By Zolene, Massage Therapist · Updated August 8, 2026
DOMS usually lasts between two and five days. It starts around 12 to 24 hours after a workout, peaks somewhere in the 24 to 72 hour window, and fades on its own after that. If you are still properly sore past day five, it is worth paying attention to, and I will explain why further down.
I have been a massage therapist for over fifteen years, and delayed onset muscle soreness is something clients ask about regularly. Usually while easing themselves onto the couch sideways.
- DOMS lasts two to five days for most people, peaking on day two.
- It is caused by microscopic muscle damage from unfamiliar work, not by lactic acid.
- Nothing makes DOMS end faster. Some things make the wait more comfortable.
- Gentle movement helps more than complete rest.
- Soreness past five days, or pain that is sharp rather than achy, is worth getting checked.
In This Article
- How long does DOMS last, day by day?
- Why is DOMS worse on day two and three?
- What actually causes DOMS?
- How do you get rid of DOMS quickly?
- Is it okay to work out with DOMS?
- Why am I still sore four days later?
- What I reach for in my own kit
- When should you see someone about it?
How long does DOMS last, day by day?
DOMS follows a fairly predictable curve. Soreness appears 12 to 24 hours after a workout, gets worse before it gets better, peaks around 48 hours, and clears within five days for most people. One NHS physiotherapy service describes it as usually experienced 24 to 72 hours after activity and normally harmless, which is the window where most people feel the worst of it.
Here is the pattern I see over and over in the clinic.
| Time after training | What it usually feels like |
|---|---|
| 0 to 12 hours | Tired, maybe a bit heavy. People often think they have got away with it. |
| 12 to 24 hours | First real stiffness. Noticeable getting out of a chair. |
| 24 to 48 hours | The peak. Stairs become an event. This is when my phone rings. |
| 48 to 72 hours | Still sore, but easing. Movement feels better than sitting. |
| 3 to 5 days | Fading to a dull ache, then gone. |
Legs tend to hold onto it longer than arms. Quads after a first squat session in months are the worst offenders, and I would not be surprised by a full five days there.
Why is DOMS worse on day two and three?
DOMS peaks on day two because the soreness is not caused by the workout itself. It comes from your body's repair response, and that takes a day or so to get going. The inflammation making the muscle tender is part of how it heals, which is why it arrives late and then lingers. This is why the day after a hard session can feel deceptively fine.
What actually causes DOMS?
DOMS is caused by microscopic damage to muscle fibres during unfamiliar or intense exercise, particularly eccentric movement where the muscle lengthens under load. Lowering a weight, running downhill, walking down stairs. Your body repairs the damaged muscle fibres and that repair process is what you feel as muscle pain. The harder and more unfamiliar the workout, the more repair there is to do.
It is not lactic acid. That myth has been around so long that clients still tell me it confidently, but lactic acid clears from the muscle within about an hour of finishing. It cannot be responsible for something that turns up two days later.
The clients who book in most often after a hard weekend are not the gym regulars. They are people who spent a Saturday clearing a garden, or moving furniture, or painting a ceiling. Unfamiliar work at an unfamiliar angle does it every time, and the ceiling painters always feel it in the shoulders on the Monday.
How do you get rid of DOMS quickly?
You cannot. I want to be straight about that, because a lot of articles imply otherwise. No cream, supplement, ice bath or foam roller has been shown to meaningfully shorten how long DOMS lasts. What these things change is how comfortable you are while you wait it out, and that is still worth something.
What genuinely helps in my experience:
- Gentle movement. Light exercise raises blood flow through the sore area and helps reduce that seized-up feeling. A walk, easy cycling, some slow cardio. Not another hard workout.
- A warm bath. Not a cure, but it loosens the stiffness enough to move properly, and moving properly is the actual medicine.
- Sleep. The least glamorous item on the list and the one that does the most. Repair happens while you are asleep.
- Massage. I would say that, wouldn't I, but the evidence for it easing soreness is reasonable. Light and slow, not deep work on an already angry muscle.
- Easy stretching. Gentle range of motion, held comfortably. Aggressive stretching of a sore muscle tends to make it crosser.
Ice baths are popular and I stay neutral on them. Some people swear by them for how they feel afterwards. If you are training for adaptation rather than performance on the day, there is a reasonable argument that blunting the inflammatory response is working against the point of the session.
People ring me on day two wanting me to make it stop. I cannot. What I can do is get them moving well enough that day three is not spent on the sofa.
Zolene, Massage Therapist
Is it okay to work out with DOMS?
Yes, in most cases. Training with mild to moderate soreness is safe, and gentle activity usually helps ease it. What I would avoid is loading the same sore muscle group hard two days running. Train something else, or drop the intensity, and let the sore area recover while you keep moving.
The line I use with clients is that soreness is a reason to adjust, not a reason to stop. Listen to your body: if the ache eases once you have warmed up, carry on. If it gets worse as you go, that is your answer.
There is more on this in should I work out with sore muscles, and if you are new to training, coping with soreness as a beginner covers the first few weeks specifically.
Why am I still sore four days later?
Feeling sore four or five days later is still within normal range, especially after a first session back, a very hard leg workout, or unfamiliar eccentric work. It is more common than people expect and not a sign that something is wrong on its own.
What would concern me is a different quality of pain. DOMS is a broad, dull, whole-muscle ache that is worse when you press on it and better when you move. If instead you have a sharp pain in one specific spot, swelling, bruising, or something that hurts at rest and stops you using the limb normally, that is not DOMS and it needs looking at.
What I reach for in my own kit
I made Muscle Mint because I wanted something for that day-two window that felt good to use and did not smell like a changing room. It is peppermint and eucalyptus in a sunflower oil base, and what it gives you is a cooling menthol tingle over a sore muscle.
I am not going to tell you it fixes DOMS, because nothing does. I keep the larger bottle on the trolley in my clinic, and I use it on my own forearms after a heavy day of treatments. It is a comfort tool that makes the waiting easier, used alongside the movement and sleep that actually do the work.
Muscle Mint is a peppermint and eucalyptus menthol cream in a sunflower oil base, made in Northern Ireland, UK. It creates a strong, temporary cooling tingle on the skin.
When should you see someone about it?
Speak to a GP or physio if soreness lasts beyond a week, if the pain is sharp and localised rather than a general ache, if there is significant swelling or bruising, or if your urine turns dark after very intense exercise. That last one is rare but needs same-day medical attention.
I refer people on regularly. A cream and a massage are not the answer to a genuine muscle tear, and pretending otherwise would waste your time and mine.
Related Reading
Frequently asked questions
Is DOMS worse on day 3?
Does DOMS mean I had a good workout?
Can you prevent DOMS?
Should I stretch when I have DOMS?
Does a cooling cream make DOMS go away faster?
Written by Zolene
Zolene is a massage therapist with more than fifteen years of hands-on experience. She created Muscle Mint in Northern Ireland, UK, for the minutes after effort.
Read the Muscle Mint story