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I am 60 year old. I am suffering for the past 4 months heavy joint pain in left knee. Have consulted otho and as advised have gone for physiotherapy. It has ultimately increased and no relief. Need correct guidance.
I am 31 years old male, I have pain in all body. Main pain in low and upper back from around 5 years. After doing walking from the last 2 years its improving but not complete rest. Please advice
Delayed onset muscle soreness (doms), also called muscle fever, 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. It is thought to be caused by eccentric (lengthening) exercise, which causes microtrauma to the muscle fibers. After such exercise, the muscle adapts rapidly to prevent muscle damage, and thereby soreness, if the exercise is repeated.
Delayed onset muscle soreness is one symptom of exercise-induced muscle damage. The other is acute muscle soreness, which appears during and immediately after exercise.
The soreness is perceived as a dull, aching pain in the affected muscle, often combined with tenderness and stiffness. The pain is typically felt only when the muscle is stretched, contracted or put under pressure, not when it is at rest. This tenderness, a characteristic symptom of doms, is also referred to as" muscular mechanical hyperalgesia.
Although there is variance among exercises and individuals, the soreness usually increases in intensity in the first 24 hours after exercise. It peaks from 24 to 72 hours, then subsides and disappears up to seven days after exercise.
The soreness is caused by eccentric exercise, that is, exercise consisting of eccentric (lengthening) contractions of the muscle. Isometric (static) exercise causes much less soreness, and concentric (shortening) exercise causes none.
The mechanism of delayed onset muscle soreness is not completely understood, but the pain is ultimately thought to be a result of microtrauma mechanical damage at a very small scale to the muscles being exercised.
Doms was first described in 1902 by theodore hough, who concluded that this kind of soreness is" fundamentally the result of ruptures within the muscle. According to this" muscle damage" theory of doms, these ruptures are microscopic lesions at the z-line of the muscle sarcomere. The soreness has been attributed to the increased tension force and muscle lengthening from eccentric exercise. This may cause the actin and myosin cross-bridges to separate prior to relaxation, ultimately causing greater tension on the remaining active motor units. this increases the risk of broadening, smearing, and damage to the sarcomere. When micro-trauma occurs to these structures, nociceptors (pain receptors) within muscle connective tissues are stimulated and cause the sensation of pain.
Another explanation for the pain associated with doms is the" enzyme efflux" theory. Following microtrauma, calcium that is normally stored in the sarcoplasmic reticulum accumulates in the damaged muscles. Cellular respiration is inhibited and atp needed to actively transport calcium back into the sarcoplasmic reticulum is also slowed. This accumulation of calcium may activate proteases and phospholipases which in turn break down and degenerate muscle protein. This causes inflammation, and in turn pain due to the accumulation of histamines, prostaglandins, and potassium.
An earlier theory posited that doms is connected to the build-up of lactic acid in the blood, which was thought to continue being produced following exercise. This build-up of lactic acid was thought to be a toxic metabolic waste product that caused the perception of pain at a delayed stage. This theory has been largely rejected, as concentric contractions which also produce lactic acid have been unable to cause doms. Additionally, lactic acid is known from multiple studies to return to normal levels within one hour of exercise, and therefore cannot cause the pain that occurs much later
Relation to other effects
Although delayed onset muscle soreness is a symptom associated with muscle damage, its magnitude does not necessarily reflect the magnitude of muscle damage.
Soreness is one of the temporary changes caused in muscles by unaccustomed eccentric exercise. Other such changes include decreased muscle strength, reduced range of motion, and muscle swelling. It has been shown, however, that these changes develop independently in time from one another and that the soreness is therefore not the cause of the reduction in muscle function.
Possible function as a warning sign
Soreness might conceivably serve as a warning to reduce muscle activity so as to prevent further injury. However, further activity temporarily alleviates the soreness, even though it causes more pain initially. Continued use of the sore muscle also has no adverse effect on recovery from soreness and does not exacerbate muscle damage. It is therefore unlikely that soreness is in fact a warning sign not to use the affected muscle.
After performing an unaccustomed eccentric exercise and exhibiting severe soreness, the muscle rapidly adapts to reduce further damage from the same exercise. This is called the" repeated-bout effect.
As a result of this effect, not only is the soreness reduced, but other indicators of muscle damage, such as swelling, reduced strength and reduced range of motion, are also more quickly recovered from. The effect is mostly, but not wholly, specific to the exercised muscle: experiments have shown that some of the protective effect is also conferred on other muscles.
The magnitude of the effect is subject to many variations, depending for instance on the time between bouts, the number and length of eccentric contractions and the exercise mode. It also varies between people and between indicators of muscle damage. Generally, though, the protective effect lasts for at least several weeks. It seems to gradually decrease as time between bouts increases, and is undetectable after about one year.
The first bout does not need to be as intense as the subsequent bouts in order to confer at least some protection against soreness. For instance, eccentric exercise performed at 40% of maximal strength has been shown to confer a protection of 20 to 60% from muscle damage incurred by a 100% strength exercise two to three weeks later. Also, the repeated-bout effect appears even after a relatively small number of contractions, possibly as few as two. In one study, a first bout of 10, 20 or 50 contractions provided equal protection for a second bout of 50 contractions three weeks later.
The reason for the protective effect is not yet understood. A number of possible mechanisms, which may complement one another, have been proposed. These include neural adaptations (improved use and control of the muscle by the nervous system), mechanical adaptations (increased muscle stiffness or muscle support tissue), and cellular adaptations (adaptation to inflammatory response and increased protein synthesis, among others).
Delayed onset muscle soreness can be reduced or prevented by gradually increasing the intensity of a new exercise program, thereby taking advantage of the repeated-bout effect.
Soreness can theoretically be avoided by limiting exercise to concentric and isometric contractions. But eccentric contractions in some muscles are normally unavoidable during exercise, especially when muscles are fatigued. Limiting the length of eccentric muscle extensions during exercise may afford some protection against soreness, but this may also not be practical depending on the mode of exercise. A study comparing arm muscle training at different starting lengths found that training at the short length reduced muscle damage indicators by about 50% compared to the long length, but this effect was not found in leg muscles.
Static stretching or warming up the muscles does not prevent soreness.[needs update] overstretching can by itself cause soreness.
The use of correctly fitted, medical-grade, graduated compression garments such as socks and calf sleeves during the workout can reduce muscle oscillation and thus some of the micro-tears that contribute to doms, proper nutrition to manage electrolytes and glycogen before and after exertion has also been proposed as a way to ease soreness. consuming more vitamin c may not prevent soreness, but oral curcumin (2.5 gram, twice daily) likely reduces it.
The soreness usually disappears within about 72 hours after appearing. If treatment is desired, any measure that increases blood flow to the muscle, such as low-intensity activity, massage, hot baths, or a sauna visit may help somewhat.
Immersion in cool or icy water, an occasionally recommended remedy, was found to be ineffective in alleviating doms in one 2011 study, but effective in another. There is also insufficient evidence to determine whether whole-body cryotherapy compared with passive rest or no whole-body cryotherapy reduces doms, or improves subjective recovery, after exercise.
Counterintuitively, continued exercise may temporarily suppress the soreness. Exercise increases pain thresholds and pain tolerance. This effect, called exercise-induced analgesia, is known to occur in endurance training (running, cycling, swimming), but little is known about whether it also occurs in resistance training. There are claims in the literature that exercising sore muscles appears to be the best way to reduce or eliminate the soreness, but this has not yet been systematically investigated.
I have a lot of pain in my legs in night I have checked few doctors but all the doctors suggested me pain killers I think this is not a permanent treatment.
My friend bitten me near shoulder. And it is swelled and paining. Is it anything serious. I consulted a doctor near by he told nothing serious and he gave some medicines named rantac and some other tablets. I asked him for TT injection but he said no need of that. Please suggest me what to do. I am worrying alot about it. Please help me soon. Thanks in advance.
My daughter 13 Years problem in both knee bend like genuvalgum last 3 Years progressive. Please help
Dear Doctor i have pain in left side of neck and burps coming from mouth and some times vibration in forehead i personally feel that it could be gastric problem as lot of burps coming from mouth . I also get tired and feel weak by little effort kindly suggest what it is
Every day morning my first step from bed. My left side foot is painful .why it's happening like that. After sometime it 'll be fine. But if I touch that spot of my foot it pains. Is it because of over weight? Why? Can anyone suggest me what to do? For my height (5.8inc)how much weight I have to be? Thank you.
I have got pain in my right heel bone & I feel difficult to walk at times. I thought it should be a problem with my shoes and replaced with a new one still am facing the pain.
I have back acke from last couple of years. I had done some treatment but still it's remin. Please let me know what should I do?
Hi I am suffering from right heel pain since last 2 months. Physiotherapy us started. 6 time. No relief.
I am a 59 years old lady. I am suffering from itching problem at the inner side of my thighs. Please give me a remedy.
Mere Ek pair me kamar se lekar aedi tak bahut pain hota h uthne bethne me chalne firne me dikkat hoti h.
I am a 32 year old lady. I have low back pain for which I am taking tablet combiflam 4 times a day. Is it ok or too much? The pain does not go away if I take less than 3 tablets a day. Is it ok while I am breast feeding. Also I have infection in my urine and I was given clindamycin? Is it safe for my baby?
I am suffering from high blood pressure and back bone pain and I take medicine and doctor advice but there is no proper result so which medicine I take?
MOWING THE LAWN:
This can be a great strengthener. Maintain good alignment and relaxed breathing. Avoid slumping or overarching the low back keeps your pelvis level. If the vibration of the mower seems to aggravate your symptoms, try thick gloves or use foam tape to insulate the handles.
GARDENING LOW TO THE GROUND:
(PLANTING, WEEDING, EDGING):
Maintain good squatting methods. Also, try kneeling, Half Kneeling, and sitting on your heels
There is a no. of helpful garden products that assist with these positions, providing knee cushioning and something to push up off when going down. Be sure to stand, stretch up and backward, walk after being in these bent-over positions.
These activities are great overall strengtheners. Use an exaggerated, wide base stance and keep your, head, shoulder, pelvis, balanced on the top of each other and facing in the same direction. Reach and pull with your legs and arms, not your back. Rake and sweep in different directions by pivoting your back leg and moving your whole body single, relaxed unit. After sweeping and raking, do neck strengthening and decompression and neck release exercises.
REACHING UP TO PAINT, PRUNE, AND CLEAN WINDOWS:
This can be good upper back, arm, and abdominal strengthener. Use ladder or step stool to keep from aching your low back and letting your abdomen and buttocks; stick out; make sure you keep your chest up, your pelvis level, and your head and neck in a neutral position. If you are uncomfortable after doing these activities try doing knee to chest neck strengthening and decompression, and/or release exercises.
DIGGING HOLES/ SHOVELING SNOW:
These activities carry a high-risk aggravation and/re-injury of most neck and low back problems; they are not good form of exercises. If you have to perform these activities, avoid rounding out your spine and attempting to lift with your spine in a rounded position. Put your legs in a front to back step position and shift your weight through your legs. Keep your chest up and your buttocks sticking out that is squat instead of bend. Keep your arms flexed and lift by straightening your legs. When you start to get tired or sore stop! Stretch up and backward, walk and wait a while before continuing. Specially designed, bent-handled snow shovels make the job a little easier.
WASHING THE CAR:
This is a good strengthener for arms and legs if you attempt good bending methods. Especially helpful are oil derrick methods, squatting, and taking weight through both hands. Keep the low back relatively straight and relaxed, and work those legs by squatting and shifting.