Why Your Muscles Are Sore — and When to Be Concerned

Why Your Muscles Are Sore — and When to Be Concerned

2026-05-24 · 6 min read

Delayed onset muscle soreness — DOMS — is the aching, stiff, tender feeling in muscles that peaks 24–72 hours after exercise. Almost everyone who works out has experienced it, but many people misunderstand what it means and what to do about it.

What Actually Causes DOMS

The old explanation was lactic acid buildup — this is incorrect. DOMS is caused by microscopic damage to muscle fibres and the surrounding connective tissue, primarily from eccentric contractions (the lowering phase of a squat, the descent of a bicep curl). This triggers an inflammatory response as the body repairs and adapts the tissue.

Is Soreness a Sign of a Good Workout

No. This is one of fitness's most persistent myths. Soreness indicates your muscles were exposed to novel stress — but as your body adapts, the same effective workout produces less soreness. Elite athletes with highly optimised programmes often experience minimal DOMS. Soreness is an indication of novelty, not quality.

Normal vs Warning Signs

  • Normal: general achiness and tenderness in specific muscle groups, peaking at 48–72 hours and resolving within 5 days
  • Investigate: acute sharp pain during exercise — this is injury, not soreness
  • Investigate: severe swelling or pain in a joint (rather than a muscle belly)
  • Urgent: dark brown or cola-coloured urine after intense exercise — this is rhabdomyolysis and requires emergency care
  • Investigate: soreness that doesn't resolve within 7 days

How to Manage DOMS

  • Active recovery: light movement (walking, swimming) increases blood flow and reduces soreness duration
  • Cold water immersion can reduce acute inflammation and perceived soreness
  • Massage and foam rolling provide symptomatic relief
  • Sleep: most tissue repair happens during deep sleep — prioritise it
  • Protein: adequate intake supports the repair process
  • Progressive loading: gradually increasing training load reduces severe DOMS over time
The best prevention for DOMS is gradual progression — never increase your total training volume by more than 10% per week. If you're returning after a break, start at 50% of your previous volume. The two-week rule: it takes about two weeks of consistent training for DOMS to substantially diminish for any new movement.

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