It breaks off from the Sendaidō at Kōri-juku in the modern-day Koori in Fukushima Prefecture.
It was established after Tokugawa Ieyasu called for the construction of routes connecting the capital of Edo (now Tokyo) with other parts of Japan.
[1] The 57 post stations along the Ushū Kaidō are listed below in order and are divided by their modern-day prefecture.
In 1997, a well-preserved 1.9 kilometer section of the route centered on Narage-juku in the city of Kaminoyama, Yamagata and including the Kanayamagoe Pass was designated a National Historic Site of Japan.
[2] Narage-juku was the 13th post station on the route, and was often used by the sankin kōtai processions of the daimyō of the 13 feudal domains of the Ōu region en route to Edo.