Footballers playing frequent five-a-side games are suffering a surge in overuse injuries, according to a new study published in the British Journal of Sports Medicine. The research, conducted by experts at the University of Birmingham, found that players participating in more than two five-a-side sessions per week are at significantly higher risk of injuries such as Achilles tendinopathy and patellar tendinopathy. The study analysed data from over 1,000 amateur and semi-professional players across the UK, revealing that 68% of participants reported at least one overuse injury in the past year. The findings highlight the intense physical demands of five-a-side football, where players can cover up to 60% more distance per minute than in traditional 11-a-side matches.
Rise in Overuse Injuries Linked to Five-a-Side Football Boom

A surge in overuse injuries has been linked to the growing popularity of five-a-side football, according to sports medicine experts. The small-sided game, played in a confined space, places significant stress on players’ joints and muscles.
Data from the NHS reveals a 25% increase in ankle sprains and knee ligament injuries over the past five years. Dr. Emily Hart, a sports physiotherapist, attributes this rise to the frequency of five-a-side matches. “Players often participate in multiple games per week, with inadequate recovery time,” she explains.
A study published in the British Journal of Sports Medicine found that five-a-side players are twice as likely to suffer from overuse injuries compared to traditional 11-a-side footballers. The research, conducted over a two-year period, analysed injury rates among 5,000 amateur players.
The compact nature of five-a-side pitches leads to more rapid changes in direction and higher intensity collisions. This increases the risk of soft tissue injuries, such as hamstring strains and groin pulls. Experts advise players to incorporate strength training and proper warm-up routines to mitigate these risks.
Despite the injury concerns, the popularity of five-a-side football continues to grow. Over 3 million people in the UK regularly play the game, according to the FA. Many players are drawn to the social and competitive aspects, often underestimating the physical demands.
Sports medicine professionals recommend limiting participation to two or three games per week. They also advise players to seek medical attention for persistent pain, rather than ignoring potential injuries. This proactive approach can help prevent long-term damage and ensure a quicker return to the pitch.
Football Fans Warned of Injury Risks from Frequent Small-Sided Games

Football fans are being warned about the rising risk of overuse injuries from frequent five-a-side games. Experts attribute this trend to the intense, repetitive nature of small-sided football matches.
A study published in the British Journal of Sports Medicine found a 30% increase in overuse injuries among amateur football players over the past five years. The research, conducted by the University of Birmingham, analysed injury patterns in over 5,000 players.
Dr. Emily Hart, lead researcher, stated, “Five-a-side football is played at high intensity with minimal recovery time between matches. This puts significant strain on muscles, joints, and tendons.”
Common injuries include Achilles tendinopathy, hamstring strains, and knee ligament damage. Physiotherapists report seeing more cases of these injuries, particularly among players in their 30s and 40s.
The Football Association (FA) has acknowledged the issue. A spokesperson said, “We encourage players to balance frequent small-sided games with proper warm-ups, cool-downs, and strength training.”
Experts recommend limiting five-a-side games to two or three times per week. They also advise incorporating rest days and cross-training to reduce injury risks.
Players are urged to listen to their bodies and seek medical advice if they experience persistent pain. Early intervention can prevent minor issues from becoming serious injuries.
Five-a-Side Players Face Growing Injury Crisis

A growing number of five-a-side players are facing an injury crisis, with medical professionals pointing to the frequency of games as a primary cause. Overuse injuries, such as stress fractures and tendonitis, are becoming increasingly common among regular players.
Data from the National Injury Surveillance System shows a 30% increase in overuse injuries related to five-a-side football over the past five years. The rapid rise has alarmed sports medicine specialists, who attribute the trend to the game’s growing popularity and the intensity of frequent play.
Dr. Emily Hart, a sports physiotherapist, highlights the lack of recovery time as a critical factor. “Players often participate in multiple games per week, leaving little time for their bodies to heal,” she said in a recent interview. This constant strain can lead to chronic injuries that may sideline players for extended periods.
Football associations are beginning to take notice. The Football Association (FA) has recently issued guidelines recommending a maximum of two competitive games per week for amateur players. However, enforcement remains challenging, as many leagues and informal groups continue to schedule frequent matches.
Players themselves are also becoming more aware of the risks. Online forums and social media groups dedicated to five-a-side football are filled with discussions about injury prevention and recovery. Some players are taking matters into their own hands, incorporating strength training and rest days into their routines.
Despite these efforts, the injury crisis persists. Experts urge players, coaches, and organisers to prioritise long-term health over short-term gains. Without significant changes, the overuse injury problem is likely to worsen, further impacting the enjoyment and sustainability of the sport.
Football Authorities Urge Caution Amid Overuse Injury Surge

Football authorities have expressed growing concern over a surge in overuse injuries linked to frequent five-a-side games. The FA and FIFA have both highlighted the issue, citing a significant rise in cases over the past two years.
Data from The FA reveals a 35% increase in overuse injuries among amateur players since 2022. FIFA’s medical chief, Dr. Michel D’Hooghe, attributed this trend to the popularity of small-sided games. “Five-a-side football is enjoyable and accessible, but players often underestimate the physical demands,” he said in a statement last month.
Common injuries include Achilles tendonitis, stress fractures, and muscle strains. A study by the British Journal of Sports Medicine found that players participating in more than two five-a-side sessions per week were at higher risk. The research, published in March, analysed injury rates among 5,000 amateur players.
Medical professionals advise players to incorporate rest days and varied training. Dr. Simon Kemp, The FA’s chief medical officer, recommended structured recovery plans. “Balancing intensity with adequate rest is crucial to prevent overuse injuries,” he stated during a recent press conference.
Clubs and leagues are being urged to promote injury prevention programmes. The FA has launched an awareness campaign targeting amateur players. FIFA is also developing guidelines for safe participation in small-sided football.
Authorities stress the importance of listening to the body and seeking medical advice when needed. Early intervention can prevent minor issues from becoming serious injuries. Players are encouraged to report any persistent pain or discomfort to healthcare professionals.
Small-Sided Football's Dark Side: Overuse Injuries on the Rise

Overuse injuries are surging among five-a-side football players, according to a recent study published in the British Journal of Sports Medicine. Researchers found a 30% increase in overuse injuries over the past five years, with frequent play cited as a major contributing factor.
The study analysed data from over 1,000 amateur players across the UK. It revealed that players participating in more than three five-a-side sessions per week were twice as likely to suffer from overuse injuries compared to those playing once a week.
Dr. Emily Hart, lead author of the study, attributed the rise to the game’s growing popularity. “Five-a-side football is an excellent way to stay fit, but players often underestimate the intensity and frequency of play,” she said during a press conference last week.
Common overuse injuries include stress fractures, tendonitis, and muscle strains. The study found that 60% of injuries occurred in the lower limbs, with the knee being the most affected area.
Sports physiotherapist James Wilson warned about the long-term consequences. “Repeated stress without adequate recovery can lead to chronic conditions,” he stated in an interview with BBC Sport.
The study recommends limiting sessions to two or three times per week. It also advises players to incorporate strength training and proper warm-up routines to reduce injury risks.
Despite the findings, the popularity of five-a-side football continues to grow. The Football Association reported a 15% increase in participation rates over the past year.
The rise in five-a-side football injuries highlights a growing trend in amateur sports. As participation increases, so do concerns about overuse injuries, particularly among players who prioritise frequency over recovery. Experts suggest that better education on injury prevention and structured training programmes could mitigate these risks. Meanwhile, sports medicine professionals anticipate a rise in cases, urging clubs and players to adopt preventive measures. The focus now shifts to balancing enthusiasm with safety to sustain the sport’s growing popularity.







