Injuries, misinformation, and the probable cause

Yes the best predictor of injury is a previous injury, therefore the players within our squad with recurrent injuries (i.e., Kompany) need to be handled differently.

It's my opinion that they are not, and we have seen the outcome of that this season. I take your point about age on board and that may be a factor too.

The medical staff/sport scientists may be being proactive, but if the manager doesn't use the information produced then they end up becoming simply reactive.

Not sure what being targets of PL bullies has to do with it, we are talking about soft tissue injuries not contact injuries.

I'm a scientist so don't believe in bad luck when it comes to things like this!


As I say, you are well more informed than me.

Again, how do you know the manager is not taking any notice of the medical staff?
I thought there may have been a relationship between contact injuries affecting the likelyhood of picking up ST injuries
I appreciate your beliefs/training etcregarding bad luck, but I don't think that cannot be ruled out
 
We were all over the place for pre-season friendlies but won the first 5 on the trot in the PL scoring 11 and conceding zero, so that doesn't really gel.
I am talking about injury prevention. That accumulates over time
 
Yes Aguero will have a particular regime with regards to warm-ups, strength sessions, recovery modalities etc., but he will still participate in most of, if not all of the training and conditioning sessions. I'm definitely not criticising the sport science/medical staff.
I agree with your general remarks but we don't really know how the sports science stuff is integrated into the first team. We can only guess and remark on certain things that don't look right
 
I'm guessing you meant to reply to the OP?

;)
No to you. The comment about early season form after pre-season training misses the point that one of the aims of pre-season training is to provide a base level of fitness to protect the bodyfrom the demands of the season. Don't train properly off season, the you are more likely to get injured in the season.
 
We were all over the place for pre-season friendlies but won the first 5 on the trot in the PL scoring 11 and conceding zero, so that doesn't really gel.

Although we started the season well results wise, we may not have built up an adequate baseline level of fitness, hence the injuries.

As I say, you are well more informed than me.

Again, how do you know the manager is not taking any notice of the medical staff?
I thought there may have been a relationship between contact injuries affecting the likelyhood of picking up ST injuries
I appreciate your beliefs/training etcregarding bad luck, but I don't think that cannot be ruled out

I don't know exactly, but my experiences suggest that he may not use all the information available to him.

Not all managers buy-in to information provided by these departments.

Regarding contact/ST injuries, I'm not aware of any relationship between the two but it if a player is playing with a bad knock then it could influence their mechanics.
 
I agree with your general remarks but we don't really know how the sports science stuff is integrated into the first team. We can only guess and remark on certain things that don't look right

Yes I agree, and I don't want to talk too much in absolutes (i.e., completely leave the blame with Pellegrini) without knowing all the facts.

But from my research and experiences, the manager is the most important factor in these things and I wanted to provide some information to people on here about it.

Hopefully we won't suffer any more serious injuries for the rest of the season and see an almost full squad available come April for the run-in.
 
Yes I agree, and I don't want to talk too much in absolutes (i.e., completely leave the blame with Pellegrini) without knowing all the facts.

But from my research and experiences, the manager is the most important factor in these things and I wanted to provide some information to people on here about it.

Hopefully we won't suffer any more serious injuries for the rest of the season and see an almost full squad available come April for the run-in.
It was a really well researched comment you made. Appreciated it, although I haven't gone beyond the abstracts
 
There's no scientific evidence to suggest pitch surface influences injury risk (although players believe artificial surfaces increase risk, hence why Henry refused to play on them in the MLS).
I find the first point surprising.
Plenty of times in the past, I have heard "professional medical advice" that it is better for injury prevention to train on softer surfaces than hard. Maybe it's one of these fallacies that are repeated so many times people believe it to be true?
Maybe it has not been scientifically proven as yet, but there still could be something in it?
 
Yes I agree it is speculative but the evidence (both scientific and the current epidemiology of injuries this season) would suggest we don't.

To me that would suggest those teams are implementing methods that are successfully reducing the risk of players getting injured. Mourinho is apparently very good at periodising training to minimise injury risk.

Essentially, although we don't know exactly what City do behind the scenes, the buck stops with Pellegrini.



It isn't bad luck, it is due to extraneous factors such as fatigue/poor conditioning as you mentioned. 'Soft tissue injuries' is an all encapsulating term for muscle/ligament/tendon injuries.

To me it would seem Pellegrini either a) doesn't perform the right training at the right time, b) implements a strategy that puts high loads on the players or c) doesn't allow for full recovery between matches (<3 days recovery between games does exacerbate this).


Personally I'm not dismissing anything you've said. You've clearly put a lot of intelligent thought and time into this.

However if you are to lay partial or majority of blame at Pelkegrini's door then a little more knowledge of Pellegrini's past, the players individual past and some more insider knowledge would be needed.

If we're to blame the manager, his systems and training regimes then we'd have to see what the injury record was in Spain. I doubt he did quiet so well with Villareal and Malaga with injury ravaged squads.

Can't argue that our soft tissue injury situation is in no way unlucky or a fluke.

I personally believe there's a cocktail in errors. Manager, players personal injury record, fixtures and other teams approach.

We have too many players who fit all the above.

Take Aguero.

A key player who must play. So he plays a lot when fit. He is also a target for opposition. See Palace away. He also has a poor personal injury record pre City.

We started the season with injuries, no back up full backs, very light in midfield and one senior back up striker. We then lost Aguero and Konpany. Then Silva.

This puts huge pressure on the remaining players and manager and allows very little room for rest and rotation.

As I see it, if you start with injuries its a self perpetuating cycle. We now have what? 13 fit senior pros for our busiest few weeks. More injuries are likely due to overload. Not sure there's much we can do.
 
I find the first point surprising.
Plenty of times in the past, I have heard "professional medical advice" that it is better for injury prevention to train on softer surfaces than hard. Maybe it's one of these fallacies that are repeated so many times people believe it to be true?
Maybe it has not been scientifically proven as yet, but there still could be something in it?

The research that has been done would suggest there is no differences in injury risk but if a player perceives it to be the case then that can be just as bad!

I think more work needs to be done on hard/soft surfaces and the type of boots players wear these days.
 
Personally I'm not dismissing anything you've said. You've clearly put a lot of intelligent thought and time into this.

However if you are to lay partial or majority of blame at Pelkegrini's door then a little more knowledge of Pellegrini's past, the players individual past and some more insider knowledge would be needed.

If we're to blame the manager, his systems and training regimes then we'd have to see what the injury record was in Spain. I doubt he did quiet so well with Villareal and Malaga with injury ravaged squads.

Can't argue that our soft tissue injury situation is in no way unlucky or a fluke.

I personally believe there's a cocktail in errors. Manager, players personal injury record, fixtures and other teams approach.

We have too many players who fit all the above.

Take Aguero.

A key player who must play. So he plays a lot when fit. He is also a target for opposition. See Palace away. He also has a poor personal injury record pre City.

We started the season with injuries, no back up full backs, very light in midfield and one senior back up striker. We then lost Aguero and Konpany. Then Silva.

This puts huge pressure on the remaining players and manager and allows very little room for rest and rotation.

As I see it, if you start with injuries its a self perpetuating cycle. We now have what? 13 fit senior pros for our busiest few weeks. More injuries are likely due to overload. Not sure there's much we can do.

I agree with a lot of what you say, particularly the perpetuating cycle.

Pellegrini could have really benefitted from using youth players as substitutes in the last 15-20 minutes of matches, particularly early in the season. I can understand why he would be reticent to do so though.

The 7 days with the Chelsea, Kiev and Liverpool matches is huge on a lot of levels.

I really wish we didn't have that match at Anfield on 2nd March, we are going to have a lot of fatigued players in that match with a very high risk of injury.
 
Up until recently I was playing football twice a week; one game on grass and the other on astro turf.

After a game on grass I generally felt fine. But, after playing on astro turf I'd feel awful. My legs would ache and I'd feel acute pain all throughout them for a couple of days.

There was a distinct difference in the two playing surfaces and how I felt afterwards. I came to dread playing on the synthetic one. I didn't even feel like I could run at full pelt on it or could sustain any sort of stamina - it just felt wrong playing on it compared to grass.

We'd occasionally throw in a game of 5-aside indoors and I'd feel fine after that despite it being a hard surface.
 
If they don't we will never reach the heights we should or win what we could, it's frustrating & you can tell fans & players are getting down about all these injuries, there's is something wrong.
 
I think perhaps a 'house of cards' factor could be in play here.

We may have had a decent injury record previously, but when we do get a few injuries, what happens ? Suddenly another, another, another. Often in the same area. We may be fine 'until' we come under pressure due to injuries, then things start to fall apart because of bad management of resources.

Imo that could then tie in with the report regarding fatigue & lack of recovery time.

Striker 'a' gets injured, the next striker gets screwed into the ground because striker 'a' is unavailable, fatigued, then he gets also injured. Striker 'a' comes back but isn't fully fit, but gets played again anyway. Out injured again, back comes striker 'b' not fully fit, plays a game, gone again.

That's how Pellegrini operates at City imo. If we don't pick up too many big injuries, he rotates the players & all is well. When we do pick up a couple, he will play the replacements until they die rather than rest them & 'risk' a kid or two in order to think longer term. Or if he has an 'in form' player & others are struggling, he will run that player until he can barely walk, before resting him. Then bring him back quickly afterwards.

His luck maybe ran out this season. But then again, if we are still in touching distance of the top in a few weeks time, perhaps suddenly having 5 players who've done fuck all for weeks on end, will be like a new team & make us the strongest in the league.

Then a couple of the usual suspects will claim he planned it that way ;)
 

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