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Treatment and prevention of delayed onset muscle soreness
by
Connolly DA, Sayers SP, McHugh MP.
—
last modified
2009-10-09 15:16
J Strength Cond Res. 2003 Feb;17(1):197-208.
Eccentric exercise continues to receive attention as a productive means of
exercise. Coupled with this has been the heightened study of the damage that
occurs in early stages of exposure to eccentric exercise. This is commonly
referred to as delayed onset muscle soreness (DOMS). To date, a sound and
consistent treatment for DOMS has not been established. Although multiple
practices exist for the treatment of DOMS, few have scientific support. Suggested
treatments for DOMS are numerous and include pharmaceuticals, herbal remedies,
stretching, massage, nutritional supplements, and many more. DOMS is particularly
prevalent in resistance training; hence, this article may be of particular
interest to the coach, trainer, or physical therapist to aid in selection of
efficient treatments. First, we briefly review eccentric exercise and its
characteristics and then proceed to a scientific and systematic overview and
evaluation of treatments for DOMS. We have classified treatments into 3 sections,
namely, pharmacological, conventional rehabilitation approaches, and a third
section that collectively evaluates multiple additional practiced treatments.
Literature that addresses most directly the question regarding the effectiveness
of a particular treatment has been selected. The reader will note that selected
treatments such as anti-inflammatory drugs and antioxidants appear to have a
potential in the treatment of DOMS. Other conventional approaches, such as
massage, ultrasound, and stretching appear less promising.