What to Take for Sore Muscles: What Actually Works

For everyday muscle soreness after exercise, a combination of adequate protein, anti-inflammatory foods, and the right topical treatment will do more for recovery than popping painkillers. The best approach depends on whether you’re dealing with general post-workout soreness, cramping, or lingering tightness, and each responds to different remedies.

Why NSAIDs May Not Help as Much as You Think

Ibuprofen and similar anti-inflammatory drugs are the go-to for most people with sore muscles, but the evidence behind them is surprisingly weak. A 2024 randomized, double-blind study tested single doses of three different anti-inflammatory medications against a placebo before a high-intensity plyometric session. None of the drugs reduced muscle soreness or improved performance compared to the placebo. The researchers concluded that athletes may not benefit from taking these drugs to prevent or treat exercise-related discomfort.

That said, anti-inflammatories can still take the edge off acute pain when soreness is interfering with your day. If you reach for them, use them sparingly. One interesting wrinkle: a 12-week study in trained men found that daily anti-inflammatory use actually increased muscle growth compared to a placebo group (8.6% vs. 3.9% increase in muscle size), but this didn’t translate into greater strength gains. The takeaway is that occasional use for pain relief is fine, but relying on these drugs as a recovery strategy doesn’t hold up.

Protein: The Most Important Thing You Can Take

Muscle soreness is essentially your body repairing tiny tears in muscle fibers, and protein provides the raw materials for that repair. Eating 15 to 25 grams of protein within two hours after exercise stimulates muscle growth and recovery. Studies show that about 20 grams in that post-workout window is the sweet spot. Going above 40 grams in a single sitting doesn’t appear to provide any additional benefit.

For your total daily intake, the American College of Sports Medicine recommends 1.2 to 1.7 grams of protein per kilogram of body weight if you exercise regularly. For a 150-pound person, that works out to roughly 82 to 116 grams per day. A practical daily target for macronutrients is about 30% of calories from protein, 30% from fat, and 40% from carbohydrates. Getting enough protein consistently matters more for reducing soreness over time than any single supplement.

Tart Cherry Juice

Tart cherry juice is one of the better-studied natural remedies for muscle soreness, thanks to its high concentration of anthocyanins, pigments with strong anti-inflammatory properties. The common dosage across most research is the equivalent of about 50 cherries per serving, taken twice a day. In practice, that’s typically 8 to 12 ounces of a tart cherry juice blend in the morning and again in the evening.

Most study protocols start the juice several days before intense exercise and continue for a day or two after. Marathon runners in one study drank two 8-ounce bottles daily for five days before the race, on race day, and for two days following it. You don’t need to plan that far ahead for a regular gym session, but starting a day or two before a particularly hard workout and continuing for a couple of days after gives the best results. Look for tart (Montmorency) cherry juice specifically, not sweet cherry varieties.

Curcumin Supplements

Curcumin, the active compound in turmeric, reduces exercise-induced muscle damage and inflammation at doses between 150 and 1,500 mg per day. A systematic review of studies in physically active people found that taking curcumin before, during, and up to 72 hours after exercise improved recovery. The catch is that curcumin on its own is poorly absorbed. Look for formulations that include black pepper extract or are labeled as “phytosome” forms, which dramatically improve how much your body actually takes in.

A reasonable starting dose is around 400 to 500 mg per day, split into two doses. Unlike anti-inflammatory drugs, curcumin has very few side effects at these levels, making it a solid option for people who work out frequently and want ongoing support for recovery.

Magnesium for Cramps and Tightness

If your muscle soreness comes with cramping, stiffness, or trouble sleeping after hard workouts, low magnesium could be part of the problem. Symptoms of magnesium deficiency include fatigue, weakness, muscle cramps, and poor sleep, all of which overlap with what people attribute to tough training.

The recommended daily intake is 400 to 420 mg for adult men and 310 to 320 mg for adult women. Many people don’t hit these numbers through food alone. Magnesium glycinate has become the most popular supplement form because it’s easier on the stomach than other types. Other forms like magnesium citrate or oxide are more likely to cause loose stools. If cramping is your main complaint, correcting a magnesium shortfall can make a noticeable difference within a week or two.

Topical Treatments for Targeted Relief

When soreness is concentrated in a specific area, topical treatments can provide faster, more localized relief than anything you swallow. The three main categories work differently.

  • Menthol-based products (Icy Hot, Tiger Balm, Biofreeze) create a cooling or warming sensation that overrides pain signals. They work well for cramps, muscle strains, sprains, and general soreness. These are the most versatile option for post-workout use.
  • Capsaicin creams use the same compound that makes chili peppers hot. Applied to the skin, capsaicin is effective for muscle pain and arthritis. Over-the-counter concentrations are low (0.025% to 0.075%), but some people find even these cause an uncomfortable burning sensation that takes getting used to.
  • Lidocaine patches and creams numb the area directly. Nonprescription patches go up to 4% concentration. These are better suited for nerve-related pain or very localized, intense spots of soreness rather than broad muscle aches.

For general post-workout soreness spread across large muscle groups, menthol-based products are the most practical choice. Capsaicin works better for recurring pain in the same spot, since its effects build with repeated application over several days.

When Soreness Signals Something Serious

Normal post-exercise soreness peaks 24 to 72 hours after a workout and gradually fades. Rhabdomyolysis is a rare but dangerous condition where muscle tissue breaks down rapidly and releases proteins into the bloodstream that can damage the kidneys. The CDC lists three key warning signs: muscle pain that feels more severe than expected, dark tea- or cola-colored urine, and sudden weakness or inability to complete tasks you could normally handle. You can’t distinguish rhabdomyolysis from severe soreness by symptoms alone. It requires a blood test. If you notice dark urine after an unusually intense workout, especially one involving movements you’re not accustomed to, get medical attention quickly. Early treatment makes a significant difference in outcomes.