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Spurs conduct major review into injury crisis with stadium's retractable pitch one area investigated

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Spurs conduct major review into injury crisis with stadium's retractable pitch one area investigated - Sky Sports
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Spurs have carried out a major review of their performance and medical departments, which included an investigation into whether the Tottenham Hotspur Stadium's retractable pitch is contributing to the club's ongoing injury crisis.

Tottenham lost the most days to injury of any Premier League side this season, while Spurs players missed a combined 370 games across all competitions due to injury this campaign - the most of any top-flight side.

The club's failure to keep players fit nearly led to their relegation as Roberto De Zerbi's side dramatically needed a final-day home win over Everton to secure their Premier League safety.

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It is a second consecutive injury-hit season for Spurs, who have lost the most days and games to injury of any Premier League side since the start of the 2024/25 campaign.

A crippling injury list has played its part in back-to-back 17th-placed finishes for the world's ninth-richest football club.

It is understood the club's new performance director, Dan Lewindon, has completed a thorough review of the injury issue after three months in the job, and the Tottenham Hotspur Stadium retractable pitch is an area of concern.

The serious knee injuries to Dejan Kulusevski and Radu Dragusin came at home last season, while James Maddison partially tore his anterior cruciate ligament (ACL) in last May's home win over Bodo/Glimt, before a full rupture three months later in pre-season in South Korea.

This season, Ben Davies broke his ankle in January's home defeat to West Ham, while Wilson Odobert ruptured his ACL in the home loss against Newcastle.

It is understood Tottenham regularly carry out external independent testing on their home surface to assess the bounce of the pitch compared to that of their training pitch, but to date the results are inconclusive.

However, further detailed testing is planned in the coming weeks to analyse whether there is a difference in their home surface compared to other Premier League pitches.

Tottenham's investigation comes with Real Madrid's new retractable pitch also in the spotlight.

Since the Santiago Bernabeu's reopening, the 15-time European champions have suffered a spate of ACL injuries.

Reports in Spain claim Real are investigating their pitches at both the Bernabeu and their Valdebebas training ground.

While the Bernabeu has only been fully reopened for three years, Spurs have been playing at their £1bn state-of-the-art stadium for the past seven years, with injuries only becoming a real issue in the last two seasons.

Spurs set to introduce new system to combat injuries

Since the start of the 2024/25 campaign, Tottenham have suffered 123 injuries - only north London rivals Arsenal (146) have suffered more in the Premier League in that period.

Multiple Spurs players have also had injury setbacks in the past two seasons, including Mohammed Kudus this campaign.

Spurs' non-executive chairman Peter Charrington promised there would be a "significant focus on raising standards across medical and performance" in an open letter to fans on Monday.

Lewindon's review is understood to have uncovered structural issues within the performance set-up of the club.

There is a belief that there is a lack of integration, communication and shared decision-making, which has led to injuries and injury reoccurrences.

A higher level of support for players individually is wanted by Tottenham head coach De Zerbi.

This has prompted Lewindon to build a small-team approach whereby up to six players are assigned a physio, which allows higher-quality programming and better decisions made around a player's training design and physical preparation.

Tottenham are also looking to appoint a psychologist for the men's team, with the idea that this can improve communication.

Another factor in Spurs' injury crisis has been the number of managerial changes at the club.

Spurs have had four different head coaches in the space of a year - Ange Postecoglou, Thomas Frank, Igor Tudor and De Zerbi - which has led to changing demands on the players.

It is believed these differing training methods and tactics have created an increased risk of injury to the Spurs players.

Spurs reject criticism over handling of Simons' injury

Spurs boss De Zerbi lost a player to injury in each of his first three games, with Cristian Romero suffering a season-ending injury in the loss at Sunderland, Destiny Udogie picking up a muscular issue in the draw against Brighton, and Xavi Simons suffering an ACL injury in the win at Wolves.

But the handling of Simons' injury drew criticism from some Spurs supporters after the attacking midfielder was given ice spray and sent back on the pitch before eventually being stretchered off with the season-ending injury.

It is understood Lewindon was very satisfied with the medical team's handling of the situation.

Simons wanted to continue at Molineux, and with an ACL test hard to perform at pitchside, the decision to allow him the opportunity to return to the game was deemed correct by the club.

It is understood no additional damage was done to Simons, who is set to return next season when Spurs will be hoping their injury crisis has been resolved.

Maddison calls for inquest into Spurs' injury problems

Maddison has called on Spurs to investigate the "astronomical" injury problems that have plagued the squad this season.

The playmaker, restricted to three appearances off the bench at the end of the campaign, is one of six Spurs players to have had a serious knee injury since January 2025.

Speaking after Sunday's final-day win over Everton, Maddison said: "Our situation with the injuries has been worse than any other club.

"People try and say, 'Oh, but we've got this and that'. But ours is astronomical, and we need to look at why that is.

"Sometimes it can just be unlucky, sometimes it can be a coincidence, like me doing my ACL or [Dejan] Kulusevski getting a horrendous knock off [Marc] Guehi.

"That's not the medical team, that's not the pitch or all the theories that you see, sometimes that's rubbish."

Maddison believes Spurs, who only confirmed their Premier League safety on the final day, would never have been in that position if they had their key players fit.

"We've been a bit unlucky," Maddison added. "But like I said, the big names that we've missed, it does affect you and you can't just deny that.

"Myself, Kulusevski and [Mohammed] Kudus, and [Rodrigo] Bentancur missed three months and whatnot. If you had had them for the whole season, we wouldn't have been in this situation, I strongly believe.

"That's just not me being naive, that's just a fact. But it is the situation we find ourselves in, and I am just proud of the lads to dig deep today."

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Roberto De Zerbi saves Tottenham: How head coach revitalised Spurs to secure Premier League survival

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There was meant to be no way back for Tottenham. A failed manager, a failed replacement, no wins in almost half a season and only two at home all year. But Roberto De Zerbi has saved Spurs, by the finest of margins.

There were question marks whether the fiery Italian's unorthodox, even eccentric methods would transfer across to his new players with only seven games to keep them afloat.

His former captain, Brighton skipper Lewis Dunk, once recalled a "carnage fortnight" when he took over at the Amex in 2022, as he struggled to get his ideas across and the Seagulls' form fell off a cliff in the opening weeks of his tenure.

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Any repeat in north London and it would be curtains in a race for survival against a resurgent West Ham side under Nuno Espirito Santo. But Tottenham's longest unbeaten run of the season - admittedly, a low bar - and 11 points from seven games later, has been enough to secure their Premier League status with a 2-0 win over Everton on the final day.

De Zerbi has chosen pragmatism over ideology, at least by his usual standards. No goalkeepers baiting opposition or a league-topping number line-up changes. Hallmarks of his style still underpin his version of Spurs, but simplicity has been the key both in his methods and his selections, with the results speaking for themselves.

How has the 46-year-old got it done?

High-pressing, efficient running

The signs of De Zerbi's high-pressing game quickly became increasingly evident across his opening games to the point where inside five games he already enjoyed the best record of any single manager across the division of winning the ball back in the final third this season - an average of 5.1 times per game since his arrival.

That comes with a small sample size but large enough to compare impressively with his predecessors, with those numbers rising 40 per cent on the rest of the season in the final seven games of the campaign.

Spurs are pressing better by being smarter. Their running numbers have dropped across the board - they are running slightly less but sprints have dropped by almost 10 per cent compared to before De Zerbi's arrival, despite their possession stats barely increasing. Not pressing for pressing's sake.

That better organised, front-foot approach is having a different effect than you might expect. Yes, Spurs are winning the ball back closer to the opposition goal but only Xavi Simons' fine strike against Brighton directly owes anything to it. Spurs are barely creating more xG, striking at goal more or even getting shots away quicker than before De Zerbi arrived.

Instead, keeping opposition pressure away from Spurs' own goal is making a significant difference. They have given up less than a goal's worth of xG on average, 0.79xG per game under De Zerbi - a figure almost 50 per cent down from before his arrival when they were shipping 1.51xG every match.

Going by those numbers, Spurs' average goal difference per game has risen from a concerning -0.49xG per match into positive numbers for the first time since their draw with Brighton all the way back in September.

A reinvigorated, industrious midfield

It's worth remembering that not everything was immediately plain sailing for De Zerbi.

The comparison between Sunderland captain Granit Xhaka's numbers alone against Spurs' midfield three in a 1-0 defeat at the Stadium of Light in his first game made for humiliating reading.

In that game, De Zerbi picked the young duo of Archie Gray and Lucas Bergvall alongside Conor Gallagher and was badly burned.

"Are two young kids, learning their trade, going to get you out of a relegation battle?" asked Sky Sports' Jamie Carragher after that game.

"The balance in midfield at Spurs is not right. To be fair, the manager's only been there a week or two," added Roy Keane.

De Zerbi prefers players who can play but he did not make the same mistake again, and put his ideals on hold for more industrious options.

Gallagher was partnered by Rodrigo Bentancur in midfield for each of Spurs' subsequent three games, while Joao Palhinha joined them in the win at Aston Villa last month. That was the first time the trio had played together all season, but they have gone on to start each of Spurs' final four games.

Why? What the trio may lack in flair, they make up for in legs and energy. At Villa Park, they outperformed the home trio of Ross Barkley, Lamare Bogarde and Youri Tielemans despite playing 19 minutes fewer.

They set the tone with a display of tackling, duels and ball-winning superior to their Villa counterparts and dominated the middle of the park.

A lack of midfield balance which has dogged Spurs all season finally had a solution. De Zerbi decided to settle on a system best-suited to winning the midfield battle.

It has not been without its problems, like the toothless display at Stamford Bridge on Tuesday, but it has done enough without the ball to help keep Tottenham in the league.

But there was a nice reward for the manager in that final-day win over Everton, with Palhinha scoring the decisive goal in north London.

The De Zerbi factor

Numbers can only tell you so much about De Zerbi's impact. Renowned for his man management and big personality, he wasted no time in building his players up when he first walked through the door.

Reassuring them that he would be at the club next season regardless of relegation, true or not, laid down a long overdue base of continuity. He has demanded positivity and belief, but he has provided it too.

"I try to find the best solution to reach every player," he said before his first win over Wolves. "Sometimes that is analysis videos but sometimes what they have done in their career for other clubs.

"With [Randal) Kolo Muani, if I play with Kolo Muani as right winger it's because he has played in that position. If you go to YouTube, and you go to Kolo Muani (at) Eintracht Frankfurt, you can see he played very well in that position and he scored a lot of goals in that position."

De Zerbi's plan is one Spurs players can buy into. It is working and it is effective. But they, like Marseille and Brighton before them, are buying into the man too. "I see football in a completely different way, I picture it in a different way," Dunk said only months after working with him.

Conor Gallagher finally looks like the player who became Chelsea captain. No surprise when De Zerbi claimed his side were "playing with 12 men" owing to the performance of the goalscoring 26-year-old at Villa on Sunday.

"Every player in the squad has taken to him, everyone trusts him, he makes you feel good, confident, he's bringing the best out of players and it's only the start," Gallagher told TNT Sports after Sunday's win.

"Hopefully we can keep learning from him and build a great team."

A great team can wait for the moment. For now, survival was the only requirement. And with a first home win since December 6 to seal their Premier League spot on the final day, it has been achieved. Just.

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Tottenham Hotspur: How Spurs' hierarchy are trying to transform club amid Premier League relegation battle

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Despite Tottenham's Premier League survival on the final day, this will go down as probably their worst season in modern history.

Not only on the pitch have they struggled. Off the pitch, it has been a tumultuous year across the entire club, with fundamental changes from top to bottom.

No one at Spurs would deny that this inner turmoil has affected things on the pitch, but what has happened this season is the result of long-term decline beneath the gloss of their state-of-the-art stadium and training ground.

Decisions at football clubs rarely have immediate impact, and so those that have been made - or not made - over several years have resulted in where they are now; fighting relegation, financial difficulty, a severe disconnect with fans, and a poor reputation in the game.

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However, likewise, the opposite is also true; while there have been obvious blunders this season (Igor Tudor being one), any positive shoots from the seeds of change sown by the hierarchy are unlikely to appear straight away.

What will not be obvious yet is that an internal transformation has begun at the behest of club owners the Lewis family and chief executive Vinai Venkatesham, and they intend to see it through for the betterment of Tottenham's long-term future.

Changes are happening regardless of which league they are in next season and Sky Sports News has been given some insight into what's been going on. What seems clear is that there will be total focus on successful football.

Ownership and finances

Since 2022, when Joe Lewis put his stake in ENIC into a family trust, it has been two of his children - Vivienne and Charles Lewis - as well as his grandson-in-law Nick Beucher, who have been overseeing Tottenham Hotspur.

As the first team increasingly underperformed in relation to increased revenue in recent seasons, and as fan protests intensified against their ownership and now former chairman Daniel Levy, the Lewises took an ever-keener eye on the management of the club.

Increasingly they did not like what they found, and it was ultimately decided that Levy should leave in September last year, just a few games into the season and days after a troubled transfer window in which they missed out on top targets like Morgan Gibbs-White and Eberechi Eze.

There was some deep soul-searching going on by this point and chief executive Venkatesham was tasked with conducting a considerable internal review into how the club had ended up at this juncture; rising revenue but rising debt, an uncompetitive team and bad internal morale.

What he found really was a shell of a football club; "strong progress in areas such as the stadium, training facilities, commercial growth and stadium operations", as he would later tell a Supporters Trust meeting, but other areas "falling short of what is required to compete at the highest level".

In terms of the finances, and as the 2024-25 accounts would later reveal, Venkatesham found a swing from profit in 2018 to £450m-worth of losses from 2020 to the end of last season, driven by unsustainable spending, a lack of revenue from player sales, coupled with higher operational costs.

It means Tottenham are heading for a difficult summer to stay in line with Premier League financial rules. A month after Levy's departure, the Lewis family poured £100m of capital into the club and more cash injections are expected to follow this summer - not for transfer spending but to facilitate that debt.

Relegation to the Championship would have added another £200m-plus hit to revenue simply through loss of Premier League and the Champions League earnings from this season. What all of it reveals is even rich clubs can suffer real financial consequences for prolonged poor results.

Executive hierarchy

For many years under Levy, Spurs had a close-knit family of executives who ran things, many of whom were supporters and cared deeply about the club, whether people liked them or not.

However, good people across the club have been lost over time, with standards and morale suffering as a result. So the owners deemed that on-field success was no longer at the centre of decision-making and changes among the executive leadership were necessary.

The last year has seen prominent people such as Scott Munn, Donna-Maria Cullen and Rebecca Caplehorn leave the club, while Venkatesham was brought in as chief executive and tasked with installing a new football structure and leadership group in their place.

Venkatesham is believed to be of the view that Spurs is a sleeping giant capable of great success - but significant changes need to be made to staff, culture and practices in order to get there. That is now his primary focus and he has been recruiting various newcomers in key positions this season.

Sitting alongside him in the new leadership team are two people from the City Football Group; Rafi Moersen, who arrived as director of football operations, with Dan Lewindon as director of performance. Johan Lange remains sporting director having been at the club since 2023, but they are also recruiting another to work alongside him, with ex-Borussia Dortmund official Sebastien Kehl the current frontrunner.

Lewindon has been tasked with tackling the significant fitness and injury issues that have dogged the squad for a number of seasons, which will be discussed in more depth below, Moersen will oversee the structure and culture among staff across the technical side of the club. They are still new to their roles and the club, so it will take time for them to settle and the positive effects of their appointments to be more visible.

First team failings - and a captain problem

Venkatesham's review of first team matters has revealed several critical issues that are now in the process of being transformed. The first is shortcomings in the recruitment of the current squad, which we will come to in a subsequent section.

The other major issue that was identified was a lack of leadership, especially following the departures of Hugo Lloris, Harry Kane and Heung-Min Son - the previous captains - and a lack of attention towards signing players with the utmost personality and professionalism.

Spurs' hierarchy have been looking at the other top clubs in the Premier League and Europe and how distinguishable their leaders are, and how they embody the club; when you think of Liverpool you immediately think of Virgil van Dijk, for example, or when you think about Man City you think of Bernardo Silva, or Rodri.

That is why Spurs have targeted signing Andy Robertson, first in January and now as a free transfer. He has been known for his leadership and influence in the Liverpool dressing room, while they have won Premier League titles and the Champions League. How much he plays in the final years of his career is in line with, if not secondary, to the impact he will have in the dressing room, having agreed terms to sign for Tottenham now survival is confirmed.

It is also why Conor Gallagher was identified in January; partly for his leadership qualities, which have begun to show through as an example on and off the field under Roberto De Zerbi. The club also thinks highly of James Maddison and Archie Gray - these are the kinds of players Spurs want to keep and build around, and they have been thinking about how they are seen and communicate with the supporters too.

In their current captain, Cristian Romero, they have unfortunately found someone who comes up short. While he might be a World Cup winner with Argentina, his capacity to lose focus in games, get sent off, or go missing in difficult times, has not gone unnoticed - nor has the reverberating effect of this behaviour around the rest of the squad. As good as he might be on his day, if Tottenham want to move on from this, then they need to move on from him for good.

Moreover, the Spurs' hierarchy have known that none of this is possible without the right head coach and staff. Aside from his obvious tactical nous and coaching ability, De Zerbi is known throughout the game for suffering no fools, and having no qualms about making his demands very clear. If you buy into him, you love him and he loves you. If you do not, there will no ambiguity about the rest.

Recruitment errors and style shifts

A review of recruitment over recent seasons has highlighted too strong a lean towards players' physical attributes - pace, power, strength - rather than technical quality, and an imbalance in the squad, both in terms of profiles as well as experience versus development talent.

They clearly have too many defensive midfield players, for example, and a lack of creative ones that has resulted in a team that struggles to progress the ball up the field. After Destiny Udogie, who has been prone to injury, they have not had another out-and-out left-back until they signed Souza.

It does not help that Tottenham have chopped and changed coaches frequently, flip-flopping between styles, since sacking Mauricio Pochettino in 2019. Jose Mourinho and Antonio Conte wanted to win immediately and recruit accordingly but did not play the same formation. Ange Postecoglou and Thomas Frank were more willing to take on development talent but then Frank's pragmatic style of football was not a continuation of Postecoglou's all-out basketball attack.

Recruitment will now be focused on the need for players of more technical quality that align with the head coach, which is why De Zerbi will play an integral role in target identification and squad management. This subject is also forming an important part of conversations with Lange and prospective new sporting director Kehl, who is also expected to join now safety is confirmed. But equally as important will be personality.

What will help in their favour has been a recent lifting of a stringent wage structure that was previously in place under Levy. Spurs are now more willing to pay players north of £200,000 per week and make themselves more competitive with top-six rivals.

They lost out on Bryan Mbeumo to Manchester United last summer in part because they could not compete on the wages front. They were far more in line when it came to trying to sign Antoine Semenyo in January but he had already made up his mind to move to Man City.

Injury issues and a medical department overhaul

Tottenham's injury crisis across the past three seasons has been unprecedented, and has been a major factor in their slide down the table and inability to compete at the top level.

This season, Tottenham's 1,377 days missed to injury are the most of any Premier League club and 214 more than Newcastle, the second worst. Since January, they have had anywhere between seven and 11 first-team players unavailable. These have included all their key players too; Dominic Solanke, Mohamed Kudus, James Maddison, Dejan Kulusevski, Xavi Simons, Cristian Romero, Micky van de Ven and the goalkeeper Guglielmo Vicario.

Maddison's story hints at exemplifying the problem. After his recent return he said the initial diagnosis is that he would not need surgery, only for that to be the case further down the line when he did not recover as planned.

"In my head, it goes back to the Europa League semi-final here when I got injured here because I did a partial ACL tear against Bodo/Glimt," he said. "I was told by the specialist it wouldn't need surgery and rehab. Then obviously it wasn't strong, it didn't recover properly, and I needed the full surgery, which is what happened in South Korea."

While more players have been dropping like flies, though, it would be wrong to think the club are not fighting to do something about it once and for all. They conducted two independent reviews of the medical department earlier this season, which resulted in the appointment of Lewindon in October, but he has only been able to get into the work recently after serving out a notice period with the City Group.

As head of performance, Lewindon will oversee the reshaping and future performance of the medical department, which will report directly to him. But as mentioned, any positive effects from these changes will take time to reveal themselves. It will start with the plethora of injured players returning over the next weeks and months, then seeing how strong their comebacks are, and if there are any recurrences.

Academy pathways and young talent

The Spurs academy was considered somewhat successful during the Pochettino era and one of the best in the country, mainly due to the graduations of Harry Kane and Harry Winks, and the academy direction under widely respected coach John McDermott.

However, the ownership have found that, since McDermott left for the FA in 2020, it has been going somewhat downhill with a lack of investment, lack of attention, and lack of direct path into first team football.

Tottenham are currently 16th in the Premier League table for minutes played by academy graduates (just 26) this season, and at least two have been shining elsewhere. Luka Vuskovic tops that list, having captured the Bundesliga by storm. He is nominated for player of the season in the Bundesliga at just 18, after being awarded the accolade by fans midway through the season. Mikey Moore is another promising talent who has won SPFL Young Player of the Year at Rangers, instead of playing for Tottenham.

It has also become somewhat of a running joke in recruitment circles and among agents that it is easy to get youth players out of Tottenham, and several have gone on to success elsewhere - most notably Arsenal's Noni Madueke.

The owners have already turned on considerable investment in the academy to try to restore it to an elite level, and work has already been going on to give it renewed vigour under Simon Davies, who joined in 2023. The U16s won the Premier League Cup this year and there will be further investment and hiring in academy staff and recruitment roles going forward.

Culture and fans

Something is always wrong at a football club when the supporters are protesting outside. Fan discontent on social media is normal but organised mobilisation is not, and there have been anti-ENIC (English National Investment Company - the club's ownership group) and anti-Levy protests going on for several years.

While the team was playing well, they tended to go unnoticed and never seemed to bleed fully into the stadium on a matchday, especially last season during the Europa League run. But there were warning signs; clashes between Ange Postecoglou and supporters above the tunnel area at home, and some notable examples away at Bournemouth and Fulham, that also included players.

The Europa League trophy celebrations outside the Tottenham Hotspur stadium last June seemed like a reconnection with the fans and the start of a new chapter in the relationship. But like the trophy success itself, it was a red herring. It only papered over the cracks.

So it should have come as no surprise really when the atmosphere at the stadium turned outright toxic and hostile this season, especially in the home defeats to West Ham and Newcastle under Thomas Frank.

Among the many issues in need of paramount attention at Tottenham, the owners and new hierarchy know the relationship with the supporters is staring at them, glibly. Trust needs to be rebuilt, and it is not going to happen quickly.

The starting point for that is an intention from the leadership to be more visible and communicative, more of the time. While one or two in-house interviews from ex-sporting director Fabio Paratici and more recently Lange have not gone down well with the fans, the owners and hierarchy know they need to reach out more, and in more places.

They also know there is considerable work to do on the staff culture inside Lilywhite House and Hotspur Way. Put simply Tottenham had become not a very nice place to work. Departments had been allowed to drift apart, and the spirit needed across the board, ultimately in support of on-pitch success, has been hard to find.

The hierarchy know it is their job to put smiles back on employees' faces and make Spurs an enjoyable and modern corporate atmosphere. Moersen, the new director of football operations, will be central to installing the new culture, as well as people like Kate Miller, the new communications chief, who joined from the ECB last year.

While head coach, Thomas Frank described Tottenham as "trying to turn around a super-tanker", and on that point he remains totally accurate. That is exactly what the owners and new leadership are trying to do but it will take considerable time and effort over a long period of time. What Spurs supporters can be assured of is their commitment to it. The club is not for sale, and the Lewis family are going nowhere soon.

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Tottenham vs Everton: Spurs' Premier League status on the line on final day in their biggest game in recent history

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Sunday’s Premier League home match against Everton is Tottenham’s biggest game in recent history.

It is not just about 11 players on the pitch. This is a club and business with hundreds of employees who are worried about their jobs and their futures.

Only one scenario can send Spurs into the Championship on Sunday, and that is if Roberto De Zerbi's side lose at home to Everton and West Ham beat Leeds at the London Stadium.

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Should Tottenham avoid relegation, the home fans will be celebrating - but it will be relief rather than euphoria.

Whatever the result on Sunday, fans will be angry because this has been a disastrous campaign.

A year ago, Spurs were celebrating Europa League glory with more than 220,000 fans at the trophy parade. But ending the club's 17-year trophy drought was not enough for Ange Postecoglou to keep his job after the club fell to its lowest Premier League finish of 17th.

The message then was that the club needed to compete on all fronts, not just one. Well, it has been only one front this season with the aim on the final day to keep the club in the top flight.

It is clear Tottenham desperately needs a reset - but it needs a reset with the club being in the Premier League.

It is incomprehensible that Spurs should fall into the Championship. This is the ninth richest club in the world, after all.

So, how have we got here this season?

Wrong managers, poor recruitment and a losing culture

Well, this all started in the summer. Postecoglou's successor, Thomas Frank, was not the right fit for the club. Some players liked him, but others did not take to the Dane.

Ultimately, he outstayed his welcome, and he should have been sacked earlier. The West Ham loss in January was the time for him to go.

Then the injury malaise has deepened with this season's crisis proving even more catastrophic than the last campaign.

Losing key players such as Dejan Kulusevski, James Maddison and Mohammed Kudus to injury, combined with the summer loss of club legend and captain Heung-Min Son, was always going to make this season challenging.

Losing regularly has also become an expected outcome with this group of players. Last season, the Europa League was the main focus, with the Premier League taking a back seat as Spurs became the first side in top-flight history to lose 22 games in a 38-game season and not be relegated.

Spurs turning it on in Europe at the expense of their domestic campaign has continued this season. The top-four finish in the Champions League phase table under Frank did not help these players - it created a false confidence because, truthfully, the opponents they were beating were Europa League-level teams.

What the players have had no control over are decisions from the top.

Frank should have been sacked earlier, while the signings have not been good enough.

The lack of substantial business in the January window was alarming. To have only brought in Conor Gallagher as the major winter signing amid a crippling injury list and in a position the club was already well covered in was poor.

Not replacing Brennan Johnson, who was sold for £35m to Crystal Palace, was a big mistake.

So, the January transfer window will be one of major regrets should Tottenham fall into the Championship.

Another will be the misguided appointment of Igor Tudor. The problem with the Croatian was that he came in and told the players they were not good enough. No wonder he only lasted seven games.

De Zerbi has made the desired impact, and I have no doubt that had he taken charge sooner, then Spurs would be 12th or 13th.

Spurs' safety may have already been secured had it not been for some controversial VAR calls lately that have not gone their way. In fact, the north London club are yet to win a penalty in the Premier League this season.

Nonetheless, officiating is only a minor factor in their plight as they head into the final day in 17th, needing a point to guarantee their safety.

Maddison's role on defining day for Spurs

Spurs will be looking for a hero on Sunday and it feels set up for Maddison.

He has made a huge impact off the bench in his only two appearances of the season, and, understandably, fans have been asking the question: Can he start against Everton?

What I am led to believe is that he cannot give much more than what he has already given in the past two games after returning from a serious knee injury.

If Tottenham had nothing to play for, we might not even be seeing Maddison play at all right now.

But the situation Spurs are in, they desperately need his quality. He is not only giving a lot as a player, but he is also a real leader and presence off the pitch.

He spoke well after Tuesday's Chelsea defeat - he just gets it. He was right to be "embarrassed" by Spurs' struggles.

I expect Maddison to start on the bench on Sunday in what will be a very tense day.

It would not surprise me if both Tottenham and West Ham draw, but I expect the Hammers to take the lead at some point.

And if Tottenham are relegated after a defeat, they have only got themselves to blame.

What will make it even more painful is their north London rivals Arsenal lifting the Premier League trophy on Sunday.

Only four years ago, Spurs beat Arsenal 3-0 to secure fourth under Antonio Conte, but now the two sides could be playing in different divisions next season.

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