Your body can throw all kinds of kinks in an ultra. During your preparation for your race, consider everything that could go wrong while you are out there. Think about all the body functioning issues you or your friends have had during training or races. You need to think of things that have been issues in the past as well because things have a way of revisiting you at the worst times. Even things that have never been a problem for you in the past, but have for your friends can spring up.
Some experienced ultra-runners go out with minimal gear, not me. I have it all because it allows me to focus on the race and not worry about the what ifs or the oh shits.
Preparation is about expecting the unexpected. You’re already dealing with a lot when you are out on the course—managing your mood swings, food, hydration, and pain management. Dealing with something unexpected without the proper solution only adds to your load.
Body issues to plan for:
Blisters—have tape, band-aids, alcohol, mole skin, Neosporin and other such things. All of this can be used for cuts and scrapes if you fall as well.
Diarrhea—have anti-diarrhea medication or preventative measures. If you don’t like medication while running a table spoon of apple cider vinegar in 6-8 oz of water can help. I’ve also heard Turmeric can help as well. Have extra shorts and undies available. Carry wet wipes with you.
Indigestion, nausea, and vomitting—have ginger in some form: chews, crystalized, or ale. Peppermint is another one you can use. There are of course medications as well. Keep in mind stomach issues can be caused by electrolytes being out of balance which is an easy fix. Just ingest more electrolytes and wait (don’t stop moving). Your stomach cannot absorb water without electrolytes, which means both water and food just sit there and make you uncomfortable. Another, more extreme/distasteful, solution is to make yourself vomit and start over.
Heat exhaustion/stroke and sunburns—keep your skin covered and sun block on. Ziploc bags of ice under your hat, in your sports bra, and shoved down sleeves will help you stay cool. Ice rolled up in a bandana around your neck is a good option. Dunk your hat and shirt in rivers or ice water. Move side to side along the trail to remain in the shade when possible. Hydrate and watch your electrolytes. You may have to slow your pace. The faster you run the higher you drive your body temperature. Add temperatures of 90-100 degrees and it could be a very dangerous situation.
Hypothermia—Make sure you have what you need to stay warm and don’t assume you can’t get hypothermia when the temperatures aren’t “that low.” Hypothermia happens when your body temperature drops too low. If you are running in temperatures close to 100 during the day and then temperatures drop to low 50s or 60s at night, you could get into trouble. Keep extra clothes on hand so you can add layers and change wet clothes. If your base layer gets wet from sweat, you should change clothes before the temperatures drop at night.
Sore knotted muscles—this is just par for the course, but there are some things you can do about it or at least try. Massage relieves things for short time, which can get you moving again. Your crew can use their hands or a massage tool like the stick. You can pack along a foam roller in your crew vehicle too. Tiger balm and icy hot can be helpful. I never recommend medication. There have been studies done that say it’s not helpful. If it is helpful, masking pain can prevent you from feeling a serious injury that could lay you up for months if you continue to run on it. Plus, it can cause stomach upset and worse heart rate increases, blood pressure changes, and kidney damage.
Twisted ankle or knee—braces and athletic and/or kensio tape. Over the years I’ve collected various braces for knees and ankles. I put these in my crew vehicle, just in case. If you catch an old/new injury early enough a brace may get you through the race without causing major damage to the tissues requiring tons of time off. This is always a balance between finishing and harm.
Your crew and pacers should know what symptoms to watch for with these ailments and how to treat various things. There is a chart with this information on my Ultra Crew page above.
For lists of items I carry in my medical and blister kits, see my page on gear lists above.