The Rising Epidemic of ACL Injuries in Football: Insights from Pep Guardiola's Trusted Surgeon
Explore the surge in ACL injuries in the Premier League, with expert analysis from Dr Ramon Cugat, Pep Guardiola's trusted surgeon.





The Surge in ACL Injuries
The Premier League is witnessing a worrying increase in anterior cruciate ligament (ACL) injuries this season, with Manchester United's Lisandro Martinez becoming the 10th player to suffer this severe injury. Dr Ramon Cugat, a renowned knee surgeon and the go-to medical expert for Pep Guardiola, attributes this rise to the increasing number of games and insufficient recovery periods.
Dr Cugat's Expert Analysis
Dr Cugat, who has treated numerous football stars including Andres Iniesta and Kevin de Bruyne, explains that the spike in injuries is not due to a single factor but a combination of increased workload, higher intensity play, and inadequate recovery. He emphasizes that the physical demands of modern football, characterized by more sprints and intense training sessions, are pushing players to their limits.
Impact on Players and Teams
The 2024-25 season has seen seven ACL injuries since January alone, affecting players from top clubs like Tottenham and Arsenal. The congested fixture list, particularly in December and January, exacerbates the situation, leaving players vulnerable to such injuries.
The Role of Recovery and Prevention
Dr Cugat highlights the importance of correct nutrition, adequate rest, and effective load management to help players recover from the micro-injuries sustained during intense matches. He also points out that other factors, such as footwear quality and mental health, play crucial roles in injury prevention.
The 'Messi of Medicine'
Dr Cugat's innovative 'growth factors' technique, involving the use of platelet-rich plasma (PRP), has revolutionized ACL recovery. This method has significantly reduced recovery times and has been widely adopted across the footballing world. His long-standing relationship with Guardiola has seen him treat key players like Xavi and Sergio Aguero, ensuring they return to peak performance.
Conclusion
The increasing incidence of ACL injuries in football underscores the need for better player management and recovery strategies. As the sport continues to evolve, the focus must shift towards safeguarding the health and longevity of its athletes.