Top medic says rugby has to evolve to deal with injury crisis
English rugby's head of medicine admits the game may face "significant changes" in order to address an alarming rise in injury severity.
Data from the annual injury audit for 2017-'18 compiled by the Rugby Football Union has revealed that while the frequency of match injuries is lower than for the previous season, return to play times have climbed for a second-successive year and now stand at 37 days.
As a result of this increase, the overall burden of match injury - which is a combination of both incidence and severity - now stands at the highest level since Twickenham began records in 2002.
"The data suggests that more significant changes to the game might be needed to reverse these trends," RFU medical services director Simon Kemp said.
Training ground casualties have become an area of concern with the frequency of injury remaining stable, but the severity also climbing to its highest recorded level of 37 days.
Frequent In total, 38 per cent of all injuries were incurred during training with concussion the most frequent injury in full-contact sessions.
While the data is for the English game overall - the Premiership, English clubs in Europe and England internationals - the report also lists injuries sustained during England training under Eddie Jones.
In 2017-'18, there were rises in casualties sustained during rugby skills and strength and conditioning, the former more than double the figure for the overall surveillance period.
The severity of injury sustained has contributed to the increase and this, combined with the small number of England sessions, has prompted the RFU to advise interpreting the figures "with caution".
However, there is an escalation since Jones replaced Stuart Lancaster as head coach at the end of 2015 and last summer the issue was raised by Bath owner Bruce Craig.
For a third successive year concussion remains the most commonly reported match injury at 20 per cent but there has been a minor reduction compared to 2016-'17 with one fewer instance every eight games.
Overall, the average absence for each concussion was 19 days.