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Sickle cell and football: Why the disease that mainly affects Black people needs more research

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Sickle cell and football: Why the disease that mainly affects Black people needs more research

This article is part of The Athletic’s series marking UK Black History Month. To view the whole collection, click here.


Lassana Diarra was preparing for the 2010 World Cup in South Africa. 

The midfielder, who had spells with Chelsea, Arsenal, and Portsmouth in the Premier League, was coming off the back of a difficult first season with Real Madrid. That campaign, 2009-10, he had made 30 appearances in all competitions for Manuel Pellegrini’s side as they finished second in La Liga, three points behind Barcelona. They had also crashed out of the Champions League at the last-16 stage against Lyon.

Keen to put an underwhelming club campaign behind him, Diarra, aged 25, joined up with the France squad — which included Thierry Henry, Franck Ribery, Hugo Lloris, Nicolas Anelka, and Karim Benzema — in a pre-tournament training camp. Tignes was the destination, chosen for its high altitude that would mimic conditions in South Africa.

However, on May 22, 2010, his hopes of playing on the world stage were dashed.

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“Further to his intestinal pain contracted on the glacier in Tignes, check-ups have detected evidence of an unpredictable illness which justifies rest for an indeterminate period,” a statement from the France Football Federation read.

Diarra’s diagnosis was later confirmed as sickle cell anaemia.


Diarra playing for Real Madrid in 2010 (Elisa Estrada/Real Madrid via Getty Images)

The National Heart, Lung, and Blood Institute (NHLBI) defines sickle cell disease — the most common being called sickle cell anaemia — as a group of inherited disorders that affect haemoglobin (the major protein that carries oxygen in red blood cells). In sickle cell disease, red blood cells are misshaped, typically crescent- or “sickle”-shaped due to a gene mutation that affects the haemoglobin molecule. When red blood cells sickle, they do not bend or move easily and can block blood flow to the rest of the body.

Symptoms include painful episodes called sickle cell crises, an increased risk of serious infections and anaemia — where red blood cells cannot carry enough oxygen around the body — which can cause tiredness and a shortness in breath.

According to Healthline, a provider of healthcare information in the U.S., Black people are at a much higher risk of being affected by sickle cell disease. Researchers believe the reason lies in how this condition has evolved over time to protect against malaria — most common in sub-Saharan Africa, where sickle cell is prevalent. Having the sickle cell trait helps to reduce the severity of malaria.

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The sickle cell trait is found in one in four west Africans and one in 10 Afro-Caribbeans. It is also found in people who originate from the Mediterranean, Asia, and the Middle East. It is less common in white Europeans.

Sickle cell disease and the sickle cell trait differ, as people with the trait carry only one copy of the altered haemoglobin gene and rarely have any clinical symptoms related to the disease, while people with the disease carry two copies.

The American Society of Hemotology say more than 100 million people worldwide have the sickle cell trait.

Despite how common the condition is and its sometimes fatal consequences, sickle cell is still a relatively unknown condition and its effect on sporting performance is lesser known still. 

Part of the conclusion of ‘A Case Study of Two Premiership Footballers with Sickle Cell Trait’, a 2014 study conducted by the British Journal of Sports Medicine (BJSM), stated that “further research would be necessary with a larger cohort in order to further establish the relationship between redox homeostasis (defined as the maintenance of a balance between reducing and oxidizing reactions within a cell) and sickle cell trait in athletes”.

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The BJSM did not respond to requests for comment from The Athletic.

Geno Atkins, a former defensive tackle for the NFL’s Cincinnati Bengals, spoke on his experience with the trait earlier this year. “I knew from my research that it would not be good for me to play in high altitude, so I prayed I wouldn’t get drafted by Denver, which is at a high altitude,” he told the Centers for Disease Control and Prevention (CDC). “I ended up in Cincinnati and have played at a very high level without any adverse effects of the sickle cell trait.”

He added: “Having the sickle cell trait does not exclude an athlete from participating in sports; however, the training staff and coaches need to take precautions to ensure the athlete is not put in dangerous situations.” In this case, Atkins cited an example of training in extreme heat.


Former Bengals defensive tackle Geno Atkins (Ian Johnson/Icon Sportswire via Getty Images)

Professional basketball player Billy Garrett Jr and former NFL running back Tiki Barber are two high-profile sportsmen with the disease, and wide receiver John Brown, most recently of the Buffalo Bills, possesses the trait.

Dr Mark Gillett, a consultant in sports and exercise medicine, tells The Athletic: “I’m not aware of it (sickle cell disease) in Premier League football or high-level football. I’ve not really seen it an awful lot at all. I am surprised that I haven’t. I would think that a player with full-blown sickle cell disease would find it difficult to compete at that level, just because of the physical demands of the game.

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“At the same time, if you have sickle cell trait, you have that type of disease whereby extreme physical stress, altitude, or hydration can produce some symptoms. We may be seeing players with that and just not recognising it.

“Most Premier League football clubs are very diligent in the way they screen players. I think players at risk would have had their profiles done. If they have sickle cell trait, doctors would know about it. At the grassroots level, I suspect it happens a lot.”

Altitude was cited by Raymond Domenech, France’s national team manager at the time, when speaking about Diarra’s World Cup withdrawal in 2010.

“He wasn’t ready physically, he was really exhausted,” he said. “The illness was triggered by the altitude. He had predispositions that we couldn’t detect in advance. He needs a good 15 days of rest to fully recover, and he will recover, that’s for sure. It won’t have any bearing on the rest of his career but he’s not fit to play in a World Cup.” Diarra did not respond for comment when contacted by The Athletic.


Diarra, left, speaks with Domenech during France’s pre-2010 World Cup training camp (Franck Fife/AFP via Getty Images)

When asked how top-level teams would react to a player with the disease, Gillett says: “If they did find that when screening a player, obviously they would have to group that with the other things we look for when we assess players. We would have to speak to the player about it and make sure that their treatment is optimised.

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“It would be a concern for players and clubs. Particularly when you get to the end of the season when the weather gets hotter and you’re more likely to be dehydrated. Sometimes, games have more riding on them and become more meaningful. It is certainly an added stress for them. It is hard enough being a Premier League footballer without having that to deal with as well. It would be a significant worry for them.”

The extent of Diarra’s illness was later confirmed by his club at the time, Real Madrid. In a statement, they said that Diarra was “now resting at home following medical advice due to asthenic syndrome secondary to a sickle cell anaemia that will be subjected to a hematological study (the study of blood and blood disorders) in Lyon Hospital”.


Valerie Davis, a haemoglobinopathy nurse counsellor at the Sickle Cell and Thalassemia support project in Wolverhampton, wants footballing authorities to increase their efforts in raising awareness and educate people within the game about the disease.

“There needs to be sessions whereby everybody is encouraged to be screened, irrespective of ethnicity,” she says. “Often it is thought that only specific ethnicities, such as those from African and Caribbean backgrounds can be impacted by this disease. The truth is anybody and everybody can be affected. Anyone who has haemoglobin and red blood cells can be impacted by sickle cell. It is the least likely for someone who is not from those backgrounds, but it can impact everybody.

“It could be a start to encourage everybody entering the sport to be screened. They then could do more work to bring in an expert to talk about the disease. Over the years, there has been a stigma around the disease and there shouldn’t be at all. This could help highlight the importance of screening. If someone is a carrier, they are normally absolutely fine. With rest, hydration, and nutrition, somebody can live an absolutely normal life. 

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“With a good lifestyle, it is a possibility that someone who is a carrier should have no issues going far in football. Even if they’re affected by the full-blown condition. I would encourage the football authorities to never reject someone based on them being a carrier of the sickle cell gene, but even with the full-blown condition with conditioning and support, it will not stop them from reaching the top.”

In 2022, former England international Emile Heskey discovered that two of his children had the sickle cell gene. He began giving blood and encouraging other Black donors to not only register but also be tested for the condition.


Emile Heskey revealed that two of his children have sickle cell trait (Mike Egerton/PA Images via Getty Images)

“We need a whole new generation of blood donors, especially people of Black heritage,” he told the Mirror. “Because they are more likely to donate better-matched blood to treat people with sickle cell disorder.

“Some patients with sickle cell rely on regular transfusions to stay alive. Giving blood is simple, easy and can save up to three lives.”

Davis shares Heskey’s sentiment in encouraging people to be tested for the disease.

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“A lot of people do not know that they carry the sickle cell gene, perhaps until later,” she says. “A woman, for example, may only discover during pregnancy that she is a carrier of the gene.

“We are going all-out to educate people individually because sometimes people may know within their families that there may be a carrier but they often will deny they have it themselves. There is a stigma about the condition, so some people do not go and get screened for it.

“Unfortunately, partners decline screening and that is the sad case (that) very often we see the birth of children that are affected by sickle cell. There needs to be a lot more initiatives to highlight the importance of it. We need to explain ultimately what can happen if it is ignored.”

A treatment for sickle cell cure was approved by the Food and Drug Administration (FDA) in December 2023, with the therapy, called Casgevy, from Vertex Pharmaceuticals and CRISPR Therapeutics, becoming the first medicine to be approved in the United States. The same treatment was approved in the United Kingdom in November 2023, with experts calling it “a historic moment for the sickle cell community”.

However, in May 2024, the gene-editing sickle cell drug was not approved for National Health Service (NHS) use. The National Institute of Health and Care Excellence (NICE) did not recommend the gene therapy treatment, saying that it required “additional data” beyond the current proposal.

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In September 2024, Pfizer voluntarily withdrew large amounts of the sickle cell disease treatment medication Voxelotor, sold under the brand name Oxbryta, from worldwide markets.

However, with stories like that of Diarra’s still sporadic within football, Davis believes the condition’s unpredictability means that conversations about sickle cell within the sport must continue.

“Like many conditions, there are varying degrees of the impact that it has on individuals but ultimately, it does limit because of the unpredictable nature of the condition, what very often people can do and when they can do it,” she says.

“Particularly in sport, and football, there is a lot of training and of course, a lot of commitment required to the sport. Somebody who is impacted or affected by sickle cell cannot always commit because they simply do not know when they will be affected. It is very hard to commit to a sport, especially football.”

Although progress has been made in the fight to find a cure to find a cure for the disease and raise awareness of the condition within sport, more needs to be done.

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(Top photo: Franck Fife/AFP via Getty Images; design: Dan Goldfarb)

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Prep basketball roundup: Sherman Oaks Notre Dame reaches Tarkanian Classic championship game

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Prep basketball roundup: Sherman Oaks Notre Dame reaches Tarkanian Classic championship game

Sherman Oaks Notre Dame is loving late-night basketball in Las Vegas.

The unbeaten Knights (12-0) advanced to the Platinum Division championship game of the Tarkanian Classic, opening a 20-point lead before prevailing over Layton Christian (Utah) 73-60 on Friday night. Notre Dame will face Eastvale Roosevelt (10-1) for the championship Saturday at 4:30 p.m. at Bishop Gorman. They are ranked No. 2 and No. 4 in The Times’ top 25 rankings.

Tyran Stokes continued his impressive play with a 29-point, 10-rebound performance after a 30-point effort on Thursday. NaVorro Bowman had 20 points.

Eastvale Roosevelt 78, Redondo Union 74: Brayden Burries and Myles Walker each scored 18 points in the win. Roosevelt had a 45-32 halftime lead before handing Redondo Union (9-1) its first defeat. Hudson Mayes had 22 points and Chris Sanders scored 20 points for Redondo Union.

Crespi 76, St. Anthony 56: The Celts (8-4) picked up a quality nonleague win, with Peyton White scoring 26 points, Isaiah Barnes 16, Carter Barnes 14 and Malakai Perrantes 13.

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La Habra 70, Sonora 45: The Highlanders are 13-1 after a strong performance from Jaedon Anderson, who made a school-record nine threes en route to a 32-point effort.

Anaheim Canyon 91, Costa Mesa 41: Brandon Benjamin had 31 points for Canyon.

Grant 67, Viewpoint 66: In only its second game of the season, the Lancers (2-0) served notice they figure to reach the City Section Open Division playoffs. Aeneas Grullon scored 26 points for Viewpoint (9-3). Wizdom Burnes, who scored 18 points and had 13 rebounds for Grant, made a shot at the buzzer for the win. Champ Merrill led Grant with 24 points.

Harvard-Westlake 74, Fairfax 33: Joe Sterling had 21 points and Cole Holden 14 points for the Wolverines.

Chatsworth 66, West Albany (Ore.) 56: The Chancellors improved to 7-1 in Oregon. Alijah Arenas had 24 points.

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Golden Valley 60, Gardena 45: Alex Villego had 25 points for Golden Valley.

Legacy Christian 78, Crescenta Valley 71: Vaughn Zargarian had 41 points for Crescenta Valley.

Heritage Christian 81, Valencia 40: Tae Simmons had 22 points and Dillan Shaw 19 for 11-0 Heritage Christian.

Palisades 55, El Camino Real 54: Jack Levey made a shot at the buzzer to give Palisades the victory.

Girls basketball

Ontario Christian 73, Maryland Bullis 65: Kaleena Smith had 26 points and nine assists for unbeaten Ontario Christian (14-0), which will play in the Nike TOC final against Archbishop Mitty from San José in a game that will decide No. 1 in California and maybe No. 1 in the nation in girls basketball. Archbishop Mitty defeated Mater Dei 59-42 in the other semifinal.

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Sierra Canyon 69, Coeur d’Alene (Idaho) 56: Jerzy Robinson led the unbeaten Trailblazers with 30 points.

Birmingham 65, Mt. Diablo 50: Lili Martinez had 20 points and Zoee Mitchell 16 for the Patriots.

St. Joseph 85, Valencia 84: Freshman Kamilia Basyrova scored a school-record 40 points for Valencia.

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Introducing the most dangerous pass in football

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Introducing the most dangerous pass in football

A sharp, anxious intake of breath, followed by a round of applause that carries a mixture of quiet admiration and, more than anything, relief. On other occasions, it ends with supporters shaking their heads and asking why.

We are talking about the crowd reaction to — and I’m borrowing this description from a colleague who is a regular at Stamford Bridge — “the most dangerous pass in football”.

It’s the short, vertical ball from the goalkeeper to — typically, but not always — the midfield pivot, who is receiving under pressure, back to goal and close to their own penalty area.

Exhibit A: Chelsea’s Robert Sanchez trying, and failing, to pass to Moises Caicedo against Brighton earlier this season, when Carlos Baleba scored.

It was a case of role reversal for Baleba against Fulham when Alex Iwobi profited from a stray pass from the Brighton goalkeeper Bart Verbruggen.

As for Chelsea, they got their own back at Southampton, where Noni Madueke read Joe Lumley’s pass (35 seconds onwards in the clip below) to Kyle Walker-Peters and set up Christopher Nkunku for their second goal.

Fulham? It’s a minor miracle they didn’t concede against Newcastle when Bernd Leno signposted a pass to Emile Smith Rowe and Newcastle’s players were left shaking their heads in disbelief after Fabian Schar somehow failed to score.

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Brentford had a reprieve against Ipswich, who were perilously close to serving a goal up on a plate to West Ham in October. A VAR offside call rescued Tottenham Hotspur’s Fraser Forster at Bournemouth, whose goalkeeper, Kepa Arrizabalaga, was lucky that Gabriel Martinelli didn’t punish him for a loose straight ball against Arsenal, which is where Mads Hermansen passed Leicester and Harry Winks into trouble (see below) in September.

As for Manchester United, the awful goal they conceded against Viktoria Plzen in the Europa League last week was yet another example.


The list goes on and on and, in many ways, provides fuel for those who wonder why so many teams continue to take such chances playing out from the back and in particular by using this type of pass.

There are probably a few ways to answer that question. The first thing to say is that, on a broader level, the coaches that play this way believe it makes far more sense to attack in a controlled way, in possession, through a mix of established principles and rehearsed movement patterns, even if that leads to the odd mistake, rather than tossing a coin and hoping it lands heads up — which is how they view knocking longer balls forward.

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The second point — and this shines through when you discuss some of the incidents highlighted above with coaches who are proponents of this style of play – is that the execution of that bounce pass close to goal, taking in the decision-making around it, the positioning, and the movement and the timing, is the problem when it goes wrong, not the pass itself.

Third, it’s inevitable that the moments when it breaks down will get far more attention than the good passages of play.

Before we look at some more examples, it’s worth pointing out that some Premier League clubs — or maybe that should be ‘some Premier League managers and goalkeepers’ — have little or no inclination to play this game of risk and reward. The goalkeepers at Bournemouth (Arrizabalaga went off-piste against Arsenal), Crystal Palace, Everton, Newcastle United and Nottingham Forest in particular tend to play short sideways passes in build-up or go long.

In fact, even when the No 6 drops deep to receive a vertical ball in space with no sign of any pressure, the pass is often turned down by their goalkeepers. Below is Nottingham Forest’s Danilo, arms outstretched, asking for a ball he was never going to receive from the goalkeeper, Matz Sels.

Newcastle’s Nick Pope does the same (Bruno Guimaraes is pointing out that Sandro Tonali is free below)…

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… as does Everton’s Jordan Pickford.

That said, Pickford bizarrely deviated from the script at Arsenal on Saturday. What followed was a car-crash moment between him and James Tarkowski, as the Everton goalkeeper bobbled a pass that the centre-back struggled to control, encouraging Martinelli to press. The expressions on the faces of the two Everton players afterwards said it all.

Time to look at some passages of play that show the reward and not just the risk, beginning with Arsenal’s 1-1 draw at Chelsea in November.

Declan Rice is the player to watch here. He takes up a starting position behind Nicolas Jackson, on the opposite side to the free man (William Saliba) he wants to find after Arsenal have provoked Chelsea’s press with a short goal kick.

Cole Palmer makes the standard run (curved) for any player leading the press in this situation, attempting to force the ball one way. Jackson, meanwhile, is ready to jump to Gabriel if David Raya returns the pass.

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Timing and understanding are absolutely key to what happens next. Rice waits until Palmer gets closer to Raya and then runs on the blind side of Jackson to receive a soft pass in front of him that…

… he can play first time to Saliba, and Arsenal are out.

It is a pattern you will see again and again at Arsenal and elsewhere.

Below is an example of Ryan Gravenberch doing the same thing for Liverpool on the opening day at Ipswich.

Gravenberch is an interesting player to watch when receiving straight passes because of his exceptional ability to take the ball under pressure on the half-turn. In the image below, Chelsea’s Romeo Lavia is pressing him.

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But Caoimhin Kelleher’s pass is ‘safe side’ (away from where Lavia is approaching), and Gravenberch is a master of getting his body between the opponent and the ball to protect and turn in one motion.

Not only are Arsenal and Liverpool retaining possession in these images, but they’re also taking opposition players out of the game while building an attack.

Take a look at this example of Manchester City playing out against Liverpool at Anfield at the start of December. The image that starts this phase of play is remarkable and, in many ways, captures the modern game: Ruben Dias is playing one-versus-one against Luis Diaz, 10 yards out, with nobody in goal (Stefan Ortega is on the corner of the six-yard box, out of picture).

As soon as Dias passes to Ortega, Manuel Akanji knows he has to connect with the City goalkeeper. Cody Gakpo, circled on the left, is already anticipating the pattern and preparing to press Dias.

The natural thing for Akanji to do — and what happens 99 times out of 100 — would be to pass to Dias.

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Indeed, Mario Lemina did exactly that against Liverpool in September. Salah read him like a book but, uncharacteristically for him, shot wide of an open goal.

Akanji, however, scanned prior to receiving from Ortega and, aided by Dias also pointing where to play next, recognised both the need and the opportunity for a different (and much more progressive) pass to Kyle Walker.

As the City right-back travels forward, a line of four Liverpool players are out of the game.


But that’s Arsenal, Liverpool and Manchester City, I hear you say. What about clubs outside the traditional ‘Big Six’?

Brentford are a fascinating case study, in part because of their evolution under Thomas Frank. The percentage of long passes from their goalkeepers has dropped by a third in less than two years. Furthermore, the bounce pass to play out has been used frequently this season and with the exception of a mix-up against Ipswich that went unpunished and a slightly nervy moment in the first half against Chelsea on Sunday, it has worked extremely well.

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The example below is from Brentford’s game against Villa and starts with Ethan Pinnock passing a goal kick to Mark Flekken. Vitaly Janelt’s clean technique and game intelligence really stand out in these scenarios.

In the image below, Janelt has his right hand outstretched, preaching calm and telling Flekken to wait as Ollie Watkins starts to make that familiar curved run. Clearly, this passage of play asks a lot of Flekken — or any goalkeeper. It’s not just about being good with their feet; they need to be calm, trust their team-mates, and make smart decisions in response to the opposition press.

When Watkins gets closer, Janelt makes his move, arriving at pace and running off the back of John McGinn, who has his eyes on Flekken and Pinnock.

Youri Tielemans leaves Yehor Yarmoliuk and jumps, along with McGinn, to press Janelt. But the Brentford midfielder and Flekken have worked it perfectly and Nathan Collins is ‘out’.

Three Villa players have been bypassed as Collins drives forward and…

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… a few seconds later, Yoane Wissa has the ball inside the Villa half and Brentford have a four-versus-four attack.

The instinct is to say that the passages of play highlighted above look relatively straightforward. In reality, they require hours and hours of practice on the training ground as well as players who have both the technical ability and the mental fortitude to handle the ball in these situations and deal with the crowd anxiety. Indeed, that leads into a question that football fans will often ask about their team: are our players good enough to play this way?

Let’s analyse some clips of where it goes wrong.

The clip below is from Manchester United’s game against Tottenham in September. Diogo Dalot, playing the role of auxiliary No 6, receives a straight pass from Onana with his back to goal. Both United centre-backs — Matthijs de Ligt and Lisandro Martinez — are higher than you would expect in this scenario.

Normally, the pass made from the player occupying Dalot’s position here would be first time and with the left foot given where Dejan Kulusevski is pressing. But Dalot takes a touch to control with his right foot…

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… turns his whole body around and passes with his right foot, too, allowing Kulusevski to get close to blocking. That extra touch also means Brennan Johnson is able to press Martinez easier (admittedly, Martinez’s lack of depth doesn’t help).

Panicked, Martinez blindly helps the ball on…

… and Pedro Porro is now on the attack for Spurs.

Some coaches are a lot more detailed with their messages than others. They will talk, for example, about the importance of goalkeepers receiving the ball in a neutral position, so that the opponent leading the press doesn’t know which side to jump and also discourage goalkeepers from making sweeping actions with their passes (picture that awkward Pickford ball to Tarkowski at Arsenal) to prevent the ball arriving with a bounce or with spin on it.

In other words, completing a pass to a team-mate isn’t enough when playing out against a press; it’s about giving the player receiving the ball the best possible opportunity of making their next action perfect — after all, multiple passes will often be required. It’s interesting to hear Liverpool players talking about how their manager, Arne Slot, has stopped training sessions because passes have not been played to the back foot of the receiver.

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The problem with one sloppy pass is that it often leads to another. In the next photo, the Ipswich goalkeeper, Arijanet Muric, plays a ball around Tottenham’s Dominic Solanke using the outside of his right foot. It’s high risk and comes off, but the pass isn’t easy for Sam Morsy to play first time and that contributes to the next pass being untidy…

… which ends up with Dara O’Shea jumping to try to get the ball under control and encouraging Spurs to press even more.

Ipswich are committed to playing out from the back under Kieran McKenna and their build-up involves a lot of straight passes that they generally execute well — the montage below is from Saturday’s game at Wolves.

McKenna — and this feels important for any coach who wants to play this way — took time to explain his philosophy to the Ipswich fans to try to manage the apprehension that often builds in stadiums during these phases of play.

Away from home can be more challenging, though, and rival supporters will revel in the sort of moment that Ipswich endured at West Ham earlier in the season.

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The first thing that jumps out when you watch the passage below is the setup. As well as being very close to the penalty area, both of Ipswich’s defensive midfielders, Morsy and Kalvin Phillips, are marked from behind before the goal kick and that feels like a red flag.

Morsy is unable to arrive at speed or on the blind side of an opponent. As for Phillips, he makes the penalty area more crowded by dropping inside and bringing Lucas Paqueta with him.

In fact, Phillips almost gets in the way of Morsy’s pass…

… which ends up at the feet of Paqueta.

Amid a scene of chaos in the Ipswich penalty area, O’Shea clears off the line.

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On the subject of overcrowding, there were 14 players (8 v 6) in a tight space when Southampton tried to play out against Villa this month (see the image below). Southampton survived this one, but they conceded against Liverpool in a not-dissimilar fashion and there was the Chelsea goal, too.

Watching Southampton this season, it was hard to avoid the conclusion that neither Lumley nor Alex McCarthy, both of whom deputised for the injured Aaron Ramsdale, were equipped to play Russell Martin’s brand of football at this level — and maybe they weren’t alone.

Clearly, there are times when the straight pass isn’t on and the goalkeeper needs to adopt a more pragmatic approach. Fulham’s Sander Berge is pictured below signalling to Leno that he should miss him out and go over the top of Brighton’s aggressive press.

Getting caught in two minds is probably the worst position for a goalkeeper to be in and that’s what happened to Tottenham’s Guglielmo Vicario against Brentford (below). It’s almost as if Vicario is so programmed to play that straight pass (it’s central to the way Spurs build up under their manager Ange Postecoglou) that he doesn’t recognise an alternative. Fabio Carvalho capitalised on Vicario’s indecision but, to the Spurs goalkeeper’s credit, he recovered and denied Bryan Mbeumo moments later.

Both Vicario and Forster, his deputy, have had their share of close shaves this season, most recently at Bournemouth a couple of weeks ago, where Kulusevski felt like a sitting duck for Tyler Adams when the straight pass arrived.

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On Sunday, against Southampton, Spurs were at it again right from the kick-off.

Four passes later, James Maddison was running through on goal and putting his team 1-0 up.

The risk, Postecoglou and others will argue, is worth the reward.

(Top photos: Getty Images; design: Meech Robinson)

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Nick Saban backs coach Ryan Day, instructs Ohio State fans to 'quit all this negative bulls—'

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Nick Saban backs coach Ryan Day, instructs Ohio State fans to 'quit all this negative bulls—'

During his storied coaching career, Nick Saban rarely shied away from an opportunity to share his thoughts on college football-centric hot topics.

Saban and the rest of ESPN’s “College GameDay” crew were in Indiana ahead of the 12-team College Football Playoff opener between Notre Dame and the Hoosiers. While the high-stakes game was the main topic during the pregame show, embattled Ohio State coach Ryan Day was also discussed.

Saban came to Day’s defense and directed his ire at Buckeyes fans, suggesting they shoulder at least some of the blame for the cloud of negativity circling the program.

Nick Saban sits on the ESPN “College GameDay” set before a game between the Penn State Nittany Lions and the Ohio State Buckeyes at Beaver Stadium in University Park, Pa., Nov. 2, 2024. (Adam Cairns/Columbus Dispatch/USA Today Network via Imagn Images)

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Saban said the noise surrounding the program is a distraction to the coaches and players and also made it clear he respects Day and his program.

DEION SANDERS ADAMANT HIS SON SHEDEUR WILL BE THE NO. 1 OVERALL PICK IN THE NFL DRAFT

“I think every coach has gotta define how he wants to do it, and I have a lot of respect for Ryan Day and how he’s tried to do it,” Saban said. “For me, I always wanted to get every player in the organization to reach their full potential. It wasn’t so much about the outcome, it was what you had to do to make everybody better.

Ryan Day talks with Nick Saban

Head coach Ryan Day of the Ohio State Buckeyes and head coach Nick Saban of the Alabama Crimson Tide before the College Football Playoff national championship game at Hard Rock Stadium Jan. 11, 2021, in Miami Gardens, Fla. (Sam Greenwood/Getty Images)

“But a big part of that was insulating the players from external factors — criticism, internet. I used to tell the players all the time, ‘Why do you care about what some guy puts on the internet who’s a fat guy in his underwear living in his mother’s basement? Why do you care? Why does that mean anything to you? Why does that affect you in any way, shape or form? We should be focused on what we control and what we can do.’

“It’s the same thing for the fans. I would tell the fans the same thing. If Ohio State wants to beat Michigan, they need to be positive about their coach and their players. There’s nobody that wants to beat them worse than the players and the coaches. That’s No. 1. No. 2, they have an opportunity to win the national championship. Everybody ought to be supporting the hell out of them so that they have the best opportunity to do it and quit all this negative bulls—.”

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Ryan Day looks on field

Ohio State Buckeyes head coach Ryan Day before a game against the Akron Zips at Ohio Stadium. (Joseph Maiorana/USA Today Sports)

While Day has compiled a 66-10 record at Ohio State, his Buckeyes have lost four straight to the Michigan Wolverines.

Day’s underwhelming results against Michigan have drawn criticism and raised concerns about the coach’s job security. Day’s focus is on the Buckeyes’ upcoming game against Tennessee in the College Football Playoff. The Buckeyes host the Volunteers Saturday.

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