​Real Madrid has initiated a major restructuring of its medical department as part of an ambitious push to put an end to the injury problems that plagued last season. The Athletic reports that the overhaul is already in motion, signaling another substantial behind-the-scenes shift ahead of the 2026/27 campaign. The club’s latest updates emphasize a belief that improvements off the field are as crucial as strengthening the squad, especially after an injury-plagued year that affected nearly every member of the first team.
According to the outlet, Niko Mihic will lead the reorganization of Real Madrid’s medical staff, with Alexandre Creuze—currently the head of Monaco’s medical team—expected to join in the coming weeks. As part of the changes, the roles of Felipe Segura and Manolo Arroyo are set to come to an end, with both officials anticipated to depart the club.
Real Madrid endured a series of injuries last season, underscoring the strain on the squad and the medical staff. Mihic’s rising influence began earlier in the year when he replaced Segura in January, a move that followed controversy over how Kylian Mbappé’s knee issue was handled during the 2025/26 season. The club views that episode as a catalyst for broader reform within its medical structure, with senior leadership contending that a fresh approach was necessary.
By bringing Creuze into the fold alongside Mihic, Real Madrid aims to modernize the department and bolster both injury prevention and rehabilitation in advance of a demanding new season. The timing of the overhaul also aligns with José Mourinho’s return to Real Madrid, as the club prepares for a new chapter. Mourinho is scheduled to begin work on Friday, conducting meetings with staff before players report for medical tests and the start of pre-season training on Monday.
Only three Real Madrid players remained fit throughout the 2025/26 season, highlighting the perennial challenge of keeping the squad healthy. Injury problems persisted across the campaign, prompting growing concerns about the management of players’ physical condition. A report from December 2025 recalled senior figures at the club attributing the rising injury list to deficiencies in fitness and recovery management, a diagnosis that spurred internal changes.
Those assessments led to several internal adjustments, including Antonio Pintus returning to a more hands-on role with the first team after a period with reduced responsibilities. In parallel, Mihic’s scope of responsibility expanded, while Segura remained at the club in a diminished capacity ahead of the latest restructuring. With Creuze’s anticipated arrival, Real Madrid seeks to establish a forward-thinking medical setup designed to minimize injuries, accelerate recovery, and support peak performance as the club gears up for a punishing schedule and a renewed title bid. This overhaul reflects Real Madrid’s broader strategy of aligning medical innovation with on-pitch ambitions to sustain a elite-level squad across domestic and European competitions.