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J Can Chiropr Assoc. 2009 Dec;53(4):251-60.

Exercise related transient abdominal pain: a case report and review of the literature.

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  • 1Assistant Professor, Canadian Memorial Chiropractic College, 177 Carnwith Drive East, Brooklin, Ontario L1M 2J5. (416) 482-2546 ext. 123 (CMCC). (905) 428-9370 (practice).


Exercise-related transient abdominal pain (ETAP) is more commonly known to athletes as a runner's stitch. Many athletes also report shoulder tip pain (STP) associated with the ETAP. Although widely known, ETAP remains under analyzed and under reported in the medical literature. Often thought of as benign and self-limiting, ETAP has been shown to be very detrimental to the performance of many athletes from novice to elite. This case report of an elite triathlete with ETAP and subsequent review of literature, outlines the various theories about the etiology of ETAP, the epidemiology associated with it, some differentials to consider, and how chiropractic care may benefit those suffering from ETAP.


abdominal pain; cramp; exercise; runner’s abdominal pain; runner’s stitch; stitch; subcostal pain

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