Orthopedics Sports Injuries Overuse Injuries Treating Muscle Soreness After Exercise By Jonathan Cluett, MD Updated on January 19, 2020 Medically reviewed by Stuart Hershman, MD Print Medical and fitness professionals call sore muscles after exercise delayed onset muscle soreness (DOMS). It's a common complaint of many athletes, but also of anyone who puts their muscles to greater use than is typical for them. The condition stems from exercise-induced muscle damage, or inflammation of the muscle as a result of microtears of muscle fibers. Many treatment options exist for muscle pain relief. Patrik Giardino / Getty Images DOMS sets in the day after hard exercise, typically after a night's sleep, and peaks from 24 to 72 hours after activity before subsiding. Symptoms can include muscle aches, as well as swelling and stiffness. Severity can range from annoying to painful. Treatment focuses on reducing inflammation and allowing the sore muscle to heal properly. Some treatments recommended for muscle soreness have a scientific basis, others do not. Even those commonly used by athletes may not have been well studied, though some may swear by them. Here are some common treatments and the rationale for their effectiveness. Rest Jeannot Olivet / Getty Images The simplest and most reliable treatment for sore muscles is rest. This allows microtears in the muscle fibers to heal, which makes the muscle stronger. Most people with muscle soreness improve with no specific treatment within five to seven days. Active Recovery Getty Images / Christopher Futcher Many active people, particularly competitive athletes, don't like to rest as long as recommended, however. In such cases, active recovery may be an option. Active recovery means performing less-intense exercise while recovering from an aggressive workout. It's helpful to do a different activity than what you did to get sore. Active recovery stimulates blood flow to the muscles and may help reduce muscle pain while maintaining an athlete's conditioning. The key is "light" so as to not do further damage to damaged muscles. Ice nolimitpictures / Getty Images Treating inflammation with ice application is common and most effective when initiated in the first 48 hours of exercise-induced muscle soreness, and probably less effective thereafter. Cold water immersion (ice bath) has also become a common recovery method for athletes, with some research showing it to be effective against DOMS. How to Ice Properly Massage Science Photo Library / Getty Images Massage is thought to stimulate blood flow to sore areas and diminish swelling within the muscle. One technique that many athletes enjoy is foam rolling, a type of self-massage where you use a high-density styrofoam roll to place body weight pressure on the muscles for a type of myofascial release. Many find this relaxes and stretches affected muscle groups. Gentle Stretching microgen / Getty Images Studies have shown that stretching probably does not make a difference in preventing or reducing muscle soreness. That said, many athletes find a stretching routine to be their key to quick recovery, and there is no evidence that stretching is harmful or contributes to muscle soreness. If you want to try some gentle stretching, it may help and probably won't hurt. Anti-Inflammatory Medications Sigrid Gombert / Getty Images Anti-inflammatory medications like ibuprofen can help relieve some of the discomforts of muscle soreness, but will not affect the length of time needed for muscle recovery. Early administration of anti-inflammatory medications may bring the best results. Heat Tetra Images/Getty Images Heat application can help relax a tense, stiff muscle. When participating in active recovery, heat application before exercise can also help ensure the muscle is warm and loose. Topical Creams Eric Audras / Getty Images Topical analgesic heat rubs include Aspercreme, BenGay, and IcyHot. These medications are called counterirritants and do not actually warm the muscle, but rather cause the sensation of warmth and/or cooling of the skin. These rubs have no effect on the muscle and do not change the temperature of the skin. Rather, they can encourage the perception of pain relief by essentially distracting from the underlying issue. The application of these topical creams is fine, but use caution as the medication can be absorbed into the body. Don't use topical analgesic products with heat applications, as severe skin burns can result. Smart Eating Guido Mieth / Getty Images Research continues to show that what you eat can have positive effects on muscle soreness. Examples: Caffeine an hour before a workout and the day after may help reduce DOMS symptoms. Don't overdo it, however. Eight ounces of coffee will suffice.Omega-3 fatty acids (fish and fish oil supplements) have anti-inflammatory properties that could decrease DOMS.Polyphenols, antioxidants found in fruits and veggies, can also deliver anti-inflammatory effects against DOMS. 7 Sources Verywell Health uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy. Cheung K, Hume PA, Maxwell L. Delayed Onset Muscle Soreness. Sports Medicine. 2003;33(2):145-164. doi:10.2165/00007256-200333020-00005 Hohenauer E, Costello JT, Deliens T, Clarys P, Stoop R, Clijsen R. Partial-body cryotherapy (-135°C) and cold-water immersion (10°C) after muscle-damage in females. Scand J Med Sci Sports. 2019; doi:10.1111/sms.13593 Guo J, Li L, Gong Y. 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J Exerc Rehabil. 2014;10(6):349-56. doi:10.12965/jer.140179 Additional Reading Peake JM, Neubauer O, Della gatta PA, Nosaka K. Muscle damage and inflammation during recovery from exercise. J Appl Physiol. 2017;122(3):559-570. doi:10.1152/japplphysiol.00971.2016 By Jonathan Cluett, MD Dr. Cluett is board-certified in orthopedic surgery. He served as assistant team physician to Chivas USA (Major League Soccer) and the U.S. national soccer teams. See Our Editorial Process Meet Our Medical Expert Board Share Feedback Was this page helpful? Thanks for your feedback! What is your feedback? Other Helpful Report an Error Submit