Spurs are making a major update to the injury crisis as one area of ​​the midfield is being investigated Football news

Spurs have undertaken a major review of their operations and medical departments, including an investigation into whether Tottenham Hotspur Stadium’s withdrawn pitch could be contributing to the club’s ongoing injury problem.

Tottenham have lost the most days to injury of any Premier League team this season, while Spurs’ players have missed 370 games in all competitions through injury this campaign – the most of any top-flight side.

The club’s failure to keep players fit almost led to relegation as Roberto De Zerbi’s side desperately needed a last-day home win over Everton to secure their Premier League safety.

It is the second consecutive injury-hit season for Spurs, who have lost more days and games to injury than any Premier League side since the start of the 2024/25 campaign.

A crippling injury list played its part in a back-to-back 17th finish for the world’s richest football club.

It is understood that the club’s new sporting director, Dan Lewindonhe has completed an injury review after three months in charge, and the relegation zone at Tottenham Hotspur Stadium is a worrying area.

A serious knee injury to Dejan Kulusevski again Radu Dragusin came home last season, when James Maddison he tore his anterior cruciate ligament (ACL) in last May’s home win over Bodo/Glimt, before rupturing it completely three months later ahead of pre-season in South Korea.

This season, Ben Davies he broke his ankle in January’s home defeat to West Ham, when Wilson Odobert he tore his ACL in the home loss against Newcastle.

It is understood that Tottenham regularly carry out independent outdoor tests at their home ground to test the bounce of the pitch against their training ground, but so far the results have been inconsistent.

However, a detailed test is planned in the coming weeks to analyze if there is any difference in their home ground compared to other Premier League stadiums.

Tottenham’s investigation comes with it Real Madrid team A new voice is also withdrawn from the spotlight.

Since the reopening of the Santiago Bernabeu, the 15-time European champions have been plagued by a series of ACL injuries.

Reports in Spain say that Real are investigating their stadiums at the Bernabeu and their training ground in Valdebebas.

Although the Bernabeu has only been fully open for three years, Spurs have been playing in their £1bn state-of-the-art stadium for the past seven years, with injuries only being a real problem in the last two seasons.

Spurs will introduce a new plan to fight injuries

Since the start of the 2024/25 campaign, Tottenham have suffered 123 injuries – only London rivals Arsenal (146) have suffered more in the Premier League in that time.

Many Spurs players have also had injury problems in the past two seasons, incl Mohammed Kudus this campaign.

Spurs non-executive chairman Peter Charrington promised there would be a “greater focus on raising standards in all treatment and performance” in an open letter to fans on Monday.

Lewindon’s review is understood to have revealed structural issues within the club’s operational set-up.

It is believed that there is a lack of coordination, communication and shared decision-making, which has led to injuries and re-injury.

A high level of support for individual players is sought by Tottenham coach De Zerbi.

This inspired Lewindon to develop a small team approach where up to six players are given physio, allowing for a high quality program and better decisions to be made regarding the player’s training structure and physical preparation.

Tottenham are also looking to appoint a men’s team psychologist, with the idea that this could improve communication.

One of the causes of Spurs’ injury problem has been the number of management changes at the club.

Spurs have had four different coaches in the space of a year – Ange Postecoglou, Thomas Frank, Igor Tudor and De Zerbi – which has led to changing demands on the players.

It is believed that these different training methods and tactics have caused an increase in the risk of injury for Spurs players.

The Spurs are rejecting criticism for their handling of Simons’ injury

Spurs manager De Zerbi has lost a player to injury in each of his first three starts, with Cristian Romero suffered a season-ending injury in the defeat to Sunderland, Destiny Udogie picking up a muscle problem where Brighton is drawn, too Xavi Simons suffered an ACL injury in the win at Wolves.

But the handling of Simons’ injury has drawn criticism from some Spurs fans after the attacking midfielder was given an ice spray and brought back onto the pitch before being stretchered off with a season-ending injury.

It is understood that Lewindon was very satisfied with the way the medical team handled the situation.

Simons wanted to continue at Molineux, and with an ACL test difficult to perform on the field, the decision to allow him the chance to return to action was considered the right one by the club.

It is understood that no further damage has been done to Simons, who is set to return next season when Spurs hope their injury problem has been resolved.

Maddison wants an investigation into Spurs’ injury problems

Maddison has asked Spurs to investigate the injury problems of the “stars” that have plagued the team this season.

The player, banned for three appearances from the bench at the end of the campaign, is one of six Spurs players who have suffered a serious knee injury since January 2025.

Speaking after Sunday’s last-minute win over Everton, Maddison said: “Our injury situation has been worse than any other club’s.

“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 bad luck, sometimes it’s accidental, like me doing my ACL or something [Dejan] Kulusevski gets a terrible knock [Marc] Gee.

“That’s not a medical team, that’s not a forum or all the theories you see, sometimes that’s rubbish.”

Maddison believes that Spurs, who only confirmed their safety in the Premier League on the last day, would not be in that situation if they had their key players.

“We were a bit unlucky,” added Maddison. “But like I said, the big names we’ve missed, it affects you and you can’t deny that.

“Me, Kulusevski and [Mohammed] Kudus, too [Rodrigo] Bentancur missed three months or so. If you had them for the whole season, we wouldn’t be in this situation, I strongly believe.

“I’m not just telling myself that, it’s true. But that’s the situation we’re in, and I’m proud of the guys for going deep today.”