Health Conditions A – D

Delayed Onset Muscle Soreness (DOMS)

Delayed Onset Muscle Soreness or DOMS is the pain and stiffness that the muscle experiences shortly to several days after a severe exercise session, especially when undergoing training that is new to the body.  The soreness could last from up to 24 to 72 hours.  DOMS can affect anyone from an experienced triathlete to a young child performing a new activity at school. 


The characteristics of DOMS is anywhere from an uncomfortable to excruciating soreness that is experienced within several hours to several days of exercising.  You can have difficulty doing normal daily deeds and some may feel discouraged to go back to the gym due to the unexpected pain that it’s caused.  Other symptoms include swelling of the affected limbs, stiffness of the joints and in a rare and severe case for the muscles to breakdown too much that the kidneys may be put at risk. 


DOMS is caused by many factors such as:

  • The pain comes from the loading of the muscles when the muscles go through an eccentric movement such as running downhill or performing push-ups.  Small microscopic tears are made in the muscle, which couples with inflammation that causes the pain.  
  • Athletic conditioning
  • Age:  younger athletes are still in their phase of development, therefore may be susceptible to DOMS as their body adapts.  More senior athletes may experience a prolonged recovery due to their age. 

The Orthodox Approach

To help prevent DOMS, many experts advise a proper warm up before you exercise regime as well as gradually intensifying your workouts rather than performing an activity too extreme too quickly.  The treatment focusing on easing the symptoms will include taking pain and inflammation relief medication such as paracetamol or iboprofen.  Others include ice pack application.

The IMI Approach

The Osteopathy Approach

Osteopathy is a natural, drug-free, and gentle manual medicine, guided by the principle that changes to the correct structure of the body can greatly affect its normal movement, leading to decreased function and pain.  All techniques are used to help, treat, and strengthen the musculoskeletal framework, which includes the joints, muscles, and spine.  Its aim is to positively affect the body’s nervous, circulatory, and lymphatic system to help the recovery and prevention of DOMS. 


Acupuncture is the healing system based on ancient knowledge and Taoist understanding of energy principles and anatomy.   Acupuncture aims to restore the flow of vital energy in the body for healing and revitalization.  Minuscule, hair-thin, sterile needles are used on the acupuncture points in order to re-establish the flow of energy, thereby correcting imbalances, restoring health, and encouraging the body’s innate ability to heal itself and maintain optimal levels of wellness.  Acupuncture is therefore a vital treatment option for those wanting to tap into their body’s own healing power to overcomes the excruciating pain caused by DOMS.