Feeling a sudden sharp pain along your side can be alarming. Whether it’s a pulled muscle on your right side, left side, or general side muscle strain, understanding what’s happening in your body can help you recover safely and avoid making it worse.
What Causes a Pulled Muscle in the Side?
Your side muscles include the obliques, intercostals (muscles between the ribs), and parts of your lats and lower back. These muscles can be strained during:
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Twisting or reaching too far while lifting
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Sudden movements during sports or workouts
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Persistent coughing or sneezing
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Overstretching during yoga or mobility drills
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Poor lifting posture during daily activities
A side muscle strain occurs when muscle fibers are overstretched or torn, causing pain, tightness, and sometimes bruising.
Symptoms of a Pulled Muscle in the Side
Symptoms vary based on severity but often include:
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Sharp or dull pain on one side
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Pain that worsens with movement or deep breathing
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Tenderness when pressing on the area
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Muscle tightness or spasms
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Swelling or slight bruising in severe strains
Many people report phrases like “I pulled a muscle on my side and it hurts when I breathe,” which is common if your intercostals are involved.
Left vs. Right Side Muscle Strain
A muscle strain on the right side or left side typically shares similar symptoms, but right-sided strains may sometimes be confused with liver or gallbladder issues, while left-sided strains may mimic spleen or digestive discomfort. If the pain is severe, persistent, or accompanied by fever or nausea, seek medical evaluation to rule out internal causes.
Can a Pulled Muscle Make You Feel Sick?
In most cases, a pulled muscle does not cause nausea or sickness directly. However, severe pain, restricted breathing, or muscle spasms may indirectly lead to lightheadedness or nausea. If you feel unwell with severe or worsening pain, consult your doctor.
Personal Reflection
Years ago, during a heavy barbell clean, I twisted slightly under the load and felt a sudden, burning pain along my lower right side. I couldn’t stand fully upright without discomfort for days and even shallow breathing felt tight. Rest, gentle stretching, and gradual reactivation helped me recover fully while teaching me the importance of respecting rotational stability in training.
Treatment for a Pulled Muscle in Your Side
Initial Care:
Rest and avoid movements that trigger pain
Apply ice for 15–20 minutes every few hours for the first 48 hours
Use compression (if comfortable) to reduce swelling
Take deep but gentle breaths to avoid shallow breathing patterns
After 48–72 Hours:
Switch to heat therapy if tightness persists
Begin gentle side stretches (as pain allows)
Incorporate light mobility exercises (like cat-camel, side-lying breathing drills)
Gradually return to activity, avoiding heavy lifting or aggressive twisting until fully healed
How Long Does It Take to Heal?
A mild pulled side muscle can heal within 2–3 weeks with proper care, while moderate to severe strains may take 4–8 weeks. Rushing back to heavy activity too early can lead to re-injury.
When to Seek Medical Attention
Seek professional evaluation if:
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Pain is severe or worsening
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Pain is accompanied by fever, vomiting, or nausea
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You experience shortness of breath not related to pain
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There is a visible bulge or severe bruising
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Pain persists beyond 6–8 weeks despite care
Moving Forward
A strained muscle on the side can be uncomfortable and limit daily activity, but most heal with time and careful rehab. If you stay mindful of your body’s signals, you can return to training or daily activities safely while reducing the risk of re-injury.
If in doubt, working with a qualified fitness professional or physical therapist can help ensure your recovery is complete and your movement patterns support long-term health.
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