For many, sailing conjures up images of a relaxed sunny afternoon sipping a cocktail while bobbing about on a comfy boat. Racers know a much different picture. High-performance sailing takes place in one of the most physically demanding and challenging environments of any sport. The weather can be punishing, and the challenge is often compounded by fatigue, dehydration, and caloric deprivation on top of muscle exhaustion. Injuries are going to happen, but many are avoidable.