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James Maddison's Journey: From Injury to Family Chaos

James Maddison sits back down in the spotlight this weekend, but the story he tells on BBC One is less about step-overs and more about survival.

The Football Interview returns every Saturday at 12:45 during the Premier League season, on BBC One, with episodes also on BBC iPlayer, BBC Football’s YouTube channel and the BBC Sport website and app. The opening show on Saturday, 22 August, sees Kelly Somers joined by a man who spent the last year fighting two battles at once: a shredded knee and a house full of small children.

“In the trenches” at home

Tottenham Hotspur’s playmaker has always looked at ease in chaos on the pitch. At home, it has been a different kind of mayhem.

Maddison and his partner now have five children aged four and under, including two sets of twins. That whirlwind arrived while he was out with a ruptured anterior cruciate ligament suffered last August, an injury that wiped out most of his 2025-26 season.

He calls it “the toughest year of his life”. Not the pressure of a relegation scrap. Not the grind of rehab. The combination of all that with sleepless nights, nappies and the relentless noise of a young family.

"I needed that positive distraction of my partner being pregnant and having to be there for her and forget about myself, even though I was going through a traumatic experience through my knee," he tells Somers.

The distraction came with a cost.

"A lot of nappies flying about, a lot of accidents at home, but it'll all be worth it," he says. "We still love it. I wouldn't change it for the world."

A year gone – and a son who thought he’d left Spurs

In football terms, Maddison lost a season. At home, he watched something more jarring: his eldest son, Leo, almost forget that Dad is a Premier League footballer.

"I missed a year of football, and a year in a child's life - from three and a half to four and a half - it's obviously massive," he says.

"He couldn't even remember over a year ago when he was at all the games.

"It would be nice for him to come to the games again and actually remember Dad playing instead of just Dad sat at home watching him with a machine on his knee."

While Maddison sat on the sofa, Spurs lurched through a grim campaign, clinging to survival on the final day and finishing only two points clear of the relegation zone. For a player signed to unlock defences, watching his team labour without him cut deep.

"We probably struggled a little bit for creativity and I'm watching the games thinking, 'what would I be doing there?'," he admits.

De Zerbi, team dinners and alcohol on the table

The mood around Tottenham Hotspur Stadium shifted when Roberto de Zerbi arrived in March. Results had to change, of course, but the Italian’s first job was more basic: make a bruised squad enjoy football again.

"He's very clever. He's very tactical. He's obsessed with football, you can see that," Maddison says.

Yet De Zerbi’s early moves were not about complex patterns or dense tactical meetings. He stripped things back.

"But to be honest, when he first came in – in comparison to pre-season and what we're training now - he didn't want to make it too complicated. He just wanted us to get the love back for playing football."

The reset started away from the training pitch. One of his first acts was to organise a team meal – with the players explicitly told they could drink.

The message was blunt and deliberate. As Maddison recalls it, De Zerbi told them: "We're all going to be drinking alcohol, we're all going to be having a good night."

"He wanted us to have a night where we all just relax," Maddison explains. "That feeling that we got made everyone feel more knitted together, straight away."

On the bench in slippers

De Zerbi’s man-management went further. Even before Maddison was ready to play, the new head coach wanted him back in the matchday environment.

Another early call: put the midfielder on the bench.

"I was almost like, 'I'm not ready to play yet, boss'," Maddison says.

"But he said no. He said I can come on the bench in my slippers if I want. He just wanted me around the group and he thought that would benefit the group. I took that as a massive compliment and just acted as if I was part of the bench, part of the team.

"I'm not saying that's the reason why, but we managed to steer clear of the danger, which was a good feeling."

The return to action finally came against Leeds on 11 May. It was a symbolic step more than a starring role, and Tottenham have not risked him in pre-season so far. The long game matters more now.

A fit season – and a warning to the league

Maddison speaks like a player who has stared down what the game can take away. The aim for the coming campaign is simple, and ruthless.

"I'm working so hard to try and be fully fit and available for the majority of the season," he says.

"I want just a fully fit, healthy season where I can just enjoy football. Because if I'm fully fit and I'm healthy, then I know what I'm capable of. And I know that I can affect games more than a lot of players in this league. So, let's just hope for that."

If the knee holds and the house quietens, even just a little, Tottenham might finally see the version of James Maddison they thought they were signing – and the rest of the Premier League will have to deal with it.

James Maddison's Journey: From Injury to Family Chaos