What is the difference between DOMS and an injury?

Last updated September 3, 2026.

Timing and character tell them apart: DOMS arrives 12-plus hours after training as a dull, widespread ache that fades in 3 to 5 days; injury pain is sharp, focal, and lingers. Cleveland Clinic's lines: soreness lasting a week or more points to injury, and injury pain feels sharp and constant rather than dull and generalized. Injuries also tend to start during the activity - a pull, a pop - with swelling or one-sided weakness. DOMS improves with gentle movement; injuries complain about specific motions. Pymander's escalation routing is built and tested specifically for this class of decision; see the safety architecture working paper.

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