Delayed onset muscular soreness (DOMS) is a common problem that is experienced by elite athletes and weekend warriors alike. The typical characterization of dull aches, stiffness, and tenderness in one’s muscles 24-72 hours later are a hallmark of this exercise condition that is postulated to result from damage to muscular ultra- structures obtained during eccentric muscle contraction. Because of the prevalence and general lack of awareness for this muscular phenomenon, the purpose of this paper is to provide a definition and summary of DOMS, to discuss the various theories regarding the mechanism of action resulting in muscular damage, and to provide various treatment recommendations and prevention options to patients/athletes who are experiencing the effects of DOMS.



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