The Delayed onset muscle soreness (DOMS) is a response to musculoskeletal insult following bouts of extraordinary physiological overload. The condition can take a morbid course if neglected or undertreated. Often considered a primer for musculoskeletal reparative process, the phenomena should be managed with holistic approach. The presented case is an uncommon pattern of DOMS in common settings and its appropriate management. It also highlights the importance of preventive and rehabilitative aspect of the condition.