Courtney Dauwalter has spoken at length about how the 'Pain Cave' helps her achieve her incredible feats. After winning the UTMB 2023 and completing her historic treble, she said: “I was working in the pain cave most of the night, but at least [I] was still getting some response from my legs while I was there... there has been a lot of time spent in the pain cave this summer... what I am curious about right now is this pain cave and how our minds and bodies are synched up to help us do difficult things and I want to keep testing that for as long as it is fun, as long as I am feeling healthy going into that pain cave.”