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The Truth About Muscle Cramps During Marathons: What Really Causes Them?

Today’s newsletter is written by Letty. She is the host of the Marathon Running Podcast and YouTube Channel:

If you’ve ever been stopped mid-run by a sudden, painful muscle cramp, you’re not alone. Whether it’s during a long training session or the final miles of a marathon, cramps can feel like your body is betraying you at the worst possible moment. The tricky part? Some runners get them all the time, while others seem immune. So what’s really going on?

By the way, if you want to hear an entire episode about this topic, check out our podcast from this week, where we dive into all things muscle cramping.

The Truth About Muscle Cramps During Marathons: What Really Causes Them?

If you’ve ever run a marathon, chances are you’ve either experienced a muscle cramp yourself or seen another runner sidelined by one. Muscle cramps are a frustrating, painful mystery for many athletes. What makes them particularly puzzling is that they don’t affect everyone—some runners experience them regularly, while others never do. So, what’s really behind these dreaded cramps? Let’s break it down.

The Real Cause: A Neuromuscular Trigger

For years, the common belief was that muscle cramps during endurance events like marathons were caused by dehydration or an electrolyte imbalance. But emerging research paints a different picture. Muscle cramps are now thought to be caused by neuromuscular fatigue, or what you might call "hyperengagement" of the muscle.

Here’s what happens: during prolonged or intense activity, the nerves controlling your muscles (alpha motor neurons) can become overstimulated. This overstimulation triggers an involuntary contraction—a cramp. Essentially, your muscles are firing when they shouldn’t, and the result is that painful, locked-up feeling that stops you in your tracks.

What’s interesting is that this neuromuscular fatigue doesn’t affect all runners equally. Some people are more prone to cramps than others, and we still don’t fully understand why. Factors like muscle strength, training load, and even genetics may play a role in determining who gets cramps and who doesn’t.

Busting the Electrolyte Myth

One of the biggest myths in the running community is that cramps are caused by a lack of electrolytes—specifically sodium, potassium, or magnesium. While it’s true that endurance athletes lose electrolytes through sweat and need to replenish them, research shows that cramping isn’t directly caused by an electrolyte imbalance. Here’s a study on that.

Take, for example, studies on pickle juice, a popular “cure” for cramps. Drinking pickle juice has been shown to relieve muscle cramps almost immediately—far too quickly for the electrolytes to be absorbed into the bloodstream and reach the muscles. Instead, scientists believe that pickle juice triggers a reflex in the mouth and throat that signals the nervous system to relax the cramping muscle. This supports the idea that cramps are a neurological issue, not a fluid or electrolyte problem.

Electrolytes Still Matter—Just Not for Cramps

Now, this doesn’t mean electrolytes aren’t important. During a marathon, your body loses fluids and electrolytes, and failing to replace them can lead to dehydration, fatigue, and poor performance. Replenishing electrolytes is essential for overall hydration and muscle function, but it’s not the magic solution to prevent cramps.

How to Reduce Your Risk of Cramps

While we can’t pinpoint exactly who will get muscle cramps, we do know a few strategies that can help reduce your risk:

  1. Train Specifically: Cramps often occur when muscles are pushed beyond what they’re conditioned for. Gradually build your training volume and intensity to better prepare your muscles for race day.

  2. Strengthen Your Muscles: Adding strength training to your routine can improve muscle resilience and reduce neuromuscular fatigue.

  3. Listen to Your Body: Overtraining and pushing too hard during a race can increase your risk of cramps. Pace yourself and stay in tune with how your body feels.

  4. Stay Hydrated: While dehydration doesn’t directly cause cramps, it can contribute to overall fatigue, making cramps more likely. Drink to thirst and replenish electrolytes as needed.

The Bottom Line

Muscle cramps during marathons are not caused by dehydration or an electrolyte imbalance. Instead, they stem from neuromuscular fatigue, where overstimulated nerves cause muscles to involuntarily contract. While we still don’t fully understand why some runners are more prone to cramps than others, proper training, strength work, and smart pacing can help minimize the risk.

So, next time you’re gearing up for a marathon, focus on conditioning your body and staying hydrated—but don’t rely on electrolytes alone to save you from cramps. Understanding the real cause is the first step to keeping those muscles firing smoothly all the way to the finish line.

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