Abdominal pain is unavoidable when you are trying to start a new exercise regimen. But if you have been exercising regularly at a constant level, abdominal pain may come as a surprise. The level of an injury to your stomach muscles can range from minor to severe, and it can be helpful to know how to interpret symptoms as you develop them.
Time Frame
Generally, the more immediately the pain develops, the more likely it is you have suffered a legitimate injury, rather than simply suffering pains relating to fatigue. When these pains develop, stop exercising and rest the muscles. Apply ice if you notice swelling. If the pain persists, you will need to determine the cause. By contrast, if the pain does not develop for several hours or even a day after exercise, then it is most likely muscle soreness.
Symptoms
Muscle soreness causes dull pain that is worsened by movement and use of the muscles. Some muscle stiffness may also be present. But a serious muscle injury is likely to develop inflammation and swelling. Sharp, shooting pain may be present at all times of the day. The muscle may be sensitive to touch, and it could be difficult or impossible to move the muscle or put weight on it. Bruising may also develop.
Possible Causes
Outside of muscle soreness, a muscle strain is a likely possibility. Muscle strains can range from moderate tearing in the fibers to a partial or complete tear of the muscle. In extreme circumstances surgery may be needed to stitch up the muscle so that it can heal properly. An inguinal or sports hernia may be the source of pain, although this is less likely with situps than it is with load-bearing exercises and activity. It's possible you have suffered a sprain to a tendon or ligament in or near the abdominals.
Considerations
Try some at-home treatment at first and monitor the progress of your muscles. Apply ice packs several times a day to reduce swelling and pain. Applying compression may also help. But if the injury does not improve after a few days, visit a doctor. He may recommend you go through physical therapy, and surgery may also be required. If the injury causes you to feel nauseous, faint or shallow of breath, call a doctor immediately.
