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The Treatment Roomยท 4 min readUpdated

Maddison Fights Back Against Injury Doubts as Tottenham Face Unthinkable Drop

The ยฃ40m playmaker hasn't kicked a ball all season as Europa League winners sit one point above relegation with seven games remaining

Maddison Fights Back Against Injury Doubts as Tottenham Face Unthinkable Drop
SN
Updated

James Maddison has been forced to defend his recovery progress after a viral video sparked concerns about muscle loss in his injured right leg, with Tottenham just one point above the relegation zone and desperately needing their star playmaker back.

The England international posted his own video showing both legs from a straight-on angle after supporters expressed alarm at apparent muscle wastage in footage from the club's training ground. Maddison captioned his response: "Admin needs to work on the angles of videoing... @spursofficial."

From Europa League Glory to Relegation Battle

Less than 12 months ago, Tottenham were lifting the Europa League trophy after their triumph in May 2025. Now they sit 17th in the Premier League, winless in their last 13 games and staring at the unthinkable prospect of relegation to the Championship.

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The Numbers Behind the Collapse

The statistics paint a damning picture of Spurs' freefall:

  • 17th place with seven games remaining
  • One point above West Ham in 18th
  • 13 games without a victory
  • Three managers already this season

Roberto De Zerbi becomes the latest man tasked with saving the north London club, following the dismissals of Thomas Frank and Igor Tudor. His first match comes at Sunderland on Sunday, with fixtures against Brighton, Wolves, Aston Villa, Leeds, Chelsea and Everton to follow.

The Maddison Factor: Why His Absence Has Been Catastrophic

Maddison's ACL injury, suffered in a pre-season friendly against Newcastle in South Korea, has coincided perfectly with Tottenham's dramatic decline. The ยฃ40 million signing from Leicester hasn't played a single minute of the 2025/26 campaign and remains in the treatment room.

What the Viral Video Really Shows

The footage that went viral showed Maddison working on his recovery, but the camera angle appeared to highlight significant muscle loss in his right leg compared to his left. Fan reactions ranged from concerned to alarmed:

"If this is a recent piece of footage it's going to be a bit longer... the difference in his legs tell you that."

Another supporter noted: "Injuries hurt players more than we can tell. You could see James Maddison has lost a lot weight, especially in his leg muscles."

Maddison's swift response video, filmed from a more flattering angle, aimed to dispel these concerns and show his recovery remains on track.

De Zerbi's Impossible Task and the Pressure on Maddison's Comeback

The new Tottenham manager faces an almost unprecedented challenge. No Europa League winner has ever been relegated from England's top flight the following season. De Zerbi must somehow extract victories from a squad that has forgotten how to win.

Former Boss Tudor's Optimism

Before his departure, Igor Tudor offered hope about Maddison's progress last month:

"Maddison is already doing interesting things as well with the ball. Sprinting as well. I saw him. He is positive. He is positive."

De Zerbi is expected to address Maddison's potential return date in his first press conference later this week. With the playmaker now "sprinting" and working with the ball, his comeback could arrive within the final seven games.

The Stakes Couldn't Be Higher

For a club that was competing in European football's elite competitions just months ago, the prospect of Championship football represents an almost unimaginable fall from grace. Maddison's creativity and goal threat from midfield have been sorely missed during the winless run, especially with defensive injuries also mounting.

The pressure on both player and club intensifies with each passing week. Maddison must complete his recovery without setbacks, while Tottenham must find points from somewhere to avoid becoming the most high-profile relegation in Premier League history.

What Happens Next

De Zerbi takes charge of his first match at Sunderland on Sunday, with all eyes on team selection and any update on Maddison's availability. The Italian faces his former club Brighton in his home debut later this month, by which time Tottenham's Premier League status could be hanging by a thread.

If Maddison can return for the final fixtures, his presence alone could provide the psychological boost a beleaguered squad needs. But after 13 games without victory, Tottenham cannot afford to pin all their survival hopes on one player's race against time.

SportSignals is an independent publication. Views expressed are our own.

Sources

This article is based on reporting from the publications above. Specific facts and quotes are credited inline where used.

Frequently Asked Questions

When will James Maddison return from injury for Tottenham?

Maddison is recovering from an ACL injury suffered in pre-season against Newcastle. No official return date has been confirmed, but he recently posted videos showing his rehabilitation progress.

How close is Tottenham to relegation?

Tottenham currently sit 17th in the Premier League, just one point above the relegation zone with seven games remaining. They are winless in their last 13 matches.

What injury does James Maddison have?

Maddison suffered an ACL injury to his right leg during a pre-season friendly against Newcastle in South Korea. He has not played any minutes in the 2025/26 season.

Who is Tottenham's new manager?

Roberto De Zerbi has been appointed as Tottenham's new manager, becoming the third manager this season after Thomas Frank and Igor Tudor were dismissed.

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