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When 'no pain, no gain' is true -- and when it isn't

By Michael Roizen, M.D. on

Millions of folks deal with pain every day -- some with chronic pain from osteoarthritis or diabetic neuropathy, some with troubling acute pain from an injury, a migraine, or a sprain. And it's important to respect these noisy messengers that are saying, "Pay attention to me and do something about your pain."

But there are times when pain is a sign of normal soreness -- and not something that should send you to the doctor or make you stop doing whatever activities may be associated with it. Learning to know the difference is vital, so you can increase your strength and stamina and protect your immediate and long-term health.

What exercise physiologists call delayed onset muscle soreness (DOMS) is a sore, stiff, achy feeling in muscles and body parts that reaches a peak between 24 and 72 hours after physical activity (exercise, gardening, or painting a room). DOMS is triggered by tiny tears in your muscle fibers that are necessary for you to build stronger muscles as your body repairs itself.

If you experience DOMS (you actually want to), you can find relief with an Epsom salt soak, applying ice and/or heat to affected areas, massaging the area and even doing light exercise to stretch tight muscles. Also, stay well-hydrated.

And for a body-loving exercise routine, check out my book, "The RealAge Workout: Maximum Health, Minimum Work," and sign up for my free newsletter at michaelfroizenmd.substack.com, and read " 'Don't Let the Old Woman or Old Man In,' so stress your body for good."

 

Health pioneer Michael Roizen, M.D., is chief wellness officer emeritus at the Cleveland Clinic and author of four No. 1 New York Times bestsellers. Check out his latest, "The Great Age Reboot: Cracking the Longevity Code for a Younger Tomorrow," and find out more at www.4YOUngevity.com. Email your health and wellness questions to Dr. Mike at questions@4YOUngevity.com.

(c)2026 Michael Roizen, M.D.

Distributed by King Features Syndicate, Inc.


(c) 2026 Michael Roizen, M.D. Distributed by King Features Syndicate, Inc.

 

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