Delayed onset muscle soreness at tendon-bone junction and muscle tissue is associated with facilitated referred pain.

Experimental Brain Research
William GibsonT Graven-Nielsen

Abstract

Delayed onset muscle soreness (DOMS) involves central and peripheral pain mechanisms. Referred pain patterns following stimulation of DOMS affected tissue have not been fully described. Referred pain may provide information on how central mechanisms are involved in DOMS, as referred pain is a central mechanism. Further, tendon tissue involvement in DOMS is not clear. This study assessed pressure pain threshold (PPT) sensitivity at the tendon, tendon-bone junction (TBJ) and muscle belly sites of tibialis anterior pre- and during DOMS in 45 subjects (34 males, 11 females). Furthermore, pain and referred pain areas at these three sites in response to hypertonic saline injection (n = 15 per injection site) were investigated pre- and during DOMS. DOMS was induced using controlled plantarflexion from a platform (bodyweight as resistance) causing eccentric contraction of the tibialis anterior muscle. DOMS induced PPT decrease was found at the TBJ and muscle belly sites only (P < 0.001). No mechanical effect was found in the unexercised limb. Maximal pain intensity induced by hypertonic saline given pre-DOMS was significantly higher for the tendon and TBJ injections compared to intramuscular injections (P < 0.05). Significantly higher ...Continue Reading

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Citations

Sep 25, 2008·Experimental Brain Research·Helle AndersenThomas Graven-Nielsen
Jan 14, 2009·Experimental Brain Research·William GibsonThomas Graven-Nielsen
Jan 22, 2009·Experimental Brain Research·William GibsonThomas Graven-Nielsen
Nov 2, 2012·The Journal of Manual & Manipulative Therapy·Lars Arendt-NielsenThomas Graven-Nielsen
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Jun 11, 2015·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Silvia Lo VecchioThomas Graven-Nielsen
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Nov 5, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Víctor Doménech-GarcíaThomas Graven-Nielsen
May 15, 2021·European Journal of Pain : EJP·Thorvaldur S PalssonThomas Graven-Nielsen

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