Can You Work Out With Delayed Onset Muscle Soreness (DOMS)?

Delayed Onset Muscle Soreness (DOMS) is a common physiological response that follows unaccustomed or intense physical activity. This muscle pain typically begins 12 to 24 hours after exercise and peaks between 24 and 72 hours. The generalized stiffness and dull aching are not caused by lactic acid buildup. Instead, DOMS results from microscopic damage (micro-tears) to muscle fibers, particularly after eccentric contractions. This microtrauma triggers an inflammatory response as the body repairs and adapts the muscle tissue.

Differentiating Soreness from Injury

To decide whether to train, distinguish benign DOMS from a serious muscle strain or injury. DOMS presents as a generalized, dull ache and tenderness across the worked muscle group. While it can cause stiffness and temporary weakness, the pain should not be sharp, and it should not significantly limit your range of motion.

A true muscle injury, such as a strain or tear, necessitates immediate rest and professional evaluation. Symptoms include a sharp or sudden pain felt during the activity itself, pain localized to a specific point, or discomfort focused on a joint or tendon. Immediate swelling, bruising, or pain that makes normal functions like walking or lifting difficult are also red flags. If pain does not begin to lessen after a few days or if it worsens, it requires medical attention.

Strategies for Active Recovery

If the discomfort is confirmed to be DOMS, active recovery is beneficial compared to complete rest. Active recovery involves light, low-intensity movement that helps alleviate stiffness and soreness without causing further muscle damage. The gentle movement increases blood circulation to the sore muscles, which helps deliver oxygen and nutrients necessary for repair. Increased blood flow also assists in flushing out metabolic byproducts that contribute to the pain sensation.

Suitable active recovery activities include walking, light cycling, or swimming. Intensity should be kept very low, ideally around 50-60% of your maximum effort, to avoid adding stress to the recovering tissues. A practical strategy is to train muscle groups that are not affected by DOMS, such as an upper-body workout if your legs are sore, or vice versa. It is important to avoid eccentric exercises—the lengthening phase of a movement, like the lowering portion of a squat—on the affected muscles, as this type of loading is the primary cause of the microtrauma that leads to DOMS.

Optimizing Muscle Repair

Beyond light movement, supporting the body’s natural healing mechanisms through non-exercise factors minimizes the duration of DOMS. Quality sleep is a significant component of recovery, as the body releases growth hormone during the deeper stages of sleep, which is essential for tissue growth and muscle repair. Aiming for a minimum of seven hours of uninterrupted sleep provides the necessary window for these regenerative processes to occur.

Nutrition also plays a direct role in muscle repair, with protein providing the amino acids needed to rebuild the damaged muscle fibers. Consuming 20 to 40 grams of protein post-exercise stimulates muscle protein synthesis. Adequate hydration is equally important, as water makes up a large percentage of blood volume and is necessary for efficient nutrient transport and waste removal. Passive methods can also provide temporary relief, such as using a foam roller or receiving a light massage to increase local circulation and reduce tightness.