This year, track and field excitement has filled the air with the Olympics, Athlos NYC, the Chicago Marathon, and Diamond League drama, making it a dream come true for sports fans. And just when you think the energy can’t possibly top that, along comes the NYC Marathon to take things up another notch! Officially known as the TCS New York City Marathon, this incredible race covers a sprawling 26.2 miles through all five of NYC’s iconic boroughs. It’s the world’s largest marathon, boasting over 53,000 finishers in 2019 and a jaw-dropping 100,000 hopefuls vying for spots back in 2017!

Celebrating its 53rd anniversary on Sunday, November 3, this year’s race promises a lively atmosphere with fans lining the streets, cowbells clanging, whistles echoing, and cheeky signs waving in support. As runners surge through the city, every stride will feel the electric energy of NYC. But with all this excitement, keeping an eye on your health is key—especially over such a demanding course. Here’s everything you need to know to tackle any health issues that might pop up along the way.

How to handle an injury or health concern during the NYC Marathon

The NYC Marathon team pulls out all the stops, working hand-in-hand with city, state, and federal agencies to craft policies and safety procedures that keep runners, volunteers, staff, and spectators safe and sound. Through an intricate collaboration with the New York Road Runners (NYRR), NYC’s Fire Department EMS, SeniorCare EMS, countless medical volunteers, and local city agencies, they’re well-prepared for the long journey ahead.

Runners can rest assured that medical tents are strategically placed at the starting line, each mile, after the Verrazzano Bridge (mile 3), and at the finish area—practically a comforting blanket of care around the course. In case of emergencies, help is a call away with a 24/7 hotline at 866-705-6626, while friends and family can check on any runner who’s received medical help via the Medical Information Hotline at 929-999-7029.

Adding an extra layer of care, NYRR has introduced a color-coded Event Alert System (EAS) to keep runners informed on race day, displaying the course’s status based on the weather and conditions: green for Low, yellow for Moderate, red for High, and black for Extreme. Color-coded flags will flutter along the course at starting and finishing points and at each medical station, so every participant is kept in the loop. Nevertheless, how can runners avoid injuries?

How can you avoid injuries before or during a marathon?