Lesson 2:-
Delayed onset muscle soreness (DOMS) is a term used to describe the muscle pain felt after a training session. While this is a normal phenomenon, it can be quite significant and can limit a player’s ability to play or train. The pain typically starts 12 hours after exercise, peaks at 24-48 hours and is finished after about five days. It is generally associated with eccentric exercise or with unaccustomed exercise. Running downhill is a common cause.
Examination: Clinical signs might include finding painful and tender muscles, swelling and increased muscle girth, reduced passive stretch and reduced muscle strength. Exercise performance while suffering from DOMS may also be reduced.
Investigations: No investigations are typically required. Following exercise, especially eccentric exercise, there is an increase in creatine kinase (CK). This is normal. The magnitude of this increase is very variable and so the absolute total is not useful for predicting severity. The peak CK value occurs two days after activity and is gone after 5-7 days.
Treatment: Symptomatic treatment can help for acute episodes. Passive stretching, massage and other soft-tissue techniques can all provide symptom relief. Cold water immersion (ice baths) are also widely used – despite there being little evidence to support the efficacy of this practice. 4 Simple analgesia can also be used in some cases. Explaining that these symptoms are benign and outlining ways in which future episodes can be prevented is also important.
As with cramping, DOMS can also be prevented. The best strategy is training. If a player starts regularly participating in the type of exercise that has caused their symptoms, the probability of developing DOMS is dramatically reduced. Ensuring that the player warms up appropriately prior to training is also important.
Thank you for reading. Keep supporting me given below link.
Jatin Tyagi 