Introduction: Delayed onset muscle soreness (DOMS) is muscle pain and discomfort
experienced approximately one to three days after exercise. DOMS is thought to be a result of
microscopic muscle fiber tears and is more common after eccentric exercise (the muscle must
lengthen or remain the same length against a weight) rather than concentric exercise (the
muscle can shorten against a weight load). While DOMS is not a disease or disorder, it can be
painful and is a because of the presence of pain and other possible debilitating performance
factors, preventing or minimizing the effects of DOMS should be a concern for coaches, athletic
trainers, physical therapists, and other sports medicine personnel concern for athletes
because it can limit further exercise in the days following an initial training. Management:
Amir H Bakhtiary through their work concluded that vibration therapy before eccentric
exercise may prevent and control DOMS, whereas Lori A. Kuligowski, MS. et al concluded that
cold whirlpool and contrast therapy are more effective than warm whirlpool or no treatment in
alleviating delayed-onset muscle soreness in the elbow flexors However Zainal Zainuddin et al.
concluded that massage was effective in alleviating DOMS approximately 30% and reducing
swelling, but it had no effects on muscle function. Conclusion: In the aspect of treatment
exercise works more effectively in reducing DOMS than heat, topical remedies containing
methanols or camphors, or anti-inflammatory drugs