Mohamed Salah confirmed on 24 March 2026 that he will leave Liverpool FC at the end of the season, ending a nine-year stint at Anfield. The announcement came days after the Egyptian forward suffered a muscular injury during a Premier League fixture, forcing him to leave the pitch before full time — a recurring theme in the second half of his Liverpool career.
Salah is 33. His departure raises a question that goes far beyond football: how do professional athletes manage the physical decline that comes with age, and when should anyone — athlete or not — see a sports medicine specialist?
Why Muscle Injuries Increase With Age
As the body ages, muscle fibres lose both mass and elasticity — a process called sarcopenia that begins in earnest around the age of 30. According to NHS guidance on muscle injuries, muscle strains account for the majority of sports-related injuries in athletes over 30, compared to ligament or bone injuries in younger players.
For professional footballers, the accumulated load on soft tissue is enormous. A Premier League midfielder runs an average of 10 to 12 kilometres per match. Over a 20-year career spanning 600 or more games, the mechanical stress on hamstrings, quadriceps and adductors becomes significant — even for elite athletes with access to world-class physiotherapy.
Salah's exit from his final Liverpool match with a muscular complaint echoes a pattern seen across top-level sport: Cristiano Ronaldo, Roger Federer, and Serena Williams all cited soft tissue recovery as a key factor in winding down their careers.
The Signs You Should Not Ignore
Salah's muscular problem is a reminder that soft tissue injuries are not always visible or immediately painful. For anyone who trains regularly — whether competitively or recreationally — there are warning signs worth taking seriously:
- Persistent tightness in a muscle that does not ease after a warm-up session
- Sharp pain during exertion that disappears at rest, then returns during the next session
- A noticeable reduction in range of motion compared to your baseline
- Repeated strains in the same muscle group, suggesting a chronic imbalance or poor rehabilitation
Weekend athletes are particularly at risk. Unlike professional players, most recreational sportspeople do not have access to regular physiotherapy assessments or sports medicine monitoring.
When to See a Sports Medicine Specialist
A general practitioner is the right first port of call for most muscle injuries. However, a sports medicine consultant — a doctor trained specifically in exercise medicine and musculoskeletal disorders — offers a more targeted assessment when injuries are complex or recurring.
A sports medicine consultation typically includes:
- Biomechanical gait analysis to identify structural imbalances
- Ultrasound or MRI referral to assess soft tissue damage with precision
- A tailored rehabilitation protocol that accounts for your sport, load, and recovery window
- Advice on return-to-sport timelines, including injury prevention strategies
For recreational athletes who have had the same strain three times in six months, or who are experiencing pain that prevents normal training, a sports medicine specialist can identify the underlying cause — often a muscle imbalance, poor recovery protocol, or overtraining — rather than treating each episode in isolation.
What Salah's Exit Teaches Us About Longevity
Salah's departure has prompted debate about the management of elite athlete longevity. What his career actually illustrates is that professional sport is not infinitely sustainable: even the most elite body has limits. Managing those limits intelligently — through specialist monitoring, load management, and timely recovery — is the difference between extending a career and shortening it.
For amateur athletes, the principle is the same. Ignoring a recurring hamstring strain or pushing through persistent groin pain does not make you tougher — it makes the eventual injury worse and the recovery longer.
The most consistent advice from sports medicine professionals: treat soft tissue injuries early, rehabilitate fully before returning to sport, and do not rely on pain as the sole indicator of readiness.
The Role of Recovery in Injury Prevention
One factor that consistently separates elite athletes from recreational ones is structured recovery. Professional clubs like Liverpool employ teams of physiotherapists, sports scientists, and nutritionists specifically to manage recovery windows between games. The average Premier League schedule asks players to compete every three to four days during busy periods — a load that, over time, accumulates damage in soft tissue.
For recreational athletes, the equivalent mistake is training through tiredness or ignoring the need for rest days. Sports medicine research published in the British Journal of Sports Medicine consistently shows that inadequate recovery is the single most modifiable risk factor for non-contact soft tissue injuries. Specifically, returning to high-intensity training within 48 hours of a demanding session — without sufficient sleep, nutrition, and active recovery — increases muscle strain risk by up to 50 per cent.
Building a recovery protocol does not require elite resources. It requires consistency: adequate sleep (seven to nine hours), protein intake around exercise, and alternating hard training days with lighter recovery activity. When that framework fails to prevent recurring injury, it is time to seek specialist input.
Taking the Next Step
If you are experiencing recurring muscle pain or are unsure whether your training load is safe, a sports medicine consultation can provide clarity. Expert Zoom connects you with sports medicine doctors available for online or in-person consultations across the UK. A specialist can assess whether your injury pattern points to an underlying cause — structural, biomechanical, or related to training habits — and help you build a plan to train safely long-term.
Medical disclaimer: This article provides general health information only. It does not constitute medical advice. If you are experiencing acute pain or injury, seek professional medical assessment before resuming physical activity.
