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Updated: Mar 12, 2026

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Delayed-Onset Muscle Soreness: Temporal Assessment With Quantitative MRI and Shear-Wave Ultrasound Elastography.

Christoph A Agten1,2, Florian M Buck1,2, Linda Dyer3

  • 11 Department of Radiology, Orthopedic University Hospital Balgrist, Forchstrasse 340, CH-8008 Zurich, Switzerland.

AJR. American Journal of Roentgenology
|November 16, 2016
PubMed
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Quantitative MRI and ultrasound elastography assessed delayed-onset muscle soreness (DOMS). Fractional anisotropy (FA) inversely correlated with pain, suggesting its utility in DOMS assessment.

Area of Science:

  • Musculoskeletal imaging
  • Sports medicine
  • Biomedical engineering

Background:

  • Delayed-onset muscle soreness (DOMS) is a common consequence of eccentric exercise.
  • Objective assessment of DOMS often relies on subjective pain and tightness reports.
  • Quantitative imaging techniques may offer more objective measures of muscle changes.

Purpose of the Study:

  • To evaluate the utility of quantitative MRI and shear-wave ultrasound (US) elastography in assessing DOMS over time.
  • To correlate imaging findings with clinical symptoms of DOMS.

Main Methods:

  • Five male and five female volunteers underwent 1.5-T MRI (fluid-sensitive, DWI, DTI) and US elastography of elbow flexor muscles before and after eccentric exercise.
  • MRI assessed muscle edema, apparent diffusion coefficient (ADC), and fractional anisotropy (FA).
Keywords:
MRImuscle sorenessshear-wave velocityultrasound elastography

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  • US measured shear-wave velocity (SWV); pain and tightness were self-reported.

    • Main Results:

    • Muscle edema peaked at 3 days post-exercise in men and 1-3 days in women.
    • ADC increased, while FA decreased, peaking at 3 days post-exercise.
    • Shear-wave velocity (SWV) showed a temporary increase post-exercise.
    • FA negatively correlated with pain in men (r = -0.993, p = 0.001).

    Conclusions:

    • Fractional anisotropy (FA) shows an inverse correlation with pain, indicating its potential as an objective MRI parameter for DOMS assessment.
    • Shear-wave US elastography detects temporary muscle stiffness but does not correlate with MRI parameters or clinical DOMS symptoms.