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[Delayed post effort muscle soreness].

J M Coudreuse1, P Dupont, C Nicol

  • 1Service de medecine du sport, CHU Salvator, APHM, 249, boulevard Sainte-Marguerite, 13009 Marseille, France. jean-marie.coudreuse@mail.ap-hm.fr

Annales De Readaptation Et De Medecine Physique : Revue Scientifique De La Societe Francaise De Reeducation Fonctionnelle De Readaptation Et De Medecine Physique
|August 7, 2004
PubMed
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Delayed-onset muscle soreness (DOMS) is a common exercise side effect. While uncomfortable, DOMS signals muscle regeneration, not damage, and treatments do not speed recovery.

Area of Science:

  • Exercise physiology
  • Muscle biology
  • Sports medicine

Context:

  • Delayed-onset muscle soreness (DOMS) is a frequent occurrence in sports, typically developing 12-48 hours after strenuous or unaccustomed eccentric muscle activity.
  • Symptoms include muscle tenderness, pain upon palpation, contraction, or stretching, often affecting the quadriceps, hamstrings, and triceps surae.
  • Potential causes include acidosis, muscle spasms, and microlesions, with inflammation being the most widely accepted explanation.

Purpose:

  • To clarify the physiological processes underlying DOMS.
  • To differentiate DOMS from actual muscle damage.
  • To evaluate the efficacy of treatments aimed at alleviating DOMS and accelerating recovery.

Summary:

  • DOMS, characterized by muscle soreness post-exercise, is primarily explained by inflammation and muscle tissue microlesions.

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  • Crucially, DOMS is a marker of the muscle's regenerative process, contributing to hypertrophy, rather than an indicator of structural damage.
  • While treatments can reduce DOMS discomfort, they have not been proven to hasten structural or functional recovery and may even impede it by interfering with inflammation.

    • Impact:

    • DOMS should be viewed as a normal adaptive response to exercise, not a detrimental condition.
    • Understanding DOMS's role in regeneration can inform training and recovery strategies.
    • Current treatments for DOMS may offer symptomatic relief but do not accelerate the underlying physiological recovery process, potentially delaying it.