Exercise-Related Transient Abdominal Pain (ETAP)

  title={Exercise-Related Transient Abdominal Pain (ETAP)},
  author={Darren Peter Morton and Robin Callister},
  journal={Sports Medicine (Auckland, N.z.)},
  pages={23 - 35}
Exercise-related transient abdominal pain (ETAP), commonly referred to as ‘stitch’, is an ailment well known in many sporting activities. It is especially prevalent in activities that involve repetitive torso movement with the torso in an extended position, such as running and horse riding. Approximately 70 % of runners report experiencing the pain in the past year and in a single running event approximately one in five participants can be expected to suffer the condition. ETAP is a localized… 

Exercise-related transient abdominal pain secondary to median arcuate ligament syndrome: a case report

An 18-year-old field hockey player who presented with a 1-year history of exercise-related transient abdominal pain, prompting surgical intervention, had median arcuate ligament syndrome considered.

Thorn in Your Side or Thorn in Your Head? Anxiety and Stress as Correlates of Exercise-Related Transient Abdominal Pain

  • Jaison L. WynneP. Wilson
  • Medicine, Psychology
    Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
  • 2022
This is the first investigation to reveal that anxiety and stress are associated with the presence of ETAP, and exercise-related transient abdominal pain–positive runners demonstrated higher resting and running-related GI symptoms, PSS-14, and STICSA scores compared with ETAP-negative runners.

The endurance athlete's "stitch": Etiology and management of exercise-related transient abdominal pain

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Factors influencing exercise-related transient abdominal pain.

Training status alters the frequency of occurrence of ETAP but has little effect on the incidence or severity of the pain, and ETAP and STP decrease with age but are not related to gender or BMI.

Characteristics and etiology of exercise-related transient abdominal pain.

The findings of the present study provide perspective on previously suggested etiologies of ETAP, which include diaphragmatic ischemia and stress on the visceral "ligaments," and form the basis for examining alternative etiology such as cramp of the musculature and irritation of the parietal peritoneum.

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

  • Brad Muir
  • Medicine
    The Journal of the Canadian Chiropractic Association
  • 2009
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.

Runner’s stitch and the thoracic spine

The case of an elite runner who, after a thoracic spine trauma, developed severe and recurrent episodes of ETAP which were relieved by localised treatment is presented and it is found that palpation of specific facet joints could reproduce symptoms ofETAP shortly after an episode of the pain had been relieved.

Evaluation of the Athlete With Exertional Abdominal Pain

The goal of this article will be to briefly describe the relevant exercise-associated changes of the gastrointestinal tract and provide a differential diagnosis and a proposed mechanism of evaluation of exertional abdominal pain.

The effect of transversus abdominis activation on exercise-related transient abdominal pain.

EMG activity is not elevated during exercise-related transient abdominal pain.

Exercise-related abdominal pain as a manifestation of the median arcuate ligament syndrome

A case of an elite runner with exercise-related severe abdominal pain and diarrhoea related to compression of the coeliac axis by the median arcuate ligament is reported, achieving complete symptom relief with surgical division of the constricting ligament.

The Effect of Exercise on the Gastrointestinal Tract

The study of the digestive tract during the stress of exercise is in its infancy and it is hoped that the awareness of symptoms and clinical difficulties encountered by active subjects will provoke additional study ofThe GI physiology of the active individual in health and disease.

Exercise-induced abdominal pain.

A 28-year-old woman was a professional dancer, whose symptoms began with dull, nonradiating right flank pain while she was dancing, and subsequently noted pain and tenderness in the right side of the abdomen while walking long distances.