After completing a marathon, many people find their legs feel like they don’t belong to them anymore. However, this “sweet pain” often foreshadows a profound reshaping of the body. Science shows that while this extreme challenge brings short-term impact, it strengthens the resilience of the cardiovascular system and joints, provided there is adequate preparation.
***
## During the Race: The Body’s Immediate Response
– Muscles consume a large amount of glycogen, leading to lactic acid buildup, resulting in hitting the “wall” and extreme fatigue later in the race.
– Heart rate spikes to near its maximum, the sweat and body temperature regulation systems are fully activated, increasing the risk of dehydration.
– Joints endure repeated impacts; MRI often shows bone marrow edema, but this is mostly a reversible stress response.
***
## Post-Race: The Recovery Window
– Delayed onset muscle soreness (DOMS) peaks between 24 and 72 hours, making climbing stairs challenging, but it usually subsides within a week. – A temporary rise in inflammatory markers occurs as the heart, lungs, and diaphragm recover from fatigue over several days, and the liver also participates in metabolic cleansing.
– The good news is that runners who have adapted to training often show improved joint condition, increased bone density, and improved blood supply in post-race scans.

## Long-term Benefits: Gains Beyond Endurance
– Regular marathon training reduces the risk of myocardial infarction in middle-aged and older adults by approximately 50% and improves circulatory system efficiency.
– Joints are not “damaged”; progressive overload actually strengthens cartilage and muscles, preventing bone loss.
– Mental resilience increases simultaneously; many runners report improved mood, increased focus, and increased life satisfaction.
***
## Risks and Prevention Strategies
| Risk Types | Common Manifestations | Prevention Strategies | Recovery Tips |
| Heat-Related Discomfort | Dizziness, cramps, core temperature exceeding 40°C | Replenish electrolytes every 20–30 minutes, choose a cool running track | Ice bath or cold compress, monitor vital signs for 24 hours |
| Musculoskeletal Injuries | Achilles tendinitis, stress fractures | Weekly increments not exceeding 10%, cross-training | Physical therapy, foam rolling + stretching for 2 weeks |
| Cardiovascular Events | Rare (1/60,000), mostly due to underlying conditions | Pre-race physical examination, progressive warm-up | Light walking recovery, avoid sudden stops |

## Training Wisdom: Safely Reaching the Finish Line
– Based on a 4-month progressive cycle: from 3 sprints per week to long-distance simulations, alternating intensity days and recovery days.
– Core and glute strength training is essential to balance lower limb load and prevent hip and knee discomfort. – Synchronized Nutrition: Pre-race carbohydrates, during-race gels and salt tablets, post-race protein and anti-inflammatory foods like berries.
***
## Runners’ True Feelings
Experienced runners often find themselves pleasantly surprised by their accelerated recovery after their 25th marathon—long-distance running is no longer torture, but an art of challenging the body’s limits. Marathons teach more than just endurance; they teach the wisdom to listen to signals and adjust accordingly, ultimately making every step more powerful.
