CONCERN: Post-Workout Soreness (DOMS)
Post-workout soreness, also known as delayed onset muscle soreness or DOMS, can cause muscle soreness, stiffness, tenderness, fatigue, reduced range of motion, and discomfort after weight training, running, sports, high-intensity workouts, or new exercise routines. Massage therapy may help support recovery by improving circulation, reducing muscle tension, promoting relaxation, and helping athletes and active individuals feel more comfortable between training sessions.

What Is Post-Workout Soreness?
Post-workout soreness, commonly called delayed onset muscle soreness or DOMS, is muscle soreness that develops after exercise, especially when the body is exposed to a new workout, higher training intensity, heavier weight, increased volume, running hills, sprinting, eccentric loading, or unfamiliar movements.
DOMS is different from the burning or fatigue felt during exercise. It usually develops gradually after the workout and is often felt most strongly within the first few days. Cleveland Clinic describes DOMS as muscle pain after intense exercise that typically begins one to three days after a workout, especially after a new or harder activity.
This soreness is part of the body’s adaptation process. During challenging training, especially eccentric movements where a muscle lengthens under tension, small amounts of muscle and connective tissue stress can occur. The body responds by repairing and adapting those tissues so they can better tolerate similar training in the future. Eccentric exercise is commonly associated with greater muscle micro-injury and DOMS compared with other types of muscle activity.
For athletes and workout enthusiasts, DOMS is common after strength training, running, CrossFit-style workouts, HIIT, plyometrics, sports training, cycling, heavy leg days, new exercise programs, or returning to training after time away.
Individuals May Experience
Muscle soreness or tenderness
Stiffness after exercise
Reduced range of motion
Discomfort when moving, stretching, squatting, reaching, or walking
Fatigue in the affected muscles
Tightness after weight training, running, or sport
Soreness that appears the day after a workout
Difficulty with stairs after leg training
Shoulder, chest, or arm soreness after upper-body workouts
Calf, quad, hamstring, or glute soreness after running or lower-body training
Reduced performance during the next workout
A feeling of heaviness or weakness in the trained muscles
Soreness that improves gradually with light movement
DOMS is common, but severe pain, major swelling, dark urine, extreme weakness, or symptoms that feel very different from normal soreness should be medically assessed.
What Contributes to Post-Workout Soreness?
Several factors may influence post-workout soreness, including:
New or increased training intensity
Eccentric muscle loading, such as lowering weights or running downhill
Heavy strength training
High training volume
Sprinting, jumping, plyometrics, or HIIT
Lack of recovery between sessions
Muscle fatigue
Changes in training frequency
Returning to exercise after time away
Poor sleep or inadequate recovery
Dehydration
Inadequate protein or overall nutrition
Low carbohydrate intake around intense training
Electrolyte loss through sweating
Training the same muscle groups too frequently
DOMS often occurs when training demand exceeds what the muscles are currently adapted to tolerate. This does not always mean injury. However, if soreness is excessive and recovery is poor, it can interfere with training quality, movement mechanics, and performance.
For athletes, runners, and gym-goers, managing soreness is important because training through excessive fatigue can increase compensation patterns. A sore lower body may affect running mechanics, squat form, jumping control, or sport performance. Sore shoulders or arms may alter lifting technique or overhead movement. Proper recovery helps the body adapt without repeatedly overloading the same tissues.
Why Recovery Matters for Athletes and Workout Enthusiasts
Recovery is when the body adapts to training. The workout provides the stimulus, but recovery is where repair, rebuilding, and performance improvements occur. Without enough recovery, the body may remain in a fatigued state, which can reduce strength, coordination, mobility, and training quality.
Recovery is especially important for:
Strength training
Running and endurance training
Sports performance
High-intensity interval training
Competitive athletes
Recreational athletes
People increasing training volume
Individuals returning after injury or time off
Poor recovery may contribute to persistent soreness, reduced performance, increased injury risk, poor sleep, irritability, and recurring tightness. ACSM notes that the body naturally repairs itself after exercise and that nutrition, hydration, and sleep can support that process.
The Role of Diet and Hydration
Massage therapy can support recovery, but recovery also depends heavily on what the body has available to repair tissue. Hydration, electrolytes, protein, carbohydrates, and overall nutrition all matter.
Important recovery factors may include:
Drinking enough fluids before and after training
Replacing fluids lost through sweat
Supporting electrolyte balance, including sodium, potassium, calcium, and magnesium
Eating enough protein to support muscle repair
Eating enough carbohydrates to restore muscle glycogen after harder training
Including nutrient-dense foods that support overall recovery
Prioritizing sleep and rest between intense sessions
Hydration supports circulation, muscle function, and tissue recovery. Electrolytes are involved in muscle contraction and relaxation, which can matter for people who sweat heavily or train intensely. Nutrition research also continues to explore how different dietary strategies may influence DOMS and recovery, although results can vary depending on the person and training demands.
How Massage Therapy May Help
Massage therapy may help support recovery following exercise by reducing muscle tension, improving comfort, and promoting relaxation between training sessions. For athletes and active individuals, massage can be part of a recovery routine that helps the body feel less restricted and better prepared for future activity.
Massage therapy may include:
Improving circulation to sore muscles
Reducing muscle tension and stiffness
Supporting recovery between workouts
Promoting relaxation of fatigued tissues
Enhancing overall comfort
Addressing tightness in heavily trained muscle groups
Reducing protective guarding after intense activity
Supporting tissue mobility and flexibility
Helping improve ease of movement after training
Supporting nervous system relaxation after high-intensity exercise
A large review on post-exercise recovery methods found massage to be one of the recovery strategies with beneficial effects on delayed onset muscle soreness and perceived fatigue after exercise.
Massage therapy does not replace sleep, nutrition, hydration, or proper training progression. However, it may help reduce the intensity of soreness, support comfort, and improve recovery quality when combined with good training habits.
Massage Therapy for Different Types of Training
Post-workout soreness can show up differently depending on the activity.
For strength training, massage may focus on areas such as:
Quads, hamstrings, glutes, and calves after leg training
Chest, shoulders, and arms after upper-body workouts
Back and hips after deadlifts, squats, or compound lifts
For runners and endurance athletes, massage may focus on:
Calves
Hamstrings
Quads
Glutes
Hip flexors
Feet and lower legs
For sport athletes, massage may support:
Recovery between practices and games
Reduction of tightness after repeated sprinting or cutting
Comfort after contact, jumping, or high-volume training
Soft tissue recovery during heavy training blocks
The goal is to help reduce unnecessary muscular tension and support better movement quality between sessions.
Book an Assessment
If post-workout soreness is affecting your training, recovery, mobility, or performance, massage therapy may help support your recovery process.
A massage therapy assessment can help identify whether your soreness may be related to training volume, muscle tension, poor recovery, dehydration, nutrition habits, repetitive strain, or soft tissue restriction.
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