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delayed-onset muscle soreness

Clinical manifestations: - muscle pain (mylagias) that develops 24-48 hours after exercise - weakness, tenderness, stiffness & swelling may be noted - mild, diffuse tenderness of calf muscles - pain peaks 1-3 days after inciting activity with resolution in 7 days Differential diagnosis: - muscle strain causes pain at the time of injury or shortly thereafter - shin splints causes pain during exercise, improves with rest, & is associated with tenderness along the lower medial tibia - stress fractures are associated with pain with activity & bone tenderness at the site of fracture - compartment syndrome is associated with increasing pain in a specific area during exercise, developing shortly after initiation of exercise; pain with passive stretching of the foot or toes; pain resolve with rest afte a delay

General

myalgia (muscle pain)

References

  1. Lewis PB, Ruby D, Bush-Joseph CA. Muscle soreness and delayed-onset muscle soreness. Clin Sports Med. 2012 Apr;31(2):255-62. Epub 2011 Nov 23. PMID: 22341015 Review.
  2. Cheung K, Hume P, Maxwell L. Delayed onset muscle soreness : treatment strategies and performance factors. Sports Med. 2003;33(2):145-64. PMID: 12617692 Review.