Tottenham have made significant changes to how they handle injuries and recovery, and Roberto De Zerbi has had a hand in shaping them, even if the process occasionally tests his patience. That’s according to journalist Alasdair Gold, who posted the claim on X without elaborating on the specifics of what’s actually changed.
What Gold Actually Said
The post itself is short on detail. Gold states there have been big changes inside the club’s approach to injuries and recovery, and that De Zerbi, despite any personal frustration it might cause him, has been part of building the new system. No mechanism, no staffing structure, no numbers.
That’s worth sitting with. This is a reporter with genuine access saying something is different behind the scenes at Spurs. It is not, on its own, a breakdown of what that something is.
Why This Sounds Familiar
Anyone who’s watched Tottenham lurch from one medical department reshuffle to another in recent years will know the pattern: a review, some departures, new hires, promises of a more individualised approach, then another injury-hit campaign that prompts the whole cycle again. Whether this latest change represents something structurally different, or just the next iteration of the same instability, isn’t something Gold’s post tells us.
Wider reporting elsewhere has covered Tottenham’s staffing churn in the medical and sports science department over the past two seasons, with outlets like The Athletic detailing departures and appointments in that space. None of that detail is confirmed by Gold’s post itself, so it should be read as background context rather than an extension of this specific report.
De Zerbi’s Public Caution
What we do know from his own touchline comments and press conferences over recent months is that De Zerbi has generally preferred a slower, more deliberate route back for players returning from longer injuries, something touched on in recent injury updates on long-term absentees and in how he’s handled fresh signings coming back from lengthy layoffs. If Gold’s report is accurate, that instinct for caution may now be built into the club’s process rather than just De Zerbi’s personal preference on any given matchday.
Verdict
Take this for what it is: a credible reporter saying Tottenham have changed how they manage injuries and recovery, and that De Zerbi has been involved in shaping it. That’s evidence of a shift in operating philosophy, not proof the club has actually solved anything.
Spurs fans have heard versions of this story before, usually followed by another stretch on the treatment table. Whether this one is different will only be answered by what happens to the injury list over the coming months, not by a single post confirming the process exists.



