Tottenham CEO Vinai Venkatesham has revealed his approach to tackling Spurs’ injury crisis, which has helped improve the Lilywhites’ fortunes on the fitness front.Tottenham Hotspur’s injury struggles over the last three seasons have been well documented, with the Lilywhites often finding themselves down to the bare bones and injury numbers running into double figures.In 2024/25, Spurs had a whopping 12 players sidelined at one point, from their goalkeepers to their forwards.Last campaign, the injury crisis continued, prompting Cristian Romero to call out the Tottenham board, seemingly for not backing former manager Thomas Frank during the winter window after the Lilywhites were severely hit by injuries, leaving just eleven senior players at the disposal of the Dane.After Spurs fought for a 2-2 draw with Manchester City, he said: “Great effort from all my teammates yesterday. They were incredible. I wanted to be available to help them even though I wasn’t feeling well. Especially as we only had 11 players available. Unbelievable but true and disgraceful.”Stats even showed that Tottenham were the hardest-hit club on the injury front in 2024/25, while recent reports show that Spurs top the table after losing £85 million and over 7,000 days to injury in the last three years.Credit: The Sports Agents/GlobalTottenham CEO Vinai Venkatesham explains medical department overhaulTottenham CEO Vinai Venkatesham has now opened up on the work the club has done in the medical department to tackle Spurs’ injury struggles.He revealed what he found when he came in and why it was so important for him to reset the club’s medical department.Speaking to The Sports Agents, he said: “Yes, so I think it’s fair to say that we found that there were some significant improvements that we felt that we could make to the medical team. And we felt that for a variety of reasons, but I think, you know, it’s pretty public to look at how many injuries that we’ve had for a long period, and you get feedback as well.“The challenge is, what you can’t do is you can’t just click your fingers and have a new medical team in place, especially during the course of the season, because it takes time to bring people in. I guess the sort of frustration is you identify this challenge on day one, but if you want to properly fix it, and by properly fix it I mean get the best person and the best people that can deliver for the long term, it takes some time to sort of make those changes.“So I think the challenge always in football is, rightly, there is a desire for immediate short-term fixes and improvements, and that is absolutely fine. There should be that desire. But you also know that if you want to sort of fix something for the long term, it takes a bit of time to kind of get it right.“You could use the same analogy for the January transfer window last year. So, you know, of course we could have done more in the January transfer window last year. And if you look back at it with the benefit of hindsight, if we did, would that have meant that the second half of last season would have been less stressful? Possibly. But would that mean we would have had the right players that we really want going forward for this season? No.”Is Spurs’ new medical approach paying off?Spurs Web previously shared reports of a major overhaul of the medical staff at Tottenham. It was revealed at the time that Spurs’ focus was expected to include more individualised player care.It was further explained that the squad was set to be split into groups of four to six players, with each group having its own physio and sports scientist.Such an approach will enable the staff to dedicate more time to each player and understand their problems better.So far, that looks to be working for Tottenham this season, as the injury crisis has not been as bad as in previous years.Of course, there have been a few sidelined players, but apart from the long-term ACL recoveries of Xavi Simons and Wilson Odobert, these injuries have not been long-term, with Mykhailo Mudryk’s current lay-off of more than four weeks the longest of the rest.That is hardly surprising, though, as he has barely played football in the last two years due to his ban. Encouragingly for Spurs, they look set to have a clean bill of health come December, with many of their sidelined players pencilled in for a return before the end of the year.PlayerInjuryPotential returnLucas BergvallKnee injuryNovember 2026Mykhailo MudrykAnkle injuryNovember 2026SavioMuscular injuryNovember 2026Xavi SimonsACL injuryNovember 2026 (training)Wilson OdobertACL injuryDecember 2026 (training)Mathys TelAchilles injuryUnknownREAD MORE: ‘Ridiculous’ – Jamie O’Hara disagrees with Roberto De Zerbi on Will Lankshear saleThe post Vinai Venkatesham may be bang on about Tottenham’s medical overhaul ahead of mass returns appeared first on Spurs Web.