Advances in Delayed-Onset Muscle Soreness (DOMS) Part II: Treatment and Prevention

Journal article

Publication Details

Author(s): Heiß R, Lutter C, Freiwald J, Hoppe M, Grim C, Poettgen K, Forst R, Bloch W, Huettel M, Hotfiel T
Journal: Sportverletzung-Sportschaden
Publication year: 2019
Volume: 33
Journal issue: 1
Pages range: 21-29
ISSN: 0932-0555


Delayed-onset muscle soreness (DOMS) describes an entity of ultrastructural muscle damage. The manifestation of DOMS is caused by eccentric muscle contractions or unaccustomed forms of exercise. Clinical signs include impaired muscular force capacities, painful restriction of movement, stiffness, swelling, and altered biomechanics in adjacent joints. Although DOMS is categorised as a mild type of muscle damage, it is one of the most common reasons for compromised sportive performance. In the last decade, many hypotheses have been developed to explain the aetiology of DOMS, and there are a wide range of different interventions aiming to prevent or alleviate the symptoms. Many studies have evaluated various types of cold or heat therapy, compression, massage, physical therapy or nutritional interventions. Treatment considerations focus on the primary prevention of ultrastructural lesions during exercise, the treatment of the inflammatory response that leads to DOMS, and recovery strategies for manifest DOMS. This narrative review aims to present an overview of the current treatment and preventive strategies in the field of DOMS.

FAU Authors / FAU Editors

Forst, Raimund Prof. Dr. med.
Lehrstuhl für Orthopädie mit Orthopädischer Chirurgie
Heiß, Rafael Dr. med.
Professur für Innere Medizin (Hochdruckforschung)
Hotfiel, Thilo PD Dr.

Additional Organisation
Muscle Research Center Erlangen (MURCE)

External institutions with authors

B·A·D Gesundheitsvorsorge und Sicherheitstechnik GmbH
Bergische Universität Wuppertal
Deutsche Sporthochschule Köln
Gesellschaft für Orthopädisch-Traumatologische Sportmedizin (GOTS)
Klinikum Bamberg

How to cite

Heiß, R., Lutter, C., Freiwald, J., Hoppe, M., Grim, C., Poettgen, K.,... Hotfiel, T. (2019). Advances in Delayed-Onset Muscle Soreness (DOMS) Part II: Treatment and Prevention. Sportverletzung-Sportschaden, 33(1), 21-29.

Heiß, Rafael, et al. "Advances in Delayed-Onset Muscle Soreness (DOMS) Part II: Treatment and Prevention." Sportverletzung-Sportschaden 33.1 (2019): 21-29.


Last updated on 2019-01-04 at 09:23