Ouch! What To Do When You Hit The Gym TOO Hard

Now I love a good "beast mode" work out as much as the next girl, but sometimes I over do it and before I know it, that "good" burn turns into "oh my gosh I can't move!"  For instance, yesterday I could barely walk due to an awesome leg session the other day, and I was definitely paying the price!

This needs to happen, for real though...

But from my pain, came a little inspiration! So here's the scoop on that pesky next-day misery and what you can do to ease the suffering.

What is it? Delayed onset muscle soreness (DOMS),  is the pain and stiffness felt in muscles several hours to days after unaccustomed or strenuous exercise.
The soreness is felt most strongly 24 to 72 hours after the exercise.

What causes it? One big misconception is that DOMS is the result of lactic acid build up within the muscle, however this is not the case. Blood lactate levels return to resting levels within one hour of exercise, even after intense workouts. Instead, DOMS is the result of microscopic tearing of the muscle fibers and the accompanied inflammation. The amount of tearing (and soreness) depends on how hard and how long you exercise and what type of exercise you did. Eccentric muscle contractions seem to more closely associated with DOMS than concentric movements. Going down stairs, running downhill, the lowering of weights and the downward motion of squats, lunges and push-ups are all examples of eccentric movements.

How to ease the pain:
Ibuprofen - This reduces inflammation within the body.  Ibuprofen has been known to be harsh on the liver with prolonged use, so you don't want to make it a habit. It's best to consult with your doctor to ensure you are able to safely take ibuprofen since it should be avoided with some medical conditions.

Warm soak with Epsom salt - The warmth increases blood flow to the affected muscles, a treatment shown in several studies to reduce the pain associated with DOMS. Adding some Epsom salt to the water will also bring down any inflammation.

Massage/Foam Rolling - If you have someone on hand nice enough to give you a nice massage, a gentle but firm massage of the area will help loosen up any stiffness and increase blood flow.  If no one is around to lend a hand (literally, hahaha), most gyms come equipped with foam rollers, or they can be purchased at most mega-stores (Wal-Mart, Target, Ross, Marshalls) and sports stores. Essentially, you just slowly roll the sore area back and forth against the roller on the floor.  I'm warning you, both massage and foam rolling will hurt, but should help relieve some pain afterward.

Continued movement - Now I know the last thing on your mind when you have a bad case of DOMS is going to the gym, but low-intensity movement increases blood flow and will help the muscle loosen up a little.  I recently tried this method, and I have to say it worked!  Even though I was hobbling along all day yesterday, I still took my butt to the gym for a Body Pump class.  It was a little uncomfortable at first, but after a few minutes, I warmed up and wasn't nearly as sore as before.  I was worried that after class the pain would come back with a vengeance, but it didn't (yay!)

What can be done to prevent DOMS? Unfortunately not a whole lot has been proven to effectively prevent the day-after pain.  Two methods that have shown promise include gradually increasing the intensity of a workout as well as maintaining proper nutrition, focusing mainly on electrolyte and glycogen balance both pre and post work out. Another common myth is that stretching before and after exercise can prevent DOMS, but this method has been shown noneffective in several studies. That isn't to say stretching isn't important, it is very effective when it comes to preventing injury, just not plain old muscle soreness.  

What works for you when you're hit with a nasty case of DOMS?