<p>The distinction between delayed onset muscle soreness (DOMS) and exercise-induced muscle damage (EIMD) has long been blurred in both academic literature and clinical discourse. This discussion argues for a&#xa0;clearer conceptual separation between the two, emphasising their distinct mechanisms, clinical implications, and roles in exercise adaptation. Rather than treating DOMS as a&#xa0;proxy for structural damage, we propose reframing it as a&#xa0;neurophysiological event largely independent of true muscle injury. Clarifying these terms is essential not only for scientific precision but also for guiding rehabilitation practices, athlete education, and communication strategies.</p>

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Redefining muscle recovery: distinguishing delayed onset muscle soreness from exercise-induced muscle damage

  • Roberto Tedeschi

摘要

The distinction between delayed onset muscle soreness (DOMS) and exercise-induced muscle damage (EIMD) has long been blurred in both academic literature and clinical discourse. This discussion argues for a clearer conceptual separation between the two, emphasising their distinct mechanisms, clinical implications, and roles in exercise adaptation. Rather than treating DOMS as a proxy for structural damage, we propose reframing it as a neurophysiological event largely independent of true muscle injury. Clarifying these terms is essential not only for scientific precision but also for guiding rehabilitation practices, athlete education, and communication strategies.