Why exercise recovery hurts – and what helps

Professor David Cameron-Smith explains the science of post-workout soreness.

Even if you’re a regular exerciser,  there’s a chance you have experienced the deep ache of muscle soreness that can last for days. The pain experience can vary depending upon the exercise – from ‘it’s painful just to get dressed’ through to the discomfort of sitting down and the absolute torture of navigating a set of stairs.

The pain is all part of the normal inflammatory response of the muscles to intense or unfamiliar exercise and is definitely part of the ‘gain’ experienced with intense exercise training. The enduring question is whether it’s possible to have gain without the pain.

Why do muscles become sore?

Each muscle consists of many tiny fibres, known as myofibres, which are bunched together. These many myofibres are activated by nerves to contract in unison.

The muscle then shortens, pulling on tendons, which in turn are connected to joints. Many hundreds of myofibres contract the whole muscle, pulling on the tendons and the joint bends.

Each repeated contraction of these tiny myofibres can damage their cell wall. Under a microscope, the muscles of people who have just completed a marathon show extensive tears to most myofibres. Each of these tears, known as a micro-tear, is muscle damage that needs to heal.

The healing process of micro-tears is not well understood. The myofibres themselves begin the repair process by releasing a range of chemicals that attract and activate the circulating immune cells.

Within 12 hours, damaged muscle will swell with many more white blood cells. Immune cells are important for fighting infections, but they also help tissues repair, often by destroying broken pieces of cells. These immune cells also cause swelling and release chemicals that cause pain. This is the pain that is felt during
exercise recovery.

“Typically the pain of exercise is not experienced until the day after and can last for three days or more. This exercise recovery pain is known as delayed onset muscle soreness (DOMS).”

Delayed pain

The immune and recovery responses take a while to get going, but within 24 hours, and generally not more than three days after exercise, the immune cells and the myofibres themselves are hard at work trying to repair.

Typically the pain of exercise is not experienced until the day after, and can last for three days or more. Because of its delayed appearance, exercise recovery pain is known as delayed onset muscle soreness (DOMS).

6 recovery strategies to try

1. Assess the pain

Before getting back into exercise again, take a moment to evaluate the pain. If pain is uncharacteristically intense or localised, chances are it’s more than microtears. Muscle and tendon tears are not uncommon and take specialist care and intervention to help with recovery. If  pain persists, seek further professional  advice.

2. Build back slowly

Beyond just the  pain, DOMS also reduces the strength of the muscles. This is part of the body’s  natural protective mechanisms to try to limit further damage. Listen to your body and step your exercises up again slowly.

3. Stretch and massage

There is no clinical proof that stretching or massage help the muscles repair any faster, but a gentle stretch and a skilled masseur can definitely make it feel a whole lot  better.

4. Eat and drink

Tissue repair is an  energy demanding process. Adequate fuel and water to supply energy and maintain the optimal environment can only help. Protein is particularly important to supply the amino acids required for rebuilding and can speed recovery.

5. Limit anti-inflammatories and antioxidant supplements 

Anti-inflammatories and antioxidants dampen the activity of the immune system. These might take away some of the pain, but they also slow the repair process.

6. Training

Each time an exercise is performed, the amount of muscle damage gets a little less and the inflammation is reduced. So the best strategy to avoid muscle soreness is to get out and do it again, and again.

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