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This is because the delayed-onset muscle soreness (DOMS) we all know and love is caused by microtrauma to muscle architecture when muscles lengthen eccentrically under load. The term "flesh-eating bacteria" is being bandied around these days, but the reality is that the actual cause of DOMS in humans is still unclear. To better understand the root cause of DOMS, let's take a look at the four main theories about it. In layman's terms: The first is that DOMS is part of the normal aging process. This is because it's typically accompanied by decreased testosterone levels and a decreased ability to train hard. This theory argues that DOMS is not necessarily associated with an underlying muscle deterioration. That is, a sore muscle may not be bad because it's actually the "normal" aging process that's causing the muscle weakness — though you can have the worst case scenario where DOMS is due to damage to the normal process. Advertisement - Continue Reading Below Advertisement - Continue Reading Below The second theory is that DOMS is just one of many symptoms that patients may experience after an injury, and that DOMS is merely an uncomfortable part of the healing process. The idea is that if you are still sore after the injury, you are not getting an overall functional recovery but rather you are just feeling the soreness as an unpleasant, temporary inconvenience for your recovery. (Again, here your best bet, from the research, is that this theory may be wrong but that even if it is, the problem will not be structural in nature. A DOMS sore might just be a bit of inflammation.) The third theory is that DOMS is simply a result of "rehabilitation," or that the muscle damage caused by a long-term injury is just "rehabbing," not really contributing to muscle loss as we typically see with chronic injuries. The idea is that most chronic injuries (such as an ACL or MCL) heal just as quickly during the course of the season as a simple minor soreness. Fourth, and perhaps most important, DOMS is a symptom of the underlying pathology of the muscle to which we are trying to put our strength training. That is, the muscle that is sore is basically the same muscle that is working overtime to compensate for a mechanical impairment — namely, increased muscular failure through muscle failure — and therefore DOMS is not necessarily in line with such a mechanical impairment. (As with mechanical impairments, these impairments can, in principle, include muscular pathology, muscle scarring, or other tissue damage that can be associated with a DOMS sore.) If your muscle soreness comes and goes Related Article:

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