Elite sprint performances typically peak during an athlete’s twenties, and decline thereafter with age. The mechanisms underpinning this sprint performance decline are often reported to be strength-based in nature, with reductions in strength capacities driving increases in ground contact time and decreases in stride lengths and frequency. However, an as-of-yet under-explored aspect of Masters sprint performance is that of age-related degradation in neuromuscular infrastructure, which manifests as both declining strength and movement coordination. Here, we explore reductions in sprint performance in Masters athletes in an holistic fashion, blending discussion of strength and power changes with neuromuscular alterations, along with mechanical and technical age-related alterations. In doing so, we provide recommendations to Masters sprinters—and the aging population in general—as to how best to support sprint ability and general function with age, identifying nutritional interventions that support performance and function, and suggest useful programming strategies and injury-reduction techniques.