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A pulled abdominal muscle typically causes sudden, sharp pain at the time of the injury. The pain is usually aggravated by coughing, laughing, sneezing, deep breathing, and moving in ways that stretch the injured muscle. The pain is typically localized to the specific site of the muscle injury, which is often tender if pressed on. Pain caused by an abdominal muscle strain gradually decreases as the injury heals over days to weeks. detachable train wedding dress