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

Delayed Onset Muscle Soreness (DOMS) describes the muscle pain and stiffness that commonly begins between 24 and 72 hours following unaccustomed or intense physical activity. This temporary discomfort is a normal physiological response to challenging the body beyond its usual limits, often peaking around the two-day mark. For active individuals, the onset of this soreness immediately raises the question of whether it is safe or beneficial to continue with a planned workout schedule. Determining the right course of action requires understanding the underlying biological process and applying sensible training modifications.

The Physiological Basis of Muscle Soreness

DOMS results from mechanical stress placed on muscle fibers, leading to microscopic tears (micro-trauma). This damage is most pronounced following eccentric contractions, which occur when a muscle lengthens while under tension, such as lowering a weight or running downhill. The body initiates a localized inflammatory response to repair these minute injuries. This repair process involves an influx of white blood cells, fluid, and other substances, causing the characteristic swelling and tenderness associated with DOMS.

This mechanism is distinct from the old theory that attributed soreness to lactic acid buildup. Lactic acid, a byproduct of intense exercise, is typically cleared from the muscles and bloodstream within an hour after a workout ends. Therefore, it cannot be responsible for the pain that appears a full day or more later. The soreness you feel is a sign that the muscle is undergoing remodeling to become stronger and more resilient.

Guidelines for Training with DOMS

Training with muscle soreness depends on the severity of the symptoms. Light movement may help alleviate mild stiffness, but intense exercise is counterproductive and increases injury risk. If the soreness is a dull ache that allows a full range of motion, a modified workout is acceptable. Differentiate this mild discomfort from severe or sharp pain, which demands immediate rest.

To determine readiness, assess your ability to maintain proper form. If soreness compromises form, significantly limits joint range of motion, or alters your natural gait, resting the affected muscle group is mandatory. Training intensely while severely sore introduces injury risk because compromised muscle fibers and reduced strength performance lead to compensatory movements. These altered patterns place stress on ligaments and tendons, increasing the likelihood of an acute strain or tear. Ignoring sharp or stabbing pain, as opposed to the generalized ache of DOMS, may also indicate a more serious injury.

Recommended Active Recovery and Modification Techniques

For mild DOMS, active recovery is often more beneficial than complete rest, as it promotes blood flow. Light aerobic activities are excellent choices, such as a gentle walk, low-intensity cycling, or swimming. Increased circulation delivers oxygen and nutrients to the muscles while aiding in the removal of metabolic waste products, which reduces stiffness. This movement should be low-impact, maintaining a conversational pace throughout the duration.

If you train, employ specific modifications to protect sore muscles. The primary strategy is to focus on training opposing, non-sore muscle groups; for instance, if your legs are sore, a light upper-body or core workout is a safe alternative. When training the affected area, dramatically reduce the load and intensity, opting for lower resistance and higher repetitions to emphasize blood flow over fiber damage. High-intensity training, such as HIIT or plyometrics, should be avoided entirely until the soreness subsides, as these activities place excessive stress on compromised tissue.

Beyond movement, several non-exercise aids support recovery. Ensuring adequate hydration and consuming a balanced diet with sufficient protein intake is necessary for muscle repair and regeneration. Getting seven to nine hours of quality sleep each night is important, as this is when the body performs the majority of its repair work. Techniques like foam rolling, gentle stretching, and self-massage can temporarily relieve tightness by increasing local blood flow.