handle with care

Everyone knows that players aren’t invincible. Nearly every match you watch will feature at least one player limping/strechered off with some sort of injury, and a quick glance at the weekly physio report from around the Premier League will confirm as much. Some are severe, requiring lengthy rehabilitation spells, while others are simple knocks that only keep them out of action for the rest of the match.

Aston Villa Support Stan Petrov

before this season, you didn't often hear of players having major medical issues. this year, they're damn near omnipresent.

Oddly though, these expected injuries seem to enrage us. How can they get hurt so often, when it’s their job to stay fit?

This unrealistic expectation normally boils to the surface whenever a player falls victim to repeated injury blights. Think of all the ridicule leveled at Arsenal’s Robin van Persie during his extended and repetitive injury spells over the last few years. Fans and media members alike skewered the Dutchman for glass-like fragility, even throwing him to the wolves when he sought out alternative – albeit an odd alternative — methods for finally getting healthy.

However, injuries that result from playing or occur during training are expected parts of the modern game, especially considering the congested fixture calendars and pre-season tours that players are subjected to these days. Ultimately, they annoy us, but there’s no possible way we can completely eradicate them from the sport.

What isn’t expected, though, are illnesses that fall outside the realm of football. Yes, we’ve grown accustomed to a player picking up an injury from time to time. But the news of a player being diagnosed with potentially life-threatening disease always seems to catch us by surprise. Which is odd, because the same thing happens to us “commoners” all the time.

Modern professionals are already blessed with speed, strength and athleticism that the average fan could only dream of having. With so many perceived “superhuman” qualities, we can be forgiven for believing our on-pitch heroes should also be immune to the ailments that trouble normal folk.

Unfortunately, this season we’ve seen that isn’t exactly the case..

Barcelona's Eric Abidal Scar

abidal had to go under the knife a second time to treat his liver cancer. hopefully they at least gave him a matching scar on the right... you know, because aesthetics are important.

Milan’s Antonio Cassano suffered a stroke on a return flight after a match, thanks to a small hole found in his heart. Manchester United’s Darren Fletcher was diagnosed with an inflammatory bowel disease, which has kept him out of action since November. Aston Villa captain Stiliyan Petrov was unexpectedly forced to retire from the game after he was diagnosed with acute leukemia. Barcelona’s Éric Abidal had to have a liver transplant last week after it was determined that an earlier surgery to remove a tumor was unsuccessful. Fabrice Muamba’s heart stopped and didn’t beat on its own for over an hour after he collapsed on the White Hart Lane pitch.  And then just last week there was the tragic passing of Livorno’s Piermario Morosini, who also suffered a massive heart attack mid-match.

With such a high number of major medical problems plaguing the game in such a short time span, you can’t help but suddenly feel alarmed for the players. You wonder things like “Is playing soccer make an inherently dangerous to a player’s health?” I mean I still play a significant amount myself, so in the interest in self-preservation, I should also probably ask “Am I at risk?”

Luckily, the players are asking themselves the same questions.

The day after Muamba’s cardiac arrest, the entire Tottenham playing staff demanded to have heart evaluations. A natural response given the circumstances, though it was alarming to learn that such exams aren’t regular requirements for professional players. Considering how much is invested in them, you would’ve thought that the clubs would want to protect those investments a little more proactively. But in most cases — outside of the medical conducted upon a player’s initial signing — they’re rarely ever put through any cardiac testing or check-ups. Which is even more odd, because this isn’t a new battle that players have just recently begun to fight.

Former Manchester City and Lyon midfielder Marc-Vivien Foe died on pitch during the Confederations Cup in 2003. Sevilla winger Antonio Puerta died three days after a series of on field heart attacks in 2007, and was followed several months later by Motherwell skipper Phil O’Donnell. Espanyol captain Daniel Jarque was also lost to a heart attack, though his occurred after hours during preseason in 2009. There have been some near misses, too. Rubén de la Red, a promising Real Madrid prospect, was forced to retire two years ago thanks to a heart condition that saw him collapse during a 2008 Copa del Rey match. Or how about young Belgian Anthony Van Loo being shocked back to life by his implanted defibrillator in this shocking 2009 video:

Look, we all know that playing the beautiful game is a physically taxing activity, and that it puts increased strain on our hearts and lungs. For most of us it’s a good thing, and we could probably all stand to get more of that kind of activity. But for the professionals that are out there each day in training and match days, that can be a lot of cumulative stress.  Darren Fletcher’s bowel issues are also thought to be the partially cause of stress — both physical and emotional — and could necessitate surgery to remove his colon. I’m no doctor, but I would have to think that the prevalence of such traumatic health problems should at least be cause for looking into the how stress is affecting players’ bodies.

The general assumption is that players are stretched too thin due to the number of games the modern game demands. Ideally, we would roll back the number of games they’re expected play. But in a world where the thirst for top flight football is growing exponentially — meaning there’s money to be made if matches are played — that’s not remotely possible.

Even if we’re not going to be rolling back the playing time expectations, I think an important Plan B would be for clubs to at least take a greater interest in the health of their players. If regular exams and physicals aren’t the norm, they should be. You would expect that regular heart screenings, stress tests, and general physical exams would be the bare essentials for a sport where fitness is so pivotal. And while it’s highly unlikely that Abidal’s or Petrov’s ailments are the result of football-induced stress, perhaps if the players were subjected to more frequent medical screenings, earlier diagnoses could have been made.

Chelsea's Eva Carneiro

i promise that i'm not abdicating more medical presence in football just so i can see more of eva carneiro.

And if all of these are things that do happen on the regular, could someone tell us about it? Otherwise we fans feel like we’re being left in the dark, thinking that the players have to resort to visiting Serbian witch doctors for crackpot placental treatments.

Regardless of the treatment they’re receiving, it’s not all gloom and doom when it comes to player health these days. Muamba was just released from hospital following his extended stay. Post heart surgery, Cassano recently returned to action for Milan and has been given a clean bill of health by his doctors. And even Salvador Cabañas, a player who was shot in the head nearly two years ago, has defied the odds and returned to playing in his native Paraguay.

If nothing else, these small miracles are enough to give courage and strength to those other players currently suffering with such issues. But we also can’t forget that these players are far more fragile than they appear, and major medical procedures are far from an exact science. Quick fixes will do nothing but conceal the problem that lies underneath. Player health needs more attention — plain and simple — and we’ll only have ourselves to blame if another youngster is lost because everyone simply assumes that professional athletes are in prefect health.

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the missing

it’s the game’s biggest stage, and that stage features the world’s biggest stars. well, most of them anyway.

every four year’s, hundreds of millions of adoring fans to watch the brightest stars of football shine during the world cup. unfortunately, some of those star names don’t get the final invite to the the big ball because their team suck, or their team is a little unlucky, or their coach simply won’t bring them along.

whatever the case may be, south africa 2010 will be devoid of some of the best players in the world. it’s kind of like kanye west not being at the grammy’s; you know he’s talented enough to be there, but he just hasn’t earned it.

ibrahimovic will have some excellent company with which to watch the world cup on the tube this summer.

in fact, we came really, really close to almost having the two best players in the world in messi and ronaldo due to their teams drastically underperforming in qualification. luckily, by some divine influence, both of them stumbled their way into the tournament, sparing fifa some major embarrassment.

but we’re not here to talk about who squeaked their way into the tournament. let’s talk about the best players who had the door slammed into their face.

zlatan ibrahimovic - sweden / barcelona
arguably the biggest name on this list, it’s really not that surprising that big swede isn’t booking his flight to south africa. despite zlatan’s obvious talent, can you name a single other player of true quality in the swedish ranks? i sure can’t. and considering that ibra can’t seem to decide if he actually wants to play for the national team, he’s not exactly going to be the one to lead the charge to the finals.

ryan giggs – wales / manchester united
while giggsy’s younger, speedier red devils teammate antonio valencia might be the better player at this point (debatable), i’m going to go with the wise, old welshman for this list. why? two reasons: 1) despite a glittering club career, giggs has never made an appearance at the world cup finals as wales are confined to minnow status, and 2) at the ripe age of 36 he is still one of the most dangerous and creative players in the EPL. i know my praise won’t mask his disappointment of never making it to the big dance, but he deserves the nod either way.

roman pavlyuchenko – russia / tottenham
even though he’s been buried on the bench for a majority of the season at white hart lane, pav’s recent form is hard to ignore. with five goals in his last three games, it’s no wonder former russia manager gus hiddink wanted pav in form for their qualification campaign… unfortunately for roman and russia, he wasn’t.

edin dzeko – bosnia / wolfsburg
so when you play for bosnia, qualifying for the world cup is about as likely as slobodan milošević not commiting genocide. despite making it to the finals in germany four years ago under the banner of serbia & montenegro, the newly independent serbian side is just not quite as solid. however, the future is bright for serbs. led by dzeko, who is one of the most sought-after strikers in the game, they should be considered a threat during the 2012 euro qualification process.

stephen ireland – ireland / manchester city
when the irish were knocked out of the world cup by thierry henryy’s infamous handball assist in the waning moments of their second leg qualification play-off with france, it plunged a country already renown for their heavy drinking into a drunken furor. so close but so far, as the saying goes. and the fact that they made it so far without the nations best player should be a testament to the team’s strength. the mercurial stephen ireland of manchester city has been in personal exile from the irish national team for some time now, and my guess is he would have continued it even if they had qualified.

antonio cassano – italy / sampdoria
what makes cassano different than everyone else on this list? his national team is qualified for south africa, yet he won’t be making the trip this summer with the azzuri. after tumultuous spells at roma and real madrid, the oft controversial cassano has found his form in sampdoria, prompting numerous calls from the media for his return to the national team. however, italy coach marcelo lippi has thus far refused due to his reputation as a team cancer.

luka modrić - croatia / tottenham

modric seems shocked that his croatia didn't qualify... i'm shocked too.

the croatians were a shock exclusion from south africa, being the highest ranked national side not qualified for the tournament (11th as of march 2010). the absence of the spurs playmaker during qualification, due to a broken leg, likely played a part in the team’s poor results. i could have easily put a couple of the croatians on this list (niko kranjčar, dario šimić, eduardo da silva, etc.), but modrić is the engine that drives his club and country, despite being the size of your average pet hamster.

goran pandev – macedonia / inter milan
the diminutive forward has had a rough go over the last few years for both club and country. despite a tremendous goalscoring record, he was frozen out at former club lazio due to a rocky relationship with management. however, his return to inter has been fruitful with the macedonian netting three times in nine appearances. in the national team shirt, pandev shouldn’t ever expect much success as the macedonians just don’t have the infrastructure or talent to compete at an elite level.

andrei arshavin – russia / arsenal
this gunner will be one of the more notable outcasts for this summer’s main event. his flashy style and creativity made him one of the most attractive transfer targets after russia’s deep run at euro 2008. the russians are stocked full of high level talent and had an excellent manager in gus hiddink, making their absence from south africa even more surprising.

emmanuel adebayor – togo / manchester city
adebayor drives me crazy, and i often say that i don’t intend to write about him on my blog if i can help it. but there’s doubting that the city striker is one of the best strikers not making his way to the world cup finals. probably all the better for togo, seeing as how the team were brutally attacked at the africa cup of nations in angola.

honorable mention
shay given – ireland / manchester city
mikel arteta – spain / everton
petr cech – czech republic / chelsea
hamit altintop – turkey / bayern munich
antonio valencia – ecuador / manchester united
josé bosingwa – portugal / chelsea

so in short, i apparently think strikers are the only good players out there. i’m sure i’m completely missing someone on this list, but then again, this is a list of people who are missing out. if you can think of anyone i left out, feel free to share.