to the development of all types of osteochondrosis, respectively, to muscle pain.
  • If pain in the muscles of the chest is diagnosed, the cause is established and treatment is completed, it is necessary to follow all medical recommendations in the future to exclude the possibility of relapse.
  • Given the close relationship between myalgia and the state of the respiratory, digestive system, one should adhere to the rules of a healthy diet, give up bad habits – alcohol abuse, smoking.
  • In playing sports, the rule of reasonable distribution of the load and the ratio of one’s own capabilities with the set sports task should be observed.
  • Considering the close relationship of all types of myalgia with the state of the nervous system and the fact that about 15% of its causes are due to psychogenic factors, it is necessary not only to protect the nerves, but also regularly engage in autogenous training, know and perform anti-stress, relaxation exercises.
  • At the first alarming pain sensations, you should consult a doctor, be examined, since sometimes it is timely diagnosis and treatment that helps to avoid not only the development of a pain symptom, but also serious life-threatening conditions.

Pain in the muscles of the chest is not a specific symptom indicating a specific problem, disease, so self-medication can only translate the acute nature of pain into a chronic one. Constant discomfort in the chest area interferes with full-fledged work, reduces the quality of life, while a timely cured disease helps to fully experience all the benefits of recovery, that is, returned health.

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90,000 The abs hurts after a workout well.Why do ribs hurt after exercises on the press? Why do muscles hurt after exercise? How to help yourself

Let’s say right away that the name is not very accurate, because there is only one abs in the human body, it is located in the abdomen. Therefore, it is better to say that the abdominal muscles hurt. Well, it’s not about the name. Abdominal pains – fitness lovers often complain the next day after training.

Why do abdominal muscles hurt?

Why do muscles hurt the next, and especially the day after training ?.Especially newbies suffer with this problem? There are 2 causes of post-workout pain: accumulation of lactic acid in muscles and microtrauma of muscle fibers.

Lactic acid builds up in the muscles as soon as the amount of exercise is outside the normal range. Either you are in the gym for the first time, or you have increased the load on a certain muscle group – they will ache or even hurt a lot.

Microtrauma (do not be alarmed by this word!) Occurs in the muscles after any strong load.Bodybuilders are even happy about this, because, while healing, these minor injuries give the athlete muscle growth. Therefore, they often practice through pain, through force. But this is just not necessary to do.

Exercise should be fun, otherwise it will quickly bore you and you will simply quit.

So that the muscles do not hurt

So what is the solution? – you ask. It is clear that the muscles will still hurt, but you can reduce these sensations.

  1. Always warm up before exercising, at least a few minutes of running or jumping will prepare your abs for work.
  2. Do not take on new exercises too zealously – increase the number of repetitions gradually, from session to session
  3. The same applies to weights. Only a gradual increase in weight can lead to success without greatly affecting health.
  4. After training, do a small hitch – lie on your stomach and do a “cobra” – lifting your body and looking forward, pull your abdominal muscles.
  5. At home, lie down for half an hour in a warm bath with sea salt (you can also take ordinary salt).You will feel immediately relieved.

Well, in general, a little pain after training will pass in two days, and you can conquer new heights!

  1. What and how the bar trains: before and after photos
  2. Classic Plank – Execution Rules
  3. 30 Day Exercise Plan for Men and Women
  4. Side bar
  5. Reverse strip
  6. Plank with limb extension
  7. Reviews on the effectiveness of the exercise

Abs hurts after training

the cause of ailments in the abdominal area is the physiological processes in the tissues during training.Why the abdominal press hurts, read further in the article.

Why can abs and abdominal muscles hurt during exercise?

The muscles of the press are unwell due to two reasons – defects in muscle tissue and the production of lactic acid, which does not have time to decompose to carbon dioxide due to lack of oxygen.

Lactic acid begins to accumulate in muscle tissue, causing pain as soon as the amount of exercise becomes greater than usual (at the beginning of sports or a sharp increase in the load on a particular muscle group).

The second cause of pain is microtrauma or defects in some components of muscle tissue. Typically, this abdominal pain appears in the morning after exercise. Do not be afraid of microtraumas of muscle fibers, since the latter are gradually restored and even increase in size – “cubes” of the abdominal press appear.

How dangerous is it if your abs hurts during training?

This means that the muscle fibers did not have time to recover after receiving microtraumas before the load increased.Due to the overload of muscle tissue during training, hematomas and bruises often appear on the abdomen.

The symptom for which you should consult a doctor is a hernial bulge. Painful sensations appear when a hernia is pinched, since the front abdomen is weakened, and the increased pressure inside the abdomen causes pinching and prolapse of internal organs. Therefore, in order to avoid the consequences (tissue death), it is required to immediately seek help from experienced specialists.

How can I relieve pain with sports and exercise?

Always warm up before basic exercises – a few minutes of running or jumping can prepare the abdominal muscles for work;

Do not take on new exercises when training too intensely – gradually increase their number;

Smoothly increase the weight during training, because this is the only way you will achieve success without consequences for the body;

At home, lie down in a warm bath with sea salt (you can also use regular one).

Well, in general, a slight pain in the abdomen after a workout will pass in a few days, and you can continue your exercises more intensely, because sports should bring joy and pleasure.


In general, I continue to engage in intense sports, the main emphasis on my legs, my problem areas, but I also did the bar and the press vigorously rocked …

Previously, I loved exercises for the press, I liked it when my muscles ached, but before this pain I could swing for a very long time … And now the pain is not pleasant, it became very hard from the first minutes of the exercises, my belly was swollen.

I started looking for the reason, and came across on the Internet about the divergence of the abdominal muscles, for a simple diastasis! I checked it myself, and not …

Gymnastics after childbirth

How to strengthen the abdominal muscles? For a woman who has just given birth, neither ordinary morning exercises, nor a complex are suitable

Back hurts, what exercises is possible if there is a suspicion of tone? 11 weeks

I have problems with my back all my life – everything hurts: lower part, middle, shoulders, neck.I went to Pilates while I was walking – it was better, then I quit – everything hurts again. Also with swimming. But the pool has a huge disadvantage: I catch cold there and get sick all the time.

Although I have always loved to swim. So, what is the question: What exercises can you do if your tummy sips a little, there is discomfort, I’m afraid to harm. But with the back, too, something needs to be done, because it will only get worse. Good exercise for me: cat – …

Diastasis and figure

Something got out into the gap between the muscles, a hernia was trying to form.

The bandage belt did not save, I was very tightly tightened with a belt and put an iron cover from the can on the place where the hernia climbed and on it – a half of a nut with a bulge in the stomach (I am writing in case anyone needs it)) t. operation on …

Slimming Club

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Take a break from work – do some exercises!

Tired at work? Does your neck and back hurt? Then do these simple exercises.They only need an office chair and your desire! We swing the press. Sit up straight, straighten your back, tighten your gluteal muscles, take a deep breath and sharply draw in your stomach as you exhale.

Repeat about 50 times. The oblique muscles are trained by simple bends to the sides, from a sitting position. We swing the lower press. Sit on the edge of a chair, put your hands on the chair behind you, lift your bent legs up. You need to raise your legs low, about 20 times.

We disperse the blood through …


I am glad to welcome you, dear readers of my blog! The dream of any girl other than a prince on a white horse is to have a flat tummy.

For this purpose, many of us come to fitness clubs and do not leave from there for hours, wanting to get everything and quickly. Sometimes it ends with painful sensations, particularly in the abdominal area.

And all would be fine, but the abdominal muscles are stressed so many times a day that it can cause discomfort. Unless of course you sit on the couch all day.

So, the task is clear – the abs hurts after training, what to do. Let’s start solving it!

What does the abs hurt?

There are not so many reasons for post-workout muscle soreness.But among them there are those who should not be feared. And those that need to be treated with caution and it is possible to consult a specialist.

There are 2 reasons why the abs hurts during training:

Due to defects in muscle tissue.

Due to the production of lactic acid (it does not have time to split into carbon dioxide due to lack of oxygen).

Abs hurts after training: 2 sides of the same coin

Many advanced athletes consider the best gift after a hard workout – not sports nutrition, not going to the sauna or oatmeal, but just muscle pain.For athletes, this is the key to getting the right body contours.

Beginners, in pursuit of the experience of their fellows, seek to earn pain by working with exorbitant weights and neglecting all safety rules. However, the beginner and the professional athlete have different types of body pain. The first pain is physical, the second is anabolic.

How dangerous is it if your abs hurts during exercise?

The most unsafe pain that appears in the muscles is throbbing.

If you feel a sharp and shooting pain in the abdominal area, ailments, maybe these are the consequences of an injury.

You need to run to the doctor if there is a symptom of “hernial bulge”. Pain occurs when the hernia is pinched, because the front wall of the abdomen has weakened, and the high pressure inside the abdomen pinches the internal organs so that they fall out. To avoid the consequences (tissue death) immediately seek medical help!

How to reduce pain after exercise?

The following tips will help reduce pain:

Council number 1 “Drink soda before class”

This recommendation is useful for those who want to increase their pain threshold during training.Drink a glass of water diluted with ½ teaspoon of baking soda before fitness. Thus, the acidity of the blood will drop, and the pain threshold will increase. The usual burning sensation will easily leave you.

Council number 2 “Eat right”

Some people do not follow this “golden rule” by including the wrong ingredients in their diet. The daily rate of protein is 2 grams per 1 kg of body weight, carbohydrates – 2-4 grams, fats make up 15-20% of the total calories.

Advice number 3 “Take beta-alanine and ascorbic acid”

Start taking ascorbic acid (about 1 gram after exercise), as well as a natural amino acid (beta-alanine).

Council number 4 “Drink a lot of water”

Due to water, slags and toxins are removed from the body, and recovery processes are activated. To calculate the water norm, use the formula: mass * 0.04 = X liters of water per day.

Advice number 5 “Cool down”

It’s great if you warm up before classes, and after – huddle up. To do this, pull your muscles well and, as it should, relax, and then restore your breathing.

Advice number 6 “Pamper yourself with pleasant procedures”

Bodybuilding and fitness exercises are not just about sweat and the sound of metal.Good rest after class will not interfere with your body. For example, you can indulge in a contrast shower (40 seconds – under a cold stream, 1 minute – under a hot stream), and also go to the sauna, pool or massage in the spa-salon. All of these procedures increase blood circulation in the body, preventing muscles from becoming enslaved.

Council number 7 “Eat omega-3 and omega-6 fatty acids”

Essential fatty acids are essential for the body (300 mg per 1 kg of body weight). They are endowed with anti-inflammatory properties.Most of all omega-3 and omega-6 fatty acids are found in flaxseed oil, fish oil, various types of nuts (almonds, walnuts).

Advice number 8 “Use periodization and training time”

Periodization is very useful for athletes who regularly train with heavy loads. They are played with reps, weights, rest times, angles of attack, intensity, and other metrics. We also recommend not exercising in the gym for more than 1 hour, since the content of the main anabolic hormone decreases, and the concentration of cortisol (stress hormone) increases.

If you feel pain in the abdominal muscles, it means that you overdo it with the load. The main reason why the press hurts is the physiological transformations of muscle tissue.

Circumstances for which the press hurts – why does this happen?

Why does the abs hurt from time to time? There are two possible reasons for abdominal pain. The first is the accumulation of lactic acid in the tissues of the press, which does not have time to decompose to carbon dioxide.

– The press hurts, if the number of exercises increases sharply, and with it the load.

– It is not uncommon for the abs to focus on one muscle group. In most cases, this leads to physical disabilities and damage to the abdominal muscles.

The second circumstance of which the press hurts is microtrauma, sprains or bruises provoked by playing sports. In most cases, such abdominal pain appears the day after exercise. But you should not worry about what the press hurts or microtraumas appear.This is just microscopic damage to muscle fibers, which hurt, recover and grow in size.

It is worth worrying more if you feel a throbbing pain in the press muscles. Because of which? If the muscles of the press began to quickly get tired and start to hurt, along with this, the pain is sharp and throbbing, then this is already the consequences of more important injuries. This happens if the abdominal muscles are late to recover after the end of the microtraumas taken, and everything hurts, if you did not have time to adapt to the loads, as you increased the intensity of the loads.Because of this, bruises and bruises on the press can appear.

If the abs hurts, and you see a small hernial bulge, you need to urgently consult a doctor. What causes pain and bulges to appear due to a pinched hernia? This is due to the fact that the front wall of the abdominal abdomen is weakened, and internal pressure leads to pinching and displacement of internal organs.

What to do so that the muscles of the press do not hurt?

And now a couple of useful tips on how to reduce pain in the abdominal muscles:

§ Exercises must be started with a couple of minutes warm-up, for this running or jumping is suitable.

§ Do not increase the load on the abs dramatically, everything must be done slowly, this will help you achieve tremendous success and improve muscle endurance.

§ At the end of sports, so that the abs do not hurt, take a warm bath with sea salt.

In addition, tangible pain in the muscles of the press goes away quickly enough, within a few days. After that, it is possible to continue training again with increased intensity. Just remember that your muscles need to adapt to new loads.

© Therapist Elena Gabelko

I must say right away that if the stomach hurts after swinging the press, it may be one of the diseases: gastritis, ulcers or erosion. In such cases, an increase in pressure on the stomach area leads to compression of it, and this leads to pain and an increased release of bile. Here you must immediately visit a doctor – a gastroenterologist. If the doctors did not find the disease, we continue to study.

Upper Press

When you swing your upper abs while lying on the mat, you must remember that the chin should not be pressed to the chest, on the contrary, the distance between the upper chest and the chin should be the size of a tennis ball.Watch this all the time.

The correct position of the hands is also important – they should only lightly touch the back of the head, in no case should you put your hands on the back of the head. This common beginner’s mistake can lead to overstrain.

Concentration of attention should be on those muscles that you are pumping. If you are thinking about something extraneous, then the work of the press can be taken over by other muscles, auxiliary (the same muscles of the neck). Hence the tense red face – with the correct technique, the muscles of the face and neck should not be tense.

Bottom press

When pumping the lower press, we put our hands under the lower back or under the butt. We lie on the rug. It is better to start with alternating leg lifts (you do not need to bring up to the full vertical, stop a little lower). After several sessions, you can raise both legs at once. Make sure that they are not taken to the sides, we move clearly in a straight line.

A very important rule – you need to work at 75-80% of the maximum effort. What does it mean? But what – the last few repetitions should be given hard, but not with the last effort.For the first few sessions, do 1-2 sets of several repetitions. And don’t forget to stretch after exercise – roll over onto your stomach and slowly lift your torso.

The lower press is always weaker than the upper one – this is how the body works. Therefore, do 2-3 times more exercises for the lower press than for the upper one.

Breathing while working with the press

Many people forget about proper breathing during exercise. This is absolutely impossible to do. The exhalation is always done on effort.For example, when lifting your legs, make an exit, when lowering, inhale.

What to do if the pain persists

If, after following all the rules, your stomach hurts after the press the next day, then take a warm bath, adding a glass of salt (you can use sea salt). Salted warm water relieves pain well.

It should always be remembered that the load during any exercise increases gradually. For example, if you have not been involved in fitness for several years, then pumping the abdominal muscles in an intensive training mode will give you not only pain, but also a deterioration in well-being.

General weakness and irritability may occur. This means that you managed to overtrain in the first days. Avoid such abrupt actions. Remember – small steps! Every day for 10 minutes is much more effective than once a month for 2 hours.

See how to properly swing the press at home: