What is Delayed Onset Muscle Soreness (DOMS)?

Description: Delayed Onset Muscle Soreness (DOMS) is a common physiological response to unaccustomed or intense physical activity. It typically occurs within the first 12-24 hours after exercise and can last up to several days. Understanding the natu
Description: Delayed Onset Muscle Soreness (DOMS) is a common physiological response to unaccustomed or intense physical activity. It typically occurs within the first 12-24 hours after exercise and can last up to several days. Understanding the natu

Description:

Delayed Onset Muscle Soreness (DOMS) is a common physiological response to unaccustomed or intense physical activity. It typically occurs within the first 12-24 hours after exercise and can last up to several days. Understanding the nature of DOMS, its causes, and its impact on the body is crucial for effectively managing and recovering from this condition.

Causes and Mechanisms:

DOMS is primarily caused by:

  • Microscopic Muscle Damage: Intense or novel exercise can lead to microscopic damage in muscle fibers, particularly during the eccentric (lengthening) phase of movements.

  • Inflammatory Response: The body's natural inflammatory response to muscle damage can cause swelling, pain, and stiffness.

Signs and Symptoms:

Common signs and symptoms of DOMS include:

  • Muscle Pain: Discomfort, pain, and soreness in the affected muscles. The pain is often described as dull and aching.

  • Stiffness: Reduced range of motion and muscle stiffness, particularly when initiating movement.

  • Swelling and Tenderness: Muscles may appear swollen or feel tender to the touch.

  • Reduced Strength: Temporary reductions in muscle strength can occur due to muscle damage.

Management Strategies:

  1. Rest and Recovery:

    • Allowing the affected muscles time to heal and recover is essential. This may involve a temporary reduction in physical activity or choosing exercises that target different muscle groups.

  2. Pain Management:

    • Over-the-counter pain relievers, like ibuprofen, can help alleviate discomfort. Consult with a healthcare provider for appropriate medication use.

  3. Ice and Heat:

    • Applying ice to the sore muscles can help reduce inflammation, while heat can relax and soothe tense muscles.

  4. Hydration and Nutrition:

    • Staying well-hydrated and consuming a balanced diet with adequate protein can support muscle recovery.

  5. Stretching and Gentle Exercise:

    • Gentle stretching and low-intensity exercises can help improve flexibility and reduce muscle tightness.

  6. Massage and Self-Care Techniques:

    • Massage, foam rolling, or self-myofascial release can help alleviate muscle tension and discomfort.

  7. Gradual Progression:

    • Gradually increasing exercise intensity and volume can help prevent future occurrences of DOMS.

Preventing DOMS:

  • Gradually increase exercise intensity and volume to allow muscles to adapt.

  • Warm up before exercise to improve muscle elasticity.

  • Stay hydrated and maintain proper nutrition.

  • Ensure adequate rest between intense workouts.

Nick Stamatiou

Nick has a strong interest in sports and musculoskeletal physiotherapy and is motivated to help people reach their desired goals and to achieve their full potential.

His experience includes:

  • Sports and musculoskeletal physiotherapist in a private practice setting

  • Orthopaedic and Rehabilitation inpatient physiotherapist at Brisbane Private Hospital

  • Clinical Reformer and Mat-work Pilates instructor

  • Football gameday physiotherapist

While Nick is skilled in managing all areas of musculoskeletal physiotherapy, he has a particular interest in the rehabilitation of muscle strains, hip, knee and lower back conditions. Nick offers dry needling, massage and joint mobilisation to compliment exercise prescription.

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