Sickle Cell

• Complains of “cramping”

• No visible or palpable camp

• May report “back pain”

• Slumps to a stop

• Altitude can have an impact

Build up slowly in training with paced progressions, Allow longer periods of rest and recovery, Consider exclusion from performance tests such as mile runs, serial sprints, etc, High altitude, recent illness, and dehydration can enhance sickling, Stop activity with onset of symptoms