Dealyed Onset Muscle Soreness.
At 07:59 AM 10/10/01 +0200, you wrote:
>Stupid question: what is DOMS?
>Fra: Jason Steffe [mailto:[log in to unmask]]
>Sendt: 10. oktober 2001 01:05
>Til: [log in to unmask]
>Emne: Re: Chronic Shin Splints
>Barring biomechanical influences (which we don't know if there are any), it
>is my opinion that probable etiology of this patient's condition is not
>repeated eccentric loading, but rather insufficient eccentric strength given
>the functional demands (a weak eccentric/concentric muscle ratio which is
>termed critical deficit %).
>Eccentrics can be used therapeutically to strengthen the series elastic
>component, when speed and loads are controlled and progressed. Eccentrics
>are popular modes of exercise for treatment of overuse syndromes and
>tendinitis. Eccentric exercise does produce DOMS (theoretically because
>they selectively recruit Type II fibers and small motor units) but after
>minimal bouts of exercise one gains DOMS immunity for about 6 weeks. The
>rationale for eccentrics is to replicate and concomitantly condition the
>tissue for the high tensile stresses it must undergo during functional
>activities. It can be implemented in the subacute phase, again when
>controlled for speed and load.
>Please refer to:
>Jensen K, Di Fabio RP: Evaluation of eccentric exercise in treatment of
>patellar tendonitis. Phys Ther 69(3): 211-216, 1989
>Mannheimer JS: A comparison of strength gain between concentric and
>eccentric contraction. Phys Ther 49(11): 1201-1207, 1972
>Trudelle-Jackson E, Meske N, Highgenboten C, Jackson A: Eccentric/concentric
>torque deficits in the quadriceps muscle. JOSPT 11(4):142-145,1989.
>Albert MS, ed. Eccentric Muscle Training in Sports and Orthopedics, 2nd ed,.
>New York: Churchill Livingstone Inc,. 1995.
>I didn't make evaluative suggestions to the sender (I forget who asked the
>original question) because she/he didn't ask for them. The sender was asking
>for suggestions to give to a friend for home exercises for a chronic
>condition in a runner, not acute condition.
>Jason Steffe, PT, MS, MTC
>1901 Phoenix Blvd, Suite 205
>College Park, GA. 30349
>----- Original Message -----
>From: Scott <mailto:[log in to unmask]> Epsley
>To: [log in to unmask] <mailto:[log in to unmask]>
>Sent: Monday, October 08, 2001 7:18 AM
>Subject: Re: Chronic Shin Splints
>I am about to be very critical - please do not take this personally, it is
>not aimed at individuals, but as a general comment.
>I cannot believe some of the replies about this problem. I know there are
>some very highly qulaified and intelligent people on this list - but the
>over simplification of the responses to this question is dreadful.
>Firstly, there is no such thing as "shin splints" generically. There must
>be a diagnosis, and if you must use this blanket term, it must be qualified
>by anterior or posterior. If one uses certain treatment suggestions for
>posterior shin splints on anterior shin splints, one can significantly
>worsen the situation, to the point of requiring surgery. And yes, I have
>seen it, and this poor lady can no longer walk without pain, and has
>One needs also to establish if there is a component of compartment syndrome
>developing. Compartment syndrome is not shin splints, but often ensues.
>Usually it occurs in the anterior compatment (Tib Ant, EHL, EDL, Peroneus
>Tertius), or deep posterior compartment (Tib Post, FHL, FDL). One
>suggestion of eccentrically training the dorsiflexors has the potential to
>seriously worsen an anterior compartment syndrome, because that is the
>problem in the first place - over use of the dorsiflexors eccentrically. It
>has been shown that increased muscular swelling occurs with eccentric
>exercise. By the way, I wouldn't be strapping this too tightly, and
>certainly not circumferentially, even with elasticised bandage. The
>compartment needs all the help it can get at this point.
>Most likely there is a periostitis. This is "shin splints" if you must use
>this term loosely. However, one needs to determine that the periostitis is
>not in fact a stress fracture. Bone scan may help. A stress fracture is
>demonstrated by a very focal "hot spot", as opposed to a more diffuse lesion
>Then one must ascertain the cause, which is almost always biomechanical and
>occasionally overuse and biomechanical.
>Now and only now is it possible to treat this injury. There is no general
>treatment because it is not a general injury. Rest is effective - it is the
>easiest treatment suggestion of all - if it hurts don't do it. That doesn't
>fit my job description I'm afraid, I help people get back to doing things.
>Rest won't fix it either, it will only come back.
>If anyone wishes to know more about suggested treatment for specific
>conditions I would be happy to help. But please think a little more closely
>before applying a general treatment to a blanket term.
>BPhty., MAPA, SPG.
>Clifford Chambers Sports Medicine
>Suite 4, 120 Russell Street
>Toowoomba QLD 4350
>e-mail: [log in to unmask] <mailto:[log in to unmask]>
>On Mon, 8 Oct 2001 09:56:50
> Craig Lawson wrote:
> >Here's a great, recently published article on Exercise induced leg pain. I
> >will cut and paste it if people would like but it is quite long...
> >-----Original Message-----
> >From: [log in to unmask] <mailto:[log in to unmask]> [mailto:[log in to unmask]]
> >Sent: Friday, 5 October 2001 02:18
> >To: [log in to unmask] <mailto:[log in to unmask]>
> >Subject: Chronic Shin Splints
> >I am trying to help a colleague of mine out with chronic shin splints that
> >he got in boot camp with the Marine Corps. Walking 10 minutes in sneakers
> >bothers him and he has pain everyday.
> >Running is out of the question at this point.
> > I was looking for some "home" treatment ideas since this person is not
> >currently attending P.T. in a clinic.
> >Any ideas and help would be greatly appreciated.
> >Thank you-
> >Jean Momorella, MPT
>Make a difference, help support the relief efforts in the U.S.