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Common Ultramarathon Injuries and Illnesses: Race Day Management

Khodaee, Morteza MD, MPH1; Ansari, Majid MD2

doi: 10.1249/JSR.0b013e318272c34b
Competitive Sports: Section Articles

Participation in ultramarathons has become increasingly popular especially among nonelite athletes. Ultramarathons have a wide spectrum of race characteristics from the variety of distances to environmental factors. Ultramarathons continue to attract a relatively small number of participants who on average are more experienced than marathon runners. There are limited epidemiologic studies on common ultramarathon injuries and illnesses. Musculoskeletal and dermatologic problems are very common among ultramarathoners. Each ultramarathon is unique, and medical directors should try to establish an injury surveillance system in order to be better prepared for possible medical conditions. The focus of this article is on the evaluation and management of common medical conditions encountered during ultramarathons.

1Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO; and 2Sports Medicine Research Center, Tehran University of Medical Sciences, Tehran, Iran

Address for correspondence: Morteza Khodaee, MD, MPH, AFW Clinic, 3055 Roslyn Street, Denver, CO 80238; E-mail:

© 2012 American College of Sports Medicine