In a randomized trial of 80 recreational runners, repeated ice massage, percussive massage, and combined treatment improved reactive strength, reduced muscle soreness, and produced greater reductions in calf and Achilles tendon stiffness over 72 hours than passive rest. Combined treatment produced the largest improvement in reactive strength, although its advantage over individual treatments was based on exploratory comparisons, and none of the interventions showed a sustained benefit for the biochemical marker LDH.