Delayed Onset Muscle Soreness (DOMS): Management Update
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Abstract
Delayed Onset Muscle Soreness (DOMS) is a prevalent issue in sports medicine and among physically active individuals, causing significant pain and disability. While the exact pathophysiology of DOMS remains incompletely understood, this article delves into non-pharmacological approaches to effectively manage and alleviate its symptoms.
The research discusses multifaceted aspects of DOMS, encompassing its complex etiology, theories, and contributing factors. Numerous theories have been proposed, including delayed inflammatory responses, lactic acid accumulation, muscle spasms, connective tissue damage, and muscle micro-tears. These theories underscore the intricate nature of DOMS and the need for a diverse management approach.
The article explores non-pharmacological strategies to address DOMS, focusing on evidence-based methods. These methods include massage, exercise, nutrition, and natural supplements. Research has shown that massage therapy enhances muscle recovery, exercise therapy reduces soreness, and nutrition therapy through protein and amino acid intake can alleviate DOMS. Furthermore, natural supplements like ginger, tart cherry juice, and curcumin have demonstrated the potential to reduce inflammation and manage DOMS.
While pharmacological interventions may be considered for severe cases, the article underscores the importance of exercising caution due to potential side effects. In summary, DOMS management necessitates a holistic approach, combining multiple modalities and nutritional strategies to alleviate pain, enhance muscle recovery, and minimize the impact of this common condition on physically active individuals and athletes.
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References
Diep S. DOMS. Ultrasound in Medicine & Biology. 2019;45:S46.
Hotfiel T, Freiwald J, Hoppe MW, et al. Advances in Delayed-Onset Muscle Soreness (DOMS): Part I: Pathogenesis and Diag-nostics. Sportverletz Sportschaden. 2018;32:243–250.
Cheung K, Hume PA, Maxwell L. Delayed Onset Muscle Soreness. Sports Med. 2003;33:145–164.
Cleak MJ, Eston RG. Delayed onset muscle soreness: Mechanisms and management. Journal of Sports Sciences [Internet]. 1992 [cited 2023 Nov 5]; Available from: https://www.tandfonline.com/doi/abs/10.1080/02640419208729932.
Heiss R, Lutter C, Freiwald J, et al. Advances in Delayed-Onset Muscle Soreness (DOMS) – Part II: Treatment and Prevention. Sportverletz Sportschaden. 2019;33:21–29.
O’Connor R, Hurley DA. The Effectiveness of Physiotherapeutic Interventions in the Management of Delayed Onset Muscle Soreness: a Systematic Review. Physical Therapy Reviews. 2003;8:177–195.
Hilbert JE, Sforzo GA, Swensen T. The effects of massage on delayed onset muscle soreness. British Journal of Sports Medicine. 2003;37:72–75.
Zainuddin Z, Newton M, Sacco P, et al. Effects of Massage on Delayed-Onset Muscle Soreness, Swelling, and Recovery of Muscle Function. J Athl Train. 2005;40:174–180.
Ernst E. Does post-exercise massage treatment reduce delayed onset muscle soreness? A systematic review. British Journal of Sports Medicine. 1998;32:212–214.
Nahon RL, Silva Lopes JS, Monteiro de Magalhães Neto A. Physical therapy interventions for the treatment of delayed onset muscle soreness (DOMS): Systematic review and meta-analysis. Physical Therapy in Sport. 2021;52:1–12.
Pasiakos SM, Lieberman HR, McLellan TM. Effects of Protein Supplements on Muscle Damage, Soreness and Recovery of Muscle Function and Physical Performance: A Systematic Review. Sports Med. 2014;44:655–670.
Weber MG, Dias SS, de Angelis TR, et al. The use of BCAA to decrease delayed-onset muscle soreness after a single bout of exercise: a systematic review and meta-analysis. Amino Acids. 2021;53:1663–1678.
Fedewa MV, Spencer SO, Williams TD, et al. Effect of branched-Chain Amino Acid Supplementation on Muscle Soreness fol-lowing Exercise: A Meta-Analysis. International Journal for Vitamin and Nutrition Research. 2019;89:348–356.
Rosene J, Matthews T, Ryan C, et al. Short and longer-term effects of creatine supplementation on exercise induced muscle damage. J Sports Sci Med. 2009;8:89–96.
Ra S-G, Akazawa N, Choi Y, et al. Taurine Supplementation Reduces Eccentric Exercise-Induced Delayed Onset Muscle Soreness in Young Men. In: Marcinkiewicz J, Schaffer SW, editors. Taurine 9. Cham: Springer International Publishing; 2015. p. 765–772.
Roveratti MC, Jacinto JL, Oliveira DB, et al. Effects of beta-alanine supplementation on muscle function during recovery from resistance exercise in young adults. Amino Acids. 2019;51:589–597.
Tartibian B, Maleki BH, Abbasi A. The Effects of Ingestion of Omega-3 Fatty Acids on Perceived Pain and External Symptoms of Delayed Onset Muscle Soreness in Untrained Men. Clinical Journal of Sport Medicine. 2009;19:115.
Mesta K, Medithi S. Effect of Omega-3 Fatty Acid Supplementation on the Delayed-Onset Muscle Soreness (DOMS) and In-flammatory Response among Athletes and Non-Athletes. Current Nutrition & Food Science. 2023;19:796–805.
Matsumura MD, Zavorsky GS, Smoliga JM. The Effects of Pre-Exercise Ginger Supplementation on Muscle Damage and Delayed Onset Muscle Soreness. Phytotherapy Research. 2015;29:887–893.
Ranchordas MK, Rogerson D, Soltani H, et al. Antioxidants for preventing and reducing muscle soreness after exercise. Cochrane Database Syst Rev. 2017;2017:CD009789.
Kuehl KS, Perrier ET, Elliot DL, et al. Efficacy of tart cherry juice in reducing muscle pain during running: a randomized con-trolled trial. J Int Soc Sports Nutr. 2010;7:17.
Vitale KC, Hueglin S, Broad E. Tart Cherry Juice in Athletes: A Literature Review and Commentary. Curr Sports Med Rep. 2017;16:230–239.
Nakhostin-Roohi B, Nasirvand Moradlou A, Mahmoodi Hamidabad S, et al. The Effect of Curcumin Supplementation on Selected Markers of Delayed Onset Muscle Soreness (DOMS). Annals of Applied Sport Science. 2016;4:25–31.
Nicol LM, Rowlands DS, Fazakerly R, et al. Curcumin supplementation likely attenuates delayed onset muscle soreness (DOMS). Eur J Appl Physiol. 2015;115:1769–1777.
Stone MB, Merrick MA, Ingersoll CD, et al. Preliminary Comparison of Bromelain and Ibuprofen for Delayed Onset Muscle Soreness Management. Clinical Journal of Sport Medicine. 2002;12:373.
Barlas P, Craig JA, Robinson J, et al. Managing delayed-onset muscle soreness: Lack of effect of selected oral systemic analgesics. Archives of Physical Medicine and Rehabilitation. 2000;81:966–972.
Connolly D a. J, Sayers SE, Mchugh MP. Treatment and Prevention of Delayed Onset Muscle Soreness. The Journal of Strength & Conditioning Research. 2003;17:197.