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Indeed. Even the fittest player would need a couple of days off after that. Pretty impressive that he stayed on during the game - but it's afterwards it hurts the most.

Do we actually know this - or is it just an assumption / educated guess / 2+2?

It doesn't seem to be game play though. They seem to get injured in training mostly!

Play through the middle!

Many years ago when I used to play 5-8-aside (depending on how many turned up) weekly with our work crew, we used to organise the occasional game against other companies / groups who were in a similar situation. For a full, proper, 11-a-side match on a full pitch with ref (ie: a 'proper game')...