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Muscle Ache (Myalgia)

Adverse effect

Muscle Ache (Myalgia) is an adverse body-related outcome involving soreness, tenderness, or discomfort in the muscles. It describes what a person feels rather than identifying the underlying cause.

Muscle Ache (Myalgia) is classified under body-related effects. Use this page to orient your reading around this specific wellness topic.

These are research findings, not promises. Most options have little evidence, and results differ from person to person.

What can cause it

How likely each one is to cause it, most likely first.

  • CardiopracticePossible

    Based on 6 studies. Strongest study: a pooled analysis of several trials.

    Pooled analyses whose designs were not recorded reported pain involving muscle soreness, joint pain, or shin pain, as well as musculoskeletal injury.

    Open the Cardio page
  • Finnish SaunapracticePossible

    Based on one study. Strongest study: a systematic review of studies.

    A review of randomized and non-randomized human studies reported transient leg pain during sauna use.

    Open the Finnish Sauna page
  • Brisk WalkingpracticePossible

    Based on 2 studies. Strongest study: a non-randomized trial.

    A quasi-experimental study of 27 people with cancer reported physical complaints that hampered walking exercise.

    Open the Brisk Walking page
  • Strength TrainingpracticeUnclear

    Based on 22 studies. Strongest study: a pooled analysis of several trials.

    Meta-analyses with pooled study designs not recorded reported mild, transient muscle soreness, and transient joint discomfort, muscle soreness, or fatigue at the start of an intervention.

    Open the Strength Training page
  • High-Intensity Interval Training (HIIT)practiceUnclear

    Based on 13 studies. Strongest study: a pooled analysis of several trials.

    Pooled human studies recorded muscle or joint pain, while another pooled analysis of randomized trials included adverse events associated with exercise. The studies covered people with a range of health conditions, so the findings do not establish how often this occurs in a general population.

    Open the High-Intensity Interval Training (HIIT) page
  • AcupuncturepracticeUnclear

    Based on 9 studies. Strongest study: a pooled analysis of several trials.

    Pooled analyses of randomized trials reported temporary worsening of pain and local soreness or distension, as well as localized pain, in studies of people with varied conditions.

    Open the Acupuncture page
  • Tai ChipracticeUnclear

    Based on 8 studies. Strongest study: a pooled analysis of several trials.

    A pooled analysis of randomized trials reported minor musculoskeletal discomfort, including muscle soreness and knee, foot, and back pain. A 2025 pooled analysis whose designs were not recorded also reported transient muscle soreness and increased knee or foot pain.

    Open the Tai Chi page
  • QigongpracticeUnclear

    Based on 8 studies. Strongest study: a pooled analysis of several trials.

    Pooled analyses of randomized trials reported minor musculoskeletal complaints in 2023 and mild muscle soreness or fatigue in 2025 among people with varied health conditions.

    Open the Qigong page

The expert view shows every study, dose protocol and source.

What can cause it

Interventions reported to bring this on47 listed

Highest probability

  1. PracticesCardioCertaintyMediumSourceClinical6 other sources

    Pooled analyses whose designs were not recorded reported pain involving muscle soreness, joint pain, or shin pain, as well as musculoskeletal injury.

    Who was studied

    • People with a condition

    Study result

    Pain (muscle soreness, joint pain, shin pain)

    Open Cardio
    →
  2. PracticesFinnish SaunaCertaintyMediumSourceClinical1 other source

    A review of randomized and non-randomized human studies reported transient leg pain during sauna use.

    Who was studied

    • Healthy people and patients
    • Allergic Rhinitis
    • Ankylosing Spondylitis
    • Chronic Fatigue Syndrome
    • Common Cold
    • Copd
    • Depression
    • +4 more

    Study result

    Transient leg pain during sauna

    Open Finnish Sauna
    →
  3. PracticesBrisk WalkingCertaintyMediumSourceClinical2 other sources

    A quasi-experimental study of 27 people with cancer reported physical complaints that hampered walking exercise.

    Who was studied

    • People with a condition
    • Cancer

    Study result

    Physical complaints hampering walking exercise

    Open Brisk Walking
    →
Low probability(44)
  1. PracticesAcupunctureCertaintyLowSourceClinical9 other sources

    Pooled analyses of randomized trials reported temporary worsening of pain and local soreness or distension, as well as localized pain, in studies of people with varied conditions.

    Who was studied

    • People with a condition
    • Autism Spectrum
    • Back Pain
    • Stroke Recovery

    Study result

    transient exacerbation of pain, local soreness or distension

    Open Acupuncture
    →
  2. PracticesHigh-Intensity Interval Training (HIIT)CertaintyLowSourceClinical13 other sources

    Pooled human studies recorded muscle or joint pain, while another pooled analysis of randomized trials included adverse events associated with exercise. The studies covered people with a range of health conditions, so the findings do not establish how often this occurs in a general population.

    Who was studied

    • Healthy people and patients
    • Asthma
    • Copd
    • Diabetes Type2
    • Dyslipidemia
    • Heart Disease
    • Hypertension
    • +10 more

    Study result

    Muscle or joint pain

    Open High-Intensity Interval Training (HIIT)
    →
  3. PracticesQigongCertaintyLowSourceClinical8 other sources

    Pooled analyses of randomized trials reported minor musculoskeletal complaints in 2023 and mild muscle soreness or fatigue in 2025 among people with varied health conditions.

    Who was studied

    • Healthy people and patients
    • Back Pain
    • Breast Cancer
    • Chronic Fatigue Syndrome
    • Colon Cancer
    • Depression
    • Diabetes
    • +5 more

    Study result

    Minor musculoskeletal complaints

    Open Qigong
    →
  4. PracticesStrength TrainingCertaintyLowSourceClinical22 other sources

    Meta-analyses with pooled study designs not recorded reported mild, transient muscle soreness, and transient joint discomfort, muscle soreness, or fatigue at the start of an intervention.

    Who was studied

    • Healthy people and patients
    • Obesity
    • Sarcopenia

    Study result

    Mild transient muscle soreness

    Open Strength Training
    →
  5. PracticesTai ChiCertaintyLowSourceClinical8 other sources

    A pooled analysis of randomized trials reported minor musculoskeletal discomfort, including muscle soreness and knee, foot, and back pain. A 2025 pooled analysis whose designs were not recorded also reported transient muscle soreness and increased knee or foot pain.

    Who was studied

    • Healthy people and patients
    • Back Pain
    • Fibromyalgia
    • Osteoarthritis

    Study result

    Minor musculoskeletal discomfort (knee, foot and back pain, muscle soreness)

    Open Tai Chi
    →
  6. PracticesHatha YogaCertaintyLowSourceClinical7 other sources

    A meta-analysis pooling randomized trials found that adverse events, mainly increased back pain, were more common with Yoga than with non-exercise controls among people with osteoarthritis; the risk difference was 5% (95% CI 2% to 8%).

    Who was studied

    • People with a condition
    • Osteoarthritis

    Study result

    moderate-certainty evidence that the risk of adverse events, primarily increased back pain, was higher in yoga than in non-exercise controls (risk difference 5%, 95% CI 2% to 8%)

    Open Hatha Yoga
    →
  7. PracticesTENS / EMS TherapyCertaintyLowSourceClinical7 other sources

    A 2022 pooled analysis whose study designs were not recorded noted tenderness or soreness. A 2026 randomized trial also recorded pain with TENS in 384 participants.

    Who was studied

    • People with a condition
    • Heart Failure
    • Osteoarthritis
    • Stroke

    Study result

    Tenderness/soreness

    Open TENS / EMS Therapy
    →
  8. PracticesYogaCertaintyLowSourceClinical7 other sources

    A randomized trial involving 700 participants recorded musculoskeletal-related adverse events associated with the yoga programme in 6 intervention participants. A separate pooled review whose study designs were not recorded reported musculoskeletal pain or discomfort.

    Who was studied

    • People with a condition
    • Cystic Fibrosis
    • Hypothyroidism
    • Major Depressive Disorder

    Study result

    Musculoskeletal pain/discomfort

    Open Yoga
    →
  9. PracticesCyclingCertaintyLowSourceClinical8 other sources

    A randomized trial of 55 people recorded delayed onset muscle soreness. In another randomized trial of 18 people, discomfort during a sprint cycling session led to a dropout.

    Who was studied

    • Healthy people and patients

    Study result

    Delayed onset muscle soreness (DOMS)

    Open Cycling
    →
  10. PracticesHot BathCertaintyLowSourceClinical4 other sources

    A 2025 meta-analysis of randomized and non-randomized human studies reported lower-limb discomfort. A 2022 randomized trial in 69 healthy participants reported discomfort including knee and ankle pain.

    Who was studied

    • Healthy people

    Study result

    Lower limb discomfort

    Open Hot Bath
    →
  11. PracticesThai MassageCertaintyLowSourceClinical4 other sources

    One randomized controlled trial involving 60 people reported mild shoulder ache after the first treatment; another randomized controlled trial involving 60 people reported aches over the treated area after the first massage session.

    Who was studied

    • People with a condition
    • Headache Disorder
    • Osteoarthritis

    Study result

    Mild ache in shoulders after first treatment

    Open Thai Massage
    →
  12. PracticesMobility TrainingCertaintyLowSourceClinical4 other sources

    Trials recorded pain during stretching exercises and musculoskeletal symptoms including soreness or pain in the calf, ankle, or knee, as well as bruising near the big toe.

    Who was studied

    • People with a condition
    • Breast Cancer
    • Neuropathy Diabetic

    Study result

    stretching pain during flexibility exercises

    Open Mobility Training
    →
  13. PracticesMassageCertaintyLowSourceClinical2 other sources

    Pooled analyses whose designs were not recorded reported increased back pain after massage.

    Who was studied

    • Healthy people and patients

    Study result

    Increased back pain after massage

    Open Massage
    →
  14. PracticesBrain Games / PuzzlesCertaintyLowSourceClinical2 other sources

    A meta-analysis of randomized trials reported training-related adverse effects that included musculoskeletal pain. A separate randomized trial involving 372 people reported leg pain.

    Who was studied

    • Healthy people and patients

    Study result

    Training-related adverse effects (musculoskeletal pain, fatigue, headache, anxiety, boredom, depressed mood)

    Open Brain Games / Puzzles
    →
  15. PracticesSwedish (Classic) MassageCertaintyLowSourceClinical4 other sources

    One randomized trial found mild, transient muscle soreness that resolved within 48 h; another found a slight increase in muscle weakness. The studies involved people with Multiple Sclerosis or Osteoarthritis.

    Who was studied

    • People with a condition
    • Multiple Sclerosis
    • Osteoarthritis

    Study result

    Mild, transient muscle soreness (resolving within 48 h)

    Open Swedish (Classic) Massage
    →
  16. PracticesFoam RollingCertaintyLowSourceClinical4 other sources

    In a 2021 randomized trial of 65 healthy participants, perceived muscle pain rose in the foam-rolling group from 1.15 to 1.75, while it fell in the massage group (1.70 to 1.15) and relaxation group (1.52 to 1.28; p<0.001). A separate 2021 randomized trial of 22 participants rated discomfort during foam rolling as “slightly uncomfortable” (2.3 ± 2.4 cm on a 9.5-cm visual analog scale).

    Who was studied

    • Healthy people

    Study result

    Participants experienced an increase in perceived muscle pain in the FR group (1.15 to 1.75), whereas reduced pain scores were observed in the massage (1.70 to 1.15) and relaxation (1.52 to 1.28) groups, p<0.001

    Open Foam Rolling
    →
  17. PracticesRed Light Therapy (Photobiomodulation)CertaintyLowSourceClinical2 other sources

    Studies in people with Parkinson's disease reported temporary leg weakness in a pooled analysis of randomized trials. A separate 2026 systematic review of randomized trials reported a mild, transient increase in pain or muscular tension with PBMT-sMF.

    Who was studied

    • People with a condition
    • Parkinsons Disease

    Study result

    Temporary leg weakness

    Open Red Light Therapy (Photobiomodulation)
    →
  18. PracticesDanceCertaintyLowSourceClinical2 other sources

    A pooled systematic review whose study designs were not recorded linked musculoskeletal pain with unsupervised at-home dance training.

    Who was studied

    • Healthy people and patients

    Study result

    Musculoskeletal pain associated with unsupervised at-home dance training

    Open Dance
    →
  19. PracticesCupping TherapyCertaintyLowSourceClinical2 other sources

    A pooled analysis of randomized trials reported muscle soreness. One trial in 110 people found light muscular backache.

    Who was studied

    • People with a condition

    Study result

    Muscle soreness

    Open Cupping Therapy
    →
  20. PracticesPilatesCertaintyLowSourceClinical3 other sources

    An RCT with 58 people in 2023 reported muscle pain, while a 2022 RCT with 21 people reported muscle soreness. The studies included people with Breast Cancer.

    Who was studied

    • Healthy people and patients
    • Breast Cancer

    Study result

    muscle pain

    Open Pilates
    →
  21. PracticesCoherent BreathingCertaintyLowSourceClinical2 other sources

    Two randomized trials in people with depression, each involving 30 participants and published in 2017, reported transient muscle soreness.

    Who was studied

    • People with a condition
    • Depression
    • Major Depressive Disorder

    Study result

    Transient muscle soreness

    Open Coherent Breathing
    →
  22. PracticesHot YogaCertaintyLowSourceClinical2 other sources

    A 2019 randomized controlled trial involving 32 people recorded post-class muscle soreness and recovery time that was too great.

    Who was studied

    • People with a condition

    Study result

    Post-class muscle soreness and recovery time too great

    Open Hot Yoga
    →
  23. PracticesFastingCertaintyLowSourceClinical2 other sources

    In a 2026 randomized controlled trial involving 23 healthy people, body aches were reported; the finding did not quantify their frequency.

    Who was studied

    • Healthy people

    Study result

    Body aches

    Open Fasting
    →
  24. PracticesCalisthenicsCertaintyLowSourceClinical2 other sources

    A 2022 cross-sectional study of 3,668 healthy people recorded muscle injuries, but it did not specify muscle aches as a separate finding.

    Who was studied

    • Healthy people

    Study result

    Muscle injuries

    Open Calisthenics
    →
  25. PracticesIndoor RowingCertaintyLowSourceClinical2 other sources

    In a cohort of 18 healthy participants, all reported obvious muscle soreness 24 h after exercise, consistent with delayed-onset muscle soreness.

    Who was studied

    • Healthy people

    Study result

    all participants reported obvious muscle soreness at 24 h after exercise, i.e., DOMS appeared

    Open Indoor Rowing
    →
  26. PracticesAnusara YogaCertaintyLowSourceClinical1 other source

    A 2026 systematic review of observational studies classified reported events as musculoskeletal adverse events, without specifying the types of muscle symptoms.

    Who was studied

    • People with a condition

    Study result

    musculoskeletal adverse events

    Open Anusara Yoga
    →
  27. PracticesBreathworkCertaintyLowSourceClinical1 other source

    A 2023 trial of 74 people reported neck pain.

    Who was studied

    • People with a condition

    Study result

    Neck pain

    Open Breathwork
    →
  28. PracticesForest Bathing (Shinrin-yoku)CertaintyLowSourceClinical1 other source

    In a trial involving 48 people with hypertension, one participant reported leg pain after forest bathing sessions and was lost to follow-up at T2.

    Who was studied

    • People with a condition
    • Hypertension

    Study result

    leg pain after forest bathing sessions (one MIND + FB participant, who was lost to follow-up at T2)

    Open Forest Bathing (Shinrin-yoku)
    →
  29. PracticesTranscendental MeditationCertaintyLowSourceClinical1 other source

    A randomized trial in 2015 involving 17 people listed neck and shoulder pain.

    Who was studied

    • People with a condition

    Study result

    neck and shoulder pain

    Open Transcendental Meditation
    →
  30. PracticesLoving-Kindness Meditation (Metta)CertaintyLowSourceReference knowledge1 other source

    Sitting still in one posture during a long session can make the back, neck, or legs sore.

    Study result

    Sitting still in one posture through long meditation sessions can make the back, neck or legs sore.

    Open Loving-Kindness Meditation (Metta)
    →
  31. PracticesSwimmingCertaintyLowSourceReference knowledge1 other source

    Unaccustomed or hard swimming sessions can cause delayed-onset muscle soreness lasting 1-3 days.

    Study result

    Unaccustomed or hard swimming sessions can cause delayed-onset muscle soreness that lasts 1-3 days.

    Open Swimming
    →
  32. PracticesSocial DancingCertaintyLowSourceAnecdotal2 other sources

    Muscle soreness is common after unaccustomed dance activity, particularly in the legs and core.

    →
  33. PracticesVinyasa YogaCertaintyLowSourceAnecdotal2 other sources

    This effect was mentioned in 20 of 328 community reports discussing it (Reddit 18, Bluesky 2).

    →
  34. PracticesBinaural BeatsCertaintyLowSourceAnecdotal1 other source

    This effect was mentioned in 2 of 313 Reddit reports discussing it.

    →
  35. PracticesBox BreathingCertaintyLowSourceAnecdotal1 other source

    This effect was mentioned in 2 of 301 Reddit reports discussing it.

    →
  36. PracticesFocused Attention MeditationCertaintyLowSourceAnecdotal1 other source

    This effect was mentioned in 2 of 237 Reddit reports discussing it.

    →
  37. PracticesGardening TherapyCertaintyLowSourceAnecdotal1 other source

    Unaccustomed or prolonged gardening can lead to delayed-onset muscle soreness, particularly in the lower back, shoulders, and hands.

    →
  38. PracticesJump Rope TrainingCertaintyLowSourceAnecdotal1 other source

    This effect was mentioned in 8 of 262 community reports discussing it (Reddit 3, YouTube 3, Bluesky 2).

    →
  39. PracticesLaughter Yoga / TherapyCertaintyLowSourceAnecdotal1 other source

    Prolonged or vigorous laughter yoga sessions can cause temporary soreness in the abdominal and intercostal muscles due to sustained, repetitive contractions.

    →
  40. PracticesMeditationCertaintyLowSourceAnecdotal1 other source

    This effect was mentioned in 3 of 322 Reddit reports discussing it.

    →
  41. PracticesOil PullingCertaintyLowSourceAnecdotal1 other source

    Prolonged swishing (exceeding 20 minutes) may cause jaw muscle fatigue or temporomandibular discomfort.

    →
  42. PracticesTabata TrainingCertaintyLowSourceAnecdotal1 other source

    This effect was mentioned in 9 of 216 Reddit reports discussing it.

    →
  43. PracticesLatin Dance FitnessCertaintyLowSourceAnecdotal1 other source

    This effect was mentioned in 6 of 218 Reddit reports discussing it.

    →
  44. PracticesIce Bath / Cold PlungeCertaintyLowSourceTheoretical2 other sources

    One trial in 18 healthy participants found that pressure pain threshold scores in the cold-water immersion group first increased, then fell from 4.2 to 1.5 by Post48 (MD -2.5 kgf; p = 0.024).

    Who was studied

    • Healthy people
    Open Ice Bath / Cold Plunge
    →
How to read the evidence

Evidence tier — overall strength of the evidence for the whole compound

  • StrongWell established — backed by strong, consistent human research.
  • ModerateSome genuine support, but mostly from small or lower-quality studies. Promising, not proven.
  • PreliminaryEarly-stage evidence — a promising hypothesis, not an established effect yet.
  • LimitedVery limited evidence — treat this as a hypothesis, not proof.
  • InsufficientNot enough good evidence to draw conclusions yet.

Certainty — how sure we can be that the effect is real

  • Very highVery sure — strong, consistent evidence
  • HighFairly sure — consistent evidence from good studies
  • MediumModerately sure — new studies could change this
  • LowNot sure — little or mixed evidence
  • Very lowVery unsure — almost no usable evidence

Source — where the data comes from

  • Meta-analysisPooled analysis of many trials — the strongest evidence
  • RCTRandomized controlled trial — a strong human study design
  • ClinicalA human clinical study
  • Reference knowledgeFrom general health-science or pharmacology references, not a study of this exact claim
  • Animal researchStudied in animals, not humans
  • Community reportsAggregated user reports — anecdotal signal, not evidence
  • TheoreticalMechanism-based reasoning, not yet tested

Study grade — quality of each underlying study (A best, D weakest)

  • AHigh-quality — strong, consistent human trials
  • BGood — solid evidence with some limitations
  • CModerate — limited, small, or mixed-quality studies
  • DWeak — preliminary, indirect, or animal-only

Confidence — how strongly the sources back a finding

A 0–100 score from study quality and agreement

Most supplement evidence is graded C–D. Read it as preliminary signal, not proof.

Full write-up

What is it

Muscle Ache (Myalgia) is an adverse body-related outcome involving soreness, tenderness, or discomfort in the muscles. It describes what a person feels rather than identifying the underlying cause. Reports may associate this symptom with different activities or interventions, and its presence does not by itself establish a specific injury or medical condition.

How interventions help

The interventions represented here are associated with muscle ache rather than shown to relieve it. The pattern spans physical activities, stretching-based practices, electrical stimulation, cold exposure, and several supplements, so the context appears important: discomfort may arise during or after activity, or may be reported as a symptom linked with an intervention.

Exercise and movement-related entries describe different experiences. Cycling was associated with higher ratings of perceived exertion and pain during exercise under one condition, while Yin Yoga was linked with mild soreness after initial sessions from unfamiliar sustained stretching. Yoga-related reports include minor muscle aches, and other movement practices include reports of strains or low back pain during classes. These findings do not establish that every session will produce muscle ache or that the activities have the same effect.

Timing also differs. In the creatine comparison, 20 g/day was used for 7 days, and higher delayed-onset muscle soreness values were observed at 24 h post-exercise. Other entries do not provide enough timing information to determine when symptoms begin or whether they continue after an intervention stops.

Several supplements and therapies have findings described as muscle pain, myalgia, musculoskeletal pain, or related complaints. Because these observations come from different types of interventions and study populations, they should not be treated as interchangeable explanations for Muscle Ache (Myalgia). The available findings also do not identify a general intervention that reduces this outcome.

Choosing guidance

Use the options differently depending on how much confidence you need in the association and how closely the studied population matches the person being considered. Clinical evidence is more informative for people seeking findings from formal studies, but the populations range from mixed health status to clinical conditions or unspecified groups. This limits how directly any single result applies to a particular person.

The evidence types are not interchangeable. Anecdotal reports may help identify experiences that people have described, while theoretical evidence and pharmacology references provide less direct support for predicting what will happen in practice. Movement-based options may involve aches in the context of exercise, stretching, or activity, whereas supplement and therapy entries generally reflect reported symptoms or observations around their use.

The listed findings do not establish a consistent time to onset, how long muscle ache lasts, or whether symptoms resolve when an option is stopped. Dose and duration information is also limited rather than consistently available across the options. This makes it difficult to compare options by speed or exposure length, especially when one finding comes from a formal study and another comes from reports or reference material.

When entries appear to point in different directions, treat that as uncertainty rather than proof that one option is universally preferable. The most relevant comparison is between options studied in similar populations and under similar circumstances, with particular attention to whether the evidence is clinical, anecdotal, theoretical, or based on pharmacology references.

Diatelos provides general wellness information based on published research. It is not medical advice. Talk to a clinician before starting any new supplement or practice, especially if you have a health condition, are pregnant, or take medication.