Effects of essential amino acid supplementation on musculotendinous recovery following eccentric plantar flexor exercise: a randomized controlled trial.
Vasenina E, Adams J, et al. • Journal of the International Society of Sports Nutrition • 2026
EAA supplementation modestly reduced soreness and was associated with faster recovery of muscle swelling but did not influence tendon morphology within 72 hours following eccentric plantar flexor exercise.
Key Findings
Results
The eccentric plantar flexor protocol successfully induced exercise-induced muscle damage across all groups.
The protocol consisted of 4 × 50 repetitions followed by one set to failure
Perceived soreness increased significantly (p < 0.001) following the protocol
Calf muscle thickness and circumference both increased significantly (p < 0.001)
Pain pressure threshold (PPT) was significantly reduced (p = 0.018), indicating mechanical hyperalgesia consistent with EIMD
Results
EAA supplementation attenuated perceived muscle soreness at 24 hours post-exercise compared with placebo.
Soreness was measured using the Numeric Pain Rating Scale (NPRS)
The attenuation in soreness was specifically observed at the 24-hour time point when comparing EAA to placebo
Participants consumed 10 g of EAAs versus 10 g of maltodextrin (placebo)
Supplements were consumed 30 minutes before exercise, immediately after exercise, and during the 72-hour recovery period
Results
Calf muscle swelling returned to baseline by 72 hours in the EAA group but remained elevated in the placebo group.
Calf muscle thickness was measured via ultrasound at pre-exercise, immediately post-exercise, and 24, 48, and 72 hours post-exercise
Both groups showed increased calf muscle thickness following exercise
A significant Condition × Time interaction was observed (p < 0.001) for muscle thickness
The EAA group resolved swelling to baseline by 72 hours while the placebo group remained elevated at 72 hours
Results
Achilles tendon thickness decreased immediately post-exercise but was not influenced by EAA supplementation.
Achilles tendon thickness was measured via ultrasound
A significant decrease in Achilles tendon thickness was observed immediately post-exercise (p = 0.005)
No significant effect of supplementation condition was found on tendon thickness at any time point
EAA supplementation did not influence tendon morphology within the 72-hour observation window
Methods
The study enrolled 36 recreationally active males randomized to three conditions: EAA, placebo, or control.
Participants were recreationally active males with a mean age of 21.2 ± 2.7 years
Three groups were used: EAA (10 g EAAs), placebo (10 g maltodextrin), and control (no supplementation)
Assessments occurred at pre-exercise, immediately post-exercise, and 24, 48, and 72 hours post-exercise
Results
Pain pressure threshold was reduced following the eccentric exercise protocol but was not reported to be significantly influenced by EAA supplementation.
PPT was measured as an indirect marker of muscle damage and mechanical sensitivity
A significant overall reduction in PPT was observed across the exercise protocol (p = 0.018)
PPT reduction is consistent with exercise-induced mechanical hyperalgesia
No significant supplementation effect on PPT was highlighted in the abstract findings
What This Means
This research suggests that taking essential amino acid (EAA) supplements around an intense bout of eccentric calf exercise — the kind that causes significant muscle soreness and damage — may offer modest recovery benefits compared to a placebo. In this randomized controlled trial of 36 young active men, those who took 10 grams of EAAs before, after, and during the 72-hour recovery period reported less muscle soreness at the 24-hour mark and showed faster resolution of calf muscle swelling, with swelling returning to normal by 72 hours in the EAA group while still remaining elevated in those who took a placebo (maltodextrin).
However, EAA supplementation did not appear to affect the Achilles tendon, which showed a slight decrease in thickness immediately after exercise that was the same across all groups. The eccentric exercise protocol was effective at producing classic signs of muscle damage — increased soreness, swelling, and tenderness to pressure — confirming the protocol worked as intended. The control group (no supplement) was also included to help distinguish true supplement effects from those of simply consuming any substance.
This research suggests that EAAs may help reduce soreness and speed up the resolution of muscle swelling after damaging exercise, but the benefits appear modest and may not extend to tendon recovery within a 72-hour window. These findings could be relevant for athletes or active individuals seeking nutritional strategies to support recovery after intense lower-leg exercise, though the effects were described as modest and limited to specific markers of recovery.
Check Your Own Numbers
Upload your bloodwork. We'll cross-reference your results against this study and 4,700 others.
Vasenina E, Adams J, Williams F, H O'Connell T, Knuppel A, Moriarty K, et al.. (2026). Effects of essential amino acid supplementation on musculotendinous recovery following eccentric plantar flexor exercise: a randomized controlled trial.. Journal of the International Society of Sports Nutrition. https://doi.org/10.1080/15502783.2026.2726619