{"id":1215749,"date":"2021-08-18T20:52:25","date_gmt":"2021-08-18T19:52:25","guid":{"rendered":"https:\/\/www.squawka.com\/en\/?p=1215749"},"modified":"2021-08-20T16:13:48","modified_gmt":"2021-08-20T15:13:48","slug":"marcus-rashford-shoulder-surgery-players-physical-wellbeing","status":"publish","type":"features","link":"https:\/\/www.squawka.com\/en\/features\/marcus-rashford-shoulder-surgery-players-physical-wellbeing\/","title":{"rendered":"Marcus Rashford\u2019s shoulder surgery: Who makes the final call on a player\u2019s physical wellbeing?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\"><strong>Elite level professional football is rife with injuries, as well as health and fitness concerns.<\/strong><\/span><\/p>\n<p><span style=\"font-weight: 400;\">Players and clubs sit on a large, varied spectrum of acceptable risk and how comfortable they are with pushing on through injuries and discomfort. This naturally leads to the question: who should have the final say over medical decision-making?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In an ideal world devoid of internal and external pressures of players having to perform, coaches having\/wanting to win, fan expectations, and so on, the medical team would have full authority and clearance. However, that\u2019s not how it works in the majority of elite football clubs.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Rather, the push and pull between players and clubs is constant and often exists between groups within the club: coaching staff, medical personnel, training staff, etc. In some situations, the players\u2019 desires will be given more weight, in some the medical staff has ultimate authority, in others it\u2019s a more balanced process.<\/span><\/p>\n\n<p><span style=\"font-weight: 400;\">Further, some players are afforded more leeway and trust to play through injuries. A prime example being Manchester United and England international winger Marcus Rashford.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The dynamic forward has played through a slew of injuries for both former manager Jose Mourinho and current manager Ole Gunnar Solsjkaer, earning the reputation of a high-pain tolerance player, willing to sacrifice his own health for the sake of the team.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Under Mourinho, Rashford played through multiple soft tissue injuries including an adductor tear along with an ankle injury that flared up multiple times. After Mourinho was fired and Solskjaer took the managerial reins, Rashford\u2019s penchant for playing through injuries only became more pronounced.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">He continued on with multiple lower back (lumbar) stress fractures, a midfoot ligament injury that he picked up against Manchester City last season &#8212; which often required him to wear hard sliders during games to tolerate the discomfort &#8212; a hip injury that required pain-killing injections, and finally a shoulder injury. That agitation, a &#8220;muscle tear&#8221; that is either a rotator cuff injury or more likely a shoulder labrum and biceps tendon injury, is one that he has been carrying for at least 18 months; all of which culminated in a very limited showing for Rashford at Euro 2020.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">With Rashford trusted to play through pain and multiple injuries &#8212; for extended periods of time &#8212; at the risk of his own on-pitch performances (and the public vitriol that often comes with decreased performance) as well as potentially medium to long-term consequences, does that mean he should also have more say when it comes to deciding whether he wants to have a procedure that may or may not be 100% warranted?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">That\u2019s exactly what Rashford and the club just went through, with a back and forth over a shoulder injury that eventually led to him getting surgery.<\/span><\/p>\n<blockquote class=\"twitter-tweet\" data-width=\"500\" data-dnt=\"true\">\n<p lang=\"en\" dir=\"ltr\">Thank you for all the well wishes. I had my surgery on Friday morning and everything went very well. A little sore but other than that I\u2019m feeling good. Hope you\u2019re all having a great day! \u2665\ufe0f <a href=\"https:\/\/t.co\/cUZQpS0wIi\">pic.twitter.com\/cUZQpS0wIi<\/a><\/p>\n<p>&mdash; Marcus Rashford (@MarcusRashford) <a href=\"https:\/\/twitter.com\/MarcusRashford\/status\/1425097990142926849?ref_src=twsrc%5Etfw\">August 10, 2021<\/a><\/p><\/blockquote>\n<p><script async src=\"https:\/\/platform.twitter.com\/widgets.js\" charset=\"utf-8\"><\/script><\/p>\n<p><span style=\"font-weight: 400;\">After playing through this agitation during the second half of Man Utd&#8217;s 2020\/21 campaign, Rashford was intent on addressing the physical issues that he felt restricted his ability on the pitch, most notably the shoulder injury which, according to <\/span><em><a href=\"https:\/\/theathletic.co.uk\/2619958\/2021\/07\/15\/why-rashford-has-decided-to-have-surgery-eight-months-after-tearing-shoulder-muscle\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">The Athletic<\/span><\/a><\/em>,<span style=\"font-weight: 400;\"> resulted in a loss of range of motion, impacted his speed, decreased his confidence when going in for challenges, and didn\u2019t allow him to lift heavy weights during gym sessions.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Rashford\u2019s shoulder injury was such that there was a considerable grey area: differing opinions gave him different timelines for a return to play, from as short as six weeks to as long five months (this isn\u2019t unusual with shoulder injuries and the true timeline often only reveals itself after the surgeon is able to see what\u2019s going on).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">However, following the conclusion of the Euros, Rashford decided to get the procedure, but the surgeon of choice was unavailable until the end of July. This led to numerous talks between the player and club &#8212; namely manager Solsjkaer &#8212; to potentially consider alternative treatments and continue with conservative therapy in-house, which would allow the player to still be available rather than miss the first two months of the season. This came to a head in late-July when Rashford returned from holiday and Solsjkaer commented that everything would be resolved &#8220;in a few days&#8221;.<\/span><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-1215764 size-full\" src=\"https:\/\/media.squawka.com\/images\/en\/2021\/08\/18203432\/1215749_1215749_PA-59216453-min-scaled.jpg\" alt=\"\" width=\"2560\" height=\"1839\" srcset=\"https:\/\/media.squawka.com\/images\/en\/2021\/08\/18203432\/1215749_1215749_PA-59216453-min-scaled.jpg 2560w, https:\/\/media.squawka.com\/images\/en\/2021\/08\/18203432\/1215749_1215749_PA-59216453-min-300x215.jpg 300w, https:\/\/media.squawka.com\/images\/en\/2021\/08\/18203432\/1215749_1215749_PA-59216453-min-1024x735.jpg 1024w, https:\/\/media.squawka.com\/images\/en\/2021\/08\/18203432\/1215749_1215749_PA-59216453-min-768x552.jpg 768w, https:\/\/media.squawka.com\/images\/en\/2021\/08\/18203432\/1215749_1215749_PA-59216453-min-110x79.jpg 110w, https:\/\/media.squawka.com\/images\/en\/2021\/08\/18203432\/1215749_1215749_PA-59216453-min-100x72.jpg 100w, https:\/\/media.squawka.com\/images\/en\/2021\/08\/18203432\/1215749_1215749_PA-59216453-min-66x47.jpg 66w, https:\/\/media.squawka.com\/images\/en\/2021\/08\/18203432\/1215749_1215749_PA-59216453-min-80x57.jpg 80w, https:\/\/media.squawka.com\/images\/en\/2021\/08\/18203432\/1215749_1215749_PA-59216453-min-180x129.jpg 180w, https:\/\/media.squawka.com\/images\/en\/2021\/08\/18203432\/1215749_1215749_PA-59216453-min-334x240.jpg 334w, https:\/\/media.squawka.com\/images\/en\/2021\/08\/18203432\/1215749_1215749_PA-59216453-min-835x600.jpg 835w, https:\/\/media.squawka.com\/images\/en\/2021\/08\/18203432\/1215749_1215749_PA-59216453-min-240x172.jpg 240w, https:\/\/media.squawka.com\/images\/en\/2021\/08\/18203432\/1215749_1215749_PA-59216453-min-1100x790.jpg 1100w, https:\/\/media.squawka.com\/images\/en\/2021\/08\/18203432\/1215749_1215749_PA-59216453-min-85x61.jpg 85w, https:\/\/media.squawka.com\/images\/en\/2021\/08\/18203432\/1215749_1215749_PA-59216453-min-28x20.jpg 28w, https:\/\/media.squawka.com\/images\/en\/2021\/08\/18203432\/1215749_1215749_PA-59216453-min-330x237.jpg 330w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">To note, we don\u2019t know the full context of these discussions nor if they were simply conversational in nature, or contentious. Based on Solsjkaer\u2019s reputation as a player\u2019s manager, I\u2019d lean heavily towards the former.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">This begs a few hard questions: when Rashford decided to play through his past injuries, was there a similar, long-winded process when discussing his route to recovery? Or was that decision to sacrifice for the team accepted and normalised over the many times he chose to play? Was the process different in <em>this<\/em> case for Rashford&#8217;s should surgery because he chose his own health over the team, or because the injury simply dictated as much?<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These aren\u2019t questions we have the answers to but it illuminates how decision-making may fluctuate based on the circumstances and what is considered good for the club versus what is good for the player.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As I touched on at the beginning of this article, ideally this decision-making would rest with the medical and training staff, but elite football is filled with competing interests and convoluted reasoning, likely far more than anyone in the public will understand &#8212; and often by design.<\/span><\/p>\n<p><em><strong><a href=\"https:\/\/twitter.com\/3cbPerformance\" target=\"_blank\" rel=\"noopener\">Dr Rajpal Brar<\/a>, DPT, is a physiotherapist, movement expert, fitness trainer, and mindfulness coach. He runs the LA-based wellness and athletic development\/performance clinic<span>\u00a0<\/span><a href=\"https:\/\/www.3cbperformance.com\/\" target=\"_blank\" rel=\"noopener\">3CB Performance<\/a>, and you can subscribe to his Youtube channel (which posts analyses of Lionel Messi and more) by going<span>\u00a0<\/span><a href=\"https:\/\/www.youtube.com\/channel\/UCTWTrHvBDXT4PFiZI6XV95w\" target=\"_blank\" rel=\"noopener noreferrer\">here<\/a>.<\/strong><\/em><\/p>\n\n","protected":false},"excerpt":{"rendered":"<p>Elite level professional football is rife with injuries, as well as health and fitness concerns. Players and clubs sit on a large, varied spectrum of acceptable risk and how comfortable they are with pushing on through injuries and discomfort. This naturally leads to the question: who should have the final say over medical decision-making? In&#8230;<\/p>\n","protected":false},"author":374,"featured_media":1215908,"template":"","meta":{"_acf_changed":false,"_yoast_wpseo_focuskw":"","_yoast_wpseo_title":"","_yoast_wpseo_metadesc":"Who really has the ultimate authority when it comes to a footballer\u2019s physical wellbeing and their route to recovery.","footnotes":""},"tags":[],"features-category":[],"squawka-category":[],"class_list":["post-1215749","features","type-features","status-publish","has-post-thumbnail","hentry"],"acf":{"external_featured_image_url":"","hide_featured_image_pattern":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.1 (Yoast SEO v27.1.1) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Marcus Rashford\u2019s shoulder surgery: Who makes the final call on a player\u2019s physical wellbeing? | Squawka | EN<\/title>\n<meta name=\"description\" content=\"Who really has the ultimate authority when it comes to a footballer\u2019s physical wellbeing and their route to recovery.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.squawka.com\/en\/features\/marcus-rashford-shoulder-surgery-players-physical-wellbeing\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Marcus Rashford\u2019s shoulder surgery: Who makes the final call on a player\u2019s physical wellbeing?\" \/>\n<meta property=\"og:description\" content=\"Who really has the ultimate authority when it comes to a footballer\u2019s physical wellbeing and their route to recovery.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.squawka.com\/en\/features\/marcus-rashford-shoulder-surgery-players-physical-wellbeing\/\" \/>\n<meta property=\"og:site_name\" content=\"Squawka | EN\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/SquawkaFootballNews\/\" \/>\n<meta property=\"article:modified_time\" content=\"2021-08-20T15:13:48+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/media.squawka.com\/images\/en\/2021\/08\/19215516\/1215749_1215749_feature_header-%E2%80%93-preview-team-8.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1920\" \/>\n\t<meta property=\"og:image:height\" content=\"1080\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:site\" content=\"@squawka\" \/>\n<meta name=\"twitter:label1\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"5 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"NewsArticle\",\"@id\":\"https:\/\/www.squawka.com\/en\/features\/marcus-rashford-shoulder-surgery-players-physical-wellbeing\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.squawka.com\/en\/features\/marcus-rashford-shoulder-surgery-players-physical-wellbeing\/\"},\"author\":{\"name\":\"Dr Rajpal Brar\",\"@id\":\"https:\/\/www.squawka.com\/en\/#\/schema\/person\/d56a58d97df2f44258851a1503c3cc64\"},\"headline\":\"Marcus Rashford\u2019s shoulder surgery: Who makes the final call on a player\u2019s physical wellbeing?\",\"datePublished\":\"2021-08-18T19:52:25+00:00\",\"dateModified\":\"2021-08-20T15:13:48+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.squawka.com\/en\/features\/marcus-rashford-shoulder-surgery-players-physical-wellbeing\/\"},\"wordCount\":955,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/www.squawka.com\/en\/features\/marcus-rashford-shoulder-surgery-players-physical-wellbeing\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/media.squawka.com\/images\/en\/2021\/08\/19215516\/1215749_1215749_feature_header-%E2%80%93-preview-team-8.jpg\",\"articleSection\":[\"Features\"],\"inLanguage\":\"en-GB\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.squawka.com\/en\/features\/marcus-rashford-shoulder-surgery-players-physical-wellbeing\/\",\"url\":\"https:\/\/www.squawka.com\/en\/features\/marcus-rashford-shoulder-surgery-players-physical-wellbeing\/\",\"name\":\"Marcus Rashford\u2019s shoulder surgery: Who makes the final call on a player\u2019s physical wellbeing? 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