West Ham United v Everton - Premier League

Romelu Lukaku situation shows need for Premier League concussion policy


After Romelu Lukaku scored the winning goal in Everton’s 3-2 win over West Ham, he admitted he could not remember anything about the play.

“Nothing,” he said. “I didn’t even know that I scored. … I didn’t remember what happened for a couple of seconds, and then I woke up, and they said I scored.”

If Lukaku was unconscious, that makes the decision to put him back on the field that much more irresponsible. Everton had used all three of its substitutes at the time of his injury, and taking him off would have meant playing a man down with a slim lead in the dying minutes away from home.

The 2013-14 Premier League Handbook outlines the thinnest definition of a head injury policy:

Any Player, whether engaged in a League Match, any other match or in training, who having sustained a head injury leaves the field of play, shall not be allowed to resume playing or training (as the case may be) until he has been examined by a medical practitioner and declared fit to do so.

That’s all there is to it: No definition of “medical practitioner” or clarification of what constitutes an examination or what it means to be “declared fit.” Athletic trainers and physiotherapists have some level of understand of concussions, but their knowledge doesn’t run as deep as a medical doctor’s, and an examination on the side of a field in a noisy stadium is not the same as a thorough evaluation in a quiet room.

This is one aspect that Major League Soccer gets right. Every club puts its players through baseline testing before the season begins, and even after they are symptom-free following a head injury, they have to see a neuropsychologist for more strenuous testing before being allowed to return to any activity, let alone full training.

The current MLS concussion protocol came into effect in 2011, and baseline testing began to be a routine measure in 2007.

As for Lukaku, not only did he finish the match against West Ham on Saturday, but he also played 90 minutes in a 2-1 League Cup loss to Fulham on Tuesday. Had he suffered another blow to the head in those approximately 95 minutes or in training between the original injury and the (now extended) time until he makes a full recovery, the situation would only get worse.

Coming back too early from a concussion can have long-term cognitive effects in adults, and it is downright deadly for children. Just ask Taylor Twellman, the outspoken ESPN analyst and former New England Revolution forward whose promising career was cut short by concussion-related symptoms.

The Premier League’s 54-word, one-sentence policy on head injuries is simply not enough.

Arsenal’s injury crisis — add Sanchez, Cazorla, Koscielny to the list

Alexis Sanchez, Arsenal FC
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From title challengers to just hoping to hold on to a top-four place while Arsene Wenger is forced to play reserves and academy players because half of his star players are currently out injured — the annual story of Arsenal.

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Oct. 27, when Theo Walcott and Alex Oxlade-Chamberlain both went down with injuries in the same game, marked the unofficial of Arsenal’s 2015-16 injury crisis, but things didn’t really get going full bore until the last seven days, when five more players — four of them full-time starters — picked up injuries that will keep them out of action for anywhere between three weeks and three months.

Added to the list last weekend: Francis Coquelin (knee – three months minimum), Mikel Arteta (calf – three weeks)

Added to the list on Sunday: Alexis Sanchez (hamstring – MORE DETAILS), Santi Cazorla (knee), Laurent Koscielny (hip)

Following Sunday’s 1-1 draw with Norwich City, Wenger said Koscielny “could not walk” due to the hip spasm that forced him out of the game after just 11 minutes. He also divulged that Cazorla, who could not be subbed off because Wenger had already used all three subs late on, played the second half “on one leg.” Sanchez came into Sunday injured after picking up a hamstring injury in Arsenal’s UEFA Champions League victory over Dinamo Zagreb on Tuesday.

[ MORE: Sunday’s PL roundup — Chelsea, Arsenal, Spurs all draw ]

Arsenal fans were up in arms during the summer transfer window — let’s be honest, the following is true of every transfer window the last five years — crying out, “We must buy, we must buy.” Have a look at Arsenal’s complete injury list at the moment, and try to say, “They didn’t need to buy in the summer.”

In chronological order: Danny Welbeck (knee – early 2016 return), Tomas Rosicky (knee – Christmas time return), Jack Wilshere (leg – Christmas time return), Theo Walcott (calf – December return), Alex Oxlade-Chamberlain (hamstring – due to return soon), Mikel Arteta (calf – three weeks), Francis Coquelin (knee – three months minimum), Laurent Koscielny (hip – to be assessed), Alexis Sanchez (hamstring – to be assessed), Santi Cazorla (knee – to be assessed)

WATCH: PL Download — Crystal Palace: South London and Proud

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Check out the latest episode of Premier League Download, a look inside Crystal Palace and the club’s passionate supporters.

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Win, lose or draw it’s always a party for the fans of Crystal Palace and Roger Bennett travels to Selhurst Park to learn how the beloved team went from Championship strugglers to a Premier League success story.

[ WATCH: Past episodes of PL Download ]

Klopp: “Perfect result” caps off perfect week for Liverpool

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Eight days, three games, three wins, seven goals scored and just two conceded — Liverpool’s week, by the numbers.

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From the thrashing of Manchester City last Saturday, to advancing to the knockout stage of the Europa League on Thursday, to grinding out a 1-0 home win over Swansea City on Sunday, it’s been another solid week for the Reds and still-new manager Jurgen Klopp, who now find themselves all the way up to sixth in the Premier League, just four points outside the top-four.

[ MORE: Sunday’s PL roundup — Chelsea, Arsenal, Spurs all draw ]

Following Sunday’s triumph as Anfield, Klopp was his usual jovial self and rightfully pleased with his side’s results over the last eight days. Klopp, speaking in his post-game television interview (above video):

“A perfect result against a strong opponent — a very, very good defending opponent. [The Liverpool players] did a good job in the last week — a good reaction on their results; they defended really good; closed their gaps. … It was a difficult game. We had to change in the second half. … It was difficult — the wind and the opponent, but the result is perfect.”

“All we need is (defensive) stability. Everybody can see our skills on offense when we can play and have a little bit of space. Of course we can create more chances and can play better passes in some situations, but for a few players it’s really hard in this moment because they have to play always. … I’m really proud tonight.”

Easily the toughest part of competing in Europa League is the quick return to Premier League action from Thursday to Sunday, well over half the time against a side that didn’t any one of Tuesday, Wednesday or Thursday. Playing in the Europa League has cost clubs like Liverpool and Tottenham Hotspur an unbelievable (though, relatively unquantifiable) number of points in their respective bids to break back into the PL’s top-four over the last few seasons. There’s a reason Slaven Bilic‘s West Ham United essentially punted on the Europa League back in August.

Premier League Sunday roundup: Arsenal, Chelsea, Spurs all draw; Reds win

NORWICH, ENGLAND - NOVEMBER 29:  Petr Cech of Arsenal looks dejected as Lewis Grabban of Norwich City (7) scores their first goal during the Barclays Premier League match between Norwich City and Arsenal at Carrow Road on November 29, 2015 in Norwich, England.  (Photo by Stephen Pond/Getty Images)
Photo by Stephen Pond/Getty Images
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The Europa League slate helped give us a quartet of Sunday morning Premier League fixtures, but only five goals through those four games.

Only Liverpool seized the chance to make a move up the table, as James Milner‘s penalty conversion moved the Reds closer to the Top Four, while Chelsea, Spurs and Arsenal all settled for draws.

[ SUNDAY RUMORS: Vardy, Neymar, Stones all in the headlines ]

And Arsenal is facing a worsening injury crisis

Tottenham Hotspur 0-0 Chelsea — RECAP

The most notable storyline heading into this match was Diego Costa‘s reported feud with Jose Mourinho, and the Chelsea boss opted to use Pedro up top instead of his best center forward. The play was even, and Chelsea probably looked the better for a goal, and Costa remained unused before tossing his bib toward Mourinho. Surely more to come. From the Spurs’ angle, the North London side missed a chance to assert itself as a title contestant. Mauricio Pochettino‘s side remains four points back of first place.

Liverpool 1-0 Swansea CityRECAP

Not much to like here, and Liverpool could’ve scored several times before Swans’ Neil Taylor gave up a penalty by keeping his arms out as he turned away from Jordon Ibe’s cross. James Milner converted, sending Jurgen Klopp‘s side closer to the Top Four (four points back of No. 4 Arsenal).

Norwich City 1-1 Arsenal — RECAP

Speaking of the Gunners, they scored a goal off a John Ruddy gaffe, but lost Laurent Koscielny and Alexis Sanchez to injury, also sacrificing an equalizer when Robbie Brady and Lewis Grabban teamed up to get the better of Gabriel Paulista and Petr Cech. Heady times for title hopes at the Emirates, but Sunderland and Aston Villa are next.

West Ham United 1-1 West Bromwich Albion — RECAP

A simply-gorgeous free kick goal from Mauro Zarate was on of several good bits of work by the home side, but Winston Reid picked up an own goal on his 150th West Ham appearance to leave this one a draw.