Tottenham Hotspur have completely changed how their medical department operates after investigating their repeated injury crises over the last couple of years.
There were many reasons the Spurs have had to settle for two 17th-place finishes in a row, and one of the biggest has undoubtedly been the club’s injury crisis.
No Tottenham head coach over the last two years has ever had anything close to a fully fit squad to work with, as the Lilywhites have spiralled from one injury crisis to another.
It was reported earlier this summer that Spurs’ performance director, Dan Lewindon, is leading an internal investigation into all aspects of the club, including the medical department, and that has now led to some sweeping changes.

Tottenham players to receive more individualised care
The Athletic have now revealed that the findings from Lewindon’s investigation have instigated some big changes to the club’s medical department, including an increased focus on individualised player care.
The report reveals that the squad is set to be split into groups of four to six players, with each group to have their own physio and sports scientist. This will enable the staff to dedicate more time to each and every player and understand their problems better.
The hope at the North London club is that this should help the medical department make more informed decisions and recommend specific tweaks to each player’s training schedule, based on their injury history.
Additionally, it is revealed that Tottenham are ready to work closely with external specialists that some players in the squad consult so that they can ensure that everyone is aligned regarding the rehabilitation programmes.
Roberto De Zerbi’s has been extremely cautious with some Spurs stars in pre-season
This big change instituted in the medical department has already had an impact at the club, as evidenced by how some players have been used in pre-season.
Micky van de Ven and Destiny Udogie have not played a single minute across pre-season, while James Maddison and Dominic Solanke have featured just once.
This is seemingly due to their injury history, with the club’s medical department carefully managing their workload instead of suddenly ramping it up after a summer break.
