Delayed Onset Muscle Soreness (DOMS): Management Update

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.