Andy Murray’s hip injury highlights a big problem in tennis.

By August 31, 2017Rehabilitation, Training

It seems that Andy Murray’s hip injury is a little more serious than previously thought. Murray has just pulled out of the U.S Open, an event he had hoped to win were it not for the same hip pain that affected his performance at Wimbledon.

Andy Murray's hip injury

Whilst he hasn’t discussed the exact nature of the issue, it seems he may require surgery if he is to continue to play. Murray last had surgery in 2013 on a problematic spinal disc. This ultimately cost him a season of competitive play. He understands therefore that surgery not a quick fix.

Joint surgery and former players.

Inevitably this news has prompted former players to discuss their injuries in the media and it’s this that has been most surprising to me.

Ivan Lendl, Murray’s current coach recently revealed that he had both hips replaced at the age of 56. He cited this as one of the main reasons he was unable to travel over the last couple of years to support Murray.

Not to be outdone, Boris Becker has also had both hips replaced, 10 years earlier than his former rival. Becker also suffers with right ankle issues which means he now walks with a limp.

Andrew Castle the former British number 1 and current BBC commentator has had a hip replaced. Whilst on the female side of the game Jo Durie, also a former British number 1, recently revealed that she had to undergo both hip and knee replacement surgery.

Just type ‘former tennis champions joint replacement surgery’ into Google and you will see plenty of other former players who have had surgery to replace damaged joints.

This begs the question why is tennis so injurious in the long term for joint health?

The reason is uncontrolled force.

Injuries to any joint in a sport like tennis are the result of repeated exposure to uncontrolled force.

We are built and maintained by our central nervous system with safety in mind. In order to damage a joint the forces involved in an activity must first breach the limits of our muscular systems.

Even after that has occurred each joint has an array of ligaments encasing the joint structure which provide a secondary defence. These are the crash barriers of the joint. The larger the freedom of movement, the less restrictive these barriers must be however. This is perhaps why the hip is more vulnerable with it’s large range of available motion.

Damage to a joint ultimately represents a mismatch between what is being asked of the muscular system and what it’s capable of tolerating, Sure there are genetic factors involved and sheer bad luck in some cases, but to require double joint replacements in middle age is not down to chance.

In a sport where there is no physical contact this seems unacceptable. I have no idea what training Becker, Lendl or even Castle undertook during their careers but it clearly didn’t prepare their bodies well enough to tolerate the forces involved in tennis.

Physical preparation for the modern game.

When Murray first appeared on the professional circuit much was made about his inability play long matches without breaking down physically. This he remedied with training that had obvious, visible results.

The modern game is said to impose more physical demands than even those a decade ago. Just this morning I heard that the major stakeholders in tennis will meet after the U.S Open to discuss the spate of injuries to top players at the tournament.

It seems that the problem is two fold; inadequate preparation to meet the physical demands and an increase in the demands that playing on the tour requires.

I wrote previously that the rehab regime Murray was undertaking for his hip problem prior to Wimbledon was unlikely to produce results. This was because it wasn’t addressing the underlying cause. Inevitably I received some criticism for this.

Again I have no idea what Murray’s exercise programme looks like but the results are clear. We shouldn’t be afraid to question methods of physical preparation which leave players requiring surgery in order to continue to play.

The future for tennis players.

Professional tennis exacts a huge toll on those who choose to participate. The knowledge that previous champions and indeed those that are coaching are doing so with artificial joints should be a sobering thought.

Either the players will have to start selecting which tournaments they play in as Federer seems to be doing, or they need to take a serious look at how they are preparing their bodies to play the game.

Jimmy Connors recently spoke of his inability to coach because of his reluctance to go anywhere near a tennis court. He said he was too proud to let people see him hobbling around prior to his hip replacement. That’s very sad.

A sport that doesn’t require it’s participants to endure physical contact with other players shouldn’t result in chronic pain and disability in later life.

Tennis is not rugby or American football. The game needs to take a look at how it’s players are preparing their bodies to meet the demands, or change what those demands actually are.