A slew of setbacks, most notably a serious knee injury and the resulting muscular strains, are the cause of Neymar’s physical issues. In October 2023, Neymar ruptured his meniscus and anterior cruciate ligament (ACL) in his left knee while playing for Brazil. Consequently, he was out of commission for about a year which needed a surgery and prolonged rehabilitation. Afterwards, he returned in October 2024, making a fleeting appearance for his team, Al Hilal, in a Champions League game. However, Neymar sustained a thigh injury in a Champions League match against Esteghlal FC barely two weeks after his return. After just 29 minutes of play, he was forced to leave the field. Al Hilal acknowledged that he had to miss up to six weeks of action due to a hamstring issue.
These recurring injuries highlight the challenges athletes face when returning to play after significant injuries. Doctors had warned Neymar about the risks of muscular issues following his ACL recovery, emphasizing the importance of a gradual return to full fitness and sports.
As a physiotherapist, it’s crucial to understand that after a major injury like an ACL tear, the body undergoes changes that can affect muscle strength and flexibility. These changes can increase the risk of further injuries, especially if the return to play is not carefully managed.
In Neymar’s case, his rapid return to competitive play may have contributed to his recent muscle strain. A more cautious approach, focusing on strength and conditioning, and full muscle coordination could have potentially reduced the risk of such injuries.
What could have been done differently for Neymar?
1. Slower, more controlled comeback
After a major ACL tear and surgery, the body isn’t just healing — it’s relearning how to move, balance, and absorb force. Neymar’s return happened about a year after surgery, which sounds like enough time, but:
- His movement patterns may not have fully normalized
- He may have skipped some deeper neuromuscular retraining — stuff that helps the brain and body sync up under game-speed pressure
What could’ve been better: A longer ramp-up period with progressive match play at lower intensity (practice games, partial matches, etc.) could’ve helped
2. More emphasis on strength & muscle balance
After knee surgery, the entire leg can weaken — not just the injured spot
- Imbalances between hamstrings, quads, glutes, and calves often creep in
- In Neymar’s case, this likely contributed to his hamstring tear shortly after returning
What could’ve been better: More time spent rebuilding muscle symmetry and not just getting match-fit.
3. Psychological readiness
Elite players often feel pressure to return fast — for club, country, or personal goals.
- But fear of re-injury or hesitation can subtly alter how they move
- That can throw off mechanics and stress certain muscles or joints more than usual
What could’ve been better: Ensuring he felt 100% mentally ready and confident in his knee, not just physically cleared
4. Better load management
After return, his match minutes should’ve been strictly limited and monitored.
- He played 29 minutes before the muscle strain — possibly more than he was ready for at that intensity
- High-level games put maximum demand on recently healed tissues
- Athletes may perform new or extreme maneuvers they did not train or practice sufficiently
What could’ve been better: A stricter minutes cap and more use of recovery tools like GPS tracking, force plates, or isokinetic testing to guide decisions
The Bottom Line on Neymar’s Injury
Even with world-class care, the biggest trap is thinking, “He’s cleared, so he’s good to go.” But high-level return to sport needs to be ultra-gradual and individualized. If you are experiencing something similar and looking to return to sports, look for PhysioNow! Our experts Sports Physiotherapists across the GTA can create a personalized program for you, your sport, and your level to ensure a safe and successful return. Don’t miss out any longer, book with PhysioNow today for your first assessment and treatment!
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