Spurs have undertaken a major review of their performance and medical departments, including an investigation into whether the Tottenham Hotspur Stadium’s retractable pitch is contributing to the club’s ongoing injury crisis.
Tottenham have lost the most days to injury of any Premier League team this season, while Spurs players have missed a total of 370 games across all competitions due to injury this season. This is the most games played by any top-tier team.
Roberto De Zerbi’s side almost faced relegation after the club failed to keep its players fit, needing a home win against Everton on the final day to secure Premier League safety.
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Highlights of the Premier League match between Tottenham Hotspur and Everton
It is the second successive injury season for Spurs, who have lost the most games and days to injury of any Premier League side since the start of the 2024/25 campaign.
A string of serious injuries has played a part in the world’s ninth-richest football club taking a consecutive 17th place finish.
It is understood he is the club’s new performance director. Dan LewindonJust three months after taking office, a thorough review of the injury problem was completed, and the Tottenham Hotspur Stadium retractable pitch is a concern.
serious knee injury Dejan Kulusevski and Radu Dragusin When I came home last season james madison He partially tore his anterior cruciate ligament (ACL) in a home game against Bodo/Glimt last May, then completely tore it three months later in the preseason in South Korea.
Tottenham striker Dejan Kulusevski has been sidelined for a year due to injury.
this season, ben davis He suffered an ankle injury in a home game against West Ham in January. Wilson Odobert I tore my ACL in the home game against Newcastle.
Spurs forward Wilson Odobert suffered an anterior cruciate ligament (ACL) injury at the Tottenham Hotspur Stadium earlier this season.
Tottenham are known to regularly carry out external independent testing on their home surfaces to assess bounce on the training ground and pitch, but results so far are inconclusive.
However, more detailed testing is planned in the coming weeks to analyze whether there is a difference to the home surface compared to other Premier League stadiums.
Tottenham’s investigation is as follows: Real Madrid’s The new folding pitch is also attracting attention.
Since the reopening of the Santiago Bernabeu, the 15-time European champions have suffered numerous ACL injuries.
Eder Militao is one of several Real Madrid players to suffer an ACL injury at the Bernabeu since the restart.
Reports in Spain claim Real are examining their pitches at both the Bernabeu and Valdebevas training grounds.
It’s only been three years since the Bernabeu fully reopened, but Spurs have played in the £1 billion state-of-the-art stadium for the past seven years, with injuries only becoming a real problem in the last two seasons.
Tottenham to introduce new system to prevent injuries
Tottenham have suffered 123 injuries since the start of the 2024/25 campaign. Only north London rivals Arsenal (146) suffered more injuries in the Premier League during that period.
A number of Spurs players have also struggled with injuries over the past two seasons. mohammed jerusalem This campaign.
In an open letter to fans on Monday, Spurs non-executive chairman Peter Charrington promised “there will be significant focus on raising standards across healthcare and performance”.
Lewindon’s review is understood to have uncovered structural issues within the club’s performance settings.
There is a belief that injuries and recurrence of injuries occur due to lack of integration, communication and shared decision-making.
Tottenham manager De Zervi wants a higher level of support for each player.
This has led Lewindon to establish a small team approach, assigning a physiotherapist to up to six players, which allows for higher quality programming and better decisions about players’ training design and physical preparation.
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Tottenham defender Christian Romero shed tears after suffering a season-ending injury in the match against Sunderland.
Tottenham is also considering appointing a psychologist to the men’s national team. The idea is that communication can be improved through this.
Another factor in Spurs’ injury crisis has been the number of managerial changes at the club.
Spurs have had four managers in one year – Ange Postecoglou, Thomas Frank, Igor Tudor and De Zerbi – and this has led to changes in their demands on their players.
These different training methods and tactics appear to have increased the risk of injury for Spurs players.
Tottenham dismisses criticism over handling of Simmons’ injury
Xabi Simmons suffered an ACL injury during the win over Wolves in April.
Spurs boss De Zervi has lost one player to injury in each of his first three games. Christian Romero He suffered a season-ending injury in the loss to Sunderland. Destiny Udogi Spotted muscle problem in draw with Brighton xavi simmons I suffered an ACL injury in the game against Wolves.
However, Simmons’ handling of the injury was criticized by some Spurs supporters after the attacking midfielder suffered a season-ending injury after being sent back onto the pitch after being hit with icy water.
Simmons suffered an injury at Molineux.
Lewindon is said to have been very satisfied with the medical staff’s handling of the situation.
Simons wanted to continue his career at Molineux and the decision to allow him the opportunity to return to play, given the difficulty of an ACL test to carry out on the pitch, was deemed the right one by the club.
It is understood no further damage has been done to Simmons, who is set to return next season as Spurs hope to resolve their injury crisis.
Maddison calls for investigation into Tottenham injury issues
Maddison has called on Spurs to look into the “astronomical” injury problems that have plagued them this season.
The playmaker, who was limited to three appearances off the bench at the end of the campaign, is one of six Spurs players to have suffered a serious knee injury since January 2025.
Maddison said after Sunday’s last-minute win over Everton: “Our situation with injuries has been worse than at any other club.
“People try to say, ‘Oh, but we have this and that.’ But ours is astronomical and we need to look at why.
“Sometimes it’s just bad luck and sometimes it’s just coincidence, like me doing an ACL or (Dejan) Kulusevski getting a terrible loss to (Marc) Guehi.
“It’s not the medical team, it’s not the stadium you see, it’s not all the theories, sometimes it’s just garbage.”
Maddison believes Tottenham, who were confirmed Premier League safety on the final day, would never have been in that position if their key players had been fit.
“We were a little unlucky,” Madison added. “But like I said, the celebrities we miss have an impact on you and you can’t deny that.
“Myself, Kulusevski and (Mohammed) Kudus and (Rodrigo) Bentancur have been out for three months. I believe if we had had that time throughout the season we would not have been in this situation.
“That’s not me being naive, it’s just a fact, but this is the situation we’re in, and I’m proud of the young men who are digging deep today.”
