What is Delayed Onset Muscle Soreness

The term delayed onset muscle soreness (DOMS) is used to describe the discomfort that is often felt 24-72 hours after exercising. While DOMS is often attributed to a buildup of lactic acid, there is little empirical support for this view.

Rather, it seems more likely that DOMS is a byproduct of microscopic tearing of muscle fibers caused by over-exertion. The extent of these micro-tears, and thus the amount of discomfort that they cause, largely depends on the type of exercise and the level of exertion.

Whatever the cause, the symptoms associate with DOMS can include muscle pain, inflammation, stiffness, and weakness.

Treatment of Delayed Onset Muscle Soreness

Perhaps the best course of action is to prevent DOMS before it happens. Warming up before exercise and cooling down afterwards, along with proper stretching, can help to reduce the incidence and severity of DOMS. It is important to keep in mind, however, that excessive stretching can cause DOMS.

While the R.I.C.E. regimen may alleviate the symptoms associated with DOMS, the often diffuse nature of this sort of muscle soreness makes it difficult to apply in many cases. Nonetheless, there is evidence to suggest that rest, ice, compression, and elevation all have the potential to speed recovery.

Active recovery, which involves light aerobic exercise to increase blood flow throughout the body, has been suggested as a means for minimizing the occurrence of DOMS in the first place, as well as for reducing symptoms once it occurs. While anti-inflammatories such as ibuprofen may be effective at reducing the discomfort and inflammation associated with DOMS, they do nothing to reduce weakness.

Finally, though massage has been suggested as an effective treatment for DOMS, the data here are mixed. Likewise, it has been suggested that nutritional supplements such as vitamin C and fish oil may help to alleviate the symptoms of DOMS, but there is little in the way of scientific support for this view.

What is a Torn Rotator Cuff?

The term ‘rotator cuff‘ refers to the muscles that support and stabilize the arm, allowing it to move up and down as well as rotate. The rotator cuff is made up of four muscles — the supraspinatus, infraspinatus, subscapulairs, and teres minor. Injuries to these muscles can cause pain and reduce the range of motion. Symptoms of a torn rotator cuff include shoulder pain, decreased range of motion, weakness, and a deep ache.

Treatment of a Torn Rotator Cuff

A torn rotator cuff needs to be evaluated by a trained medical professional to determine if surgery is needed. If left untreated, large tears can lead to arthritis due to inflammation of the joint. A torn rotator cuff can often be repaired via arthroscopic surgery. Recovery then involves medication to reduce inflammation and physical therapy to improve strength and range of motion.