Darts Injury Report: Nathan Aspinall and Michael Smith Redefine Longevity Amid Chronic Injury Battles
Former major champions Nathan Aspinall and Michael Smith are strategically reducing their floor event commitments to extend their careers while battling chronic arm and joint injuries.
By Factlen Editorial Team
- Player Welfare Advocates
- Argue that the grueling modern darts schedule necessitates strategic rest and dedicated physical therapy to prevent career-ending injuries.
- Tournament Organizers
- Focus on ensuring that the sport's biggest stars are healthy and available for flagship television events, even if it impacts floor tournament attendance.
- Darts Traditionalists
- Acknowledge the immense physical toll of the modern game compared to past eras, praising players for adapting their approach to achieve longevity.
What's not represented
- · Lower-ranked players who cannot afford to skip floor events to rest injuries.
Why this matters
As the professional darts calendar becomes increasingly congested, elite players are proving that strategic rest and injury management are just as crucial as practice. Their ability to perform at a world-class level while managing chronic pain offers a blueprint for longevity in the modern game.
Key points
- Nathan Aspinall averaged 107.23 in Leverkusen despite an ongoing arm injury.
- Aspinall is considering skipping floor events to stay fit for major TV tournaments.
- Michael Smith is managing severe osteoarthritis and a shoulder injury with cortisone injections.
- Both former champions are prioritizing strategic rest to extend their professional careers.
The relentless grind of the Professional Darts Corporation (PDC) circuit is forcing some of the sport's brightest stars to rethink their approach to the calendar. Former major champions Nathan Aspinall and Michael Smith are currently navigating chronic physical ailments, choosing to strategically manage their schedules rather than succumb to the grueling demands of playing every available event.
Aspinall, the 2023 World Matchplay champion, provided a masterclass in resilience during the European Darts Open in Leverkusen this past weekend. Despite managing a long-term arm and shoulder injury, 'The Asp' opened his title defense with a blistering 107.23 average, dismantling Mickey Mansell 6-1 and converting 66 percent of his checkout attempts.
However, the high-flying performance masked an ongoing physical battle. Following a quarter-final exit later in the tournament, Aspinall candidly admitted to experiencing throw struggles as his arm fatigued. The 34-year-old has been dealing with severe swelling in his tendons and ligaments—akin to tennis elbow—which previously required intense shockwave therapy.

To preserve his body for the sport's most prestigious television events, Aspinall has hinted at a significant schedule pivot. In a recent interview, he suggested he may abandon the untelevised Players Championship floor events entirely. While this move jeopardizes his qualification for the Players Championship Finals in Minehead, it ensures he remains physically primed for majors like the upcoming World Matchplay in Blackpool, where he is slated to face Joe Cullen in the opening round.[1]
To preserve his body for the sport's most prestigious television events, Aspinall has hinted at a significant schedule pivot.
Michael Smith, the 2023 PDC World Champion, is charting a similar path of targeted recovery. 'Bully Boy' has endured a harrowing stretch of physical setbacks, including severe osteoarthritis, a grade 2 AC shoulder injury, and persistent ankle swelling that has occasionally left him unable to walk.
The toll of the travel and constant competition forced Smith to withdraw from the International Darts Open in Riesa earlier this season. Seeking a sustainable solution, the St. Helens native has turned to targeted cortisone injections to reduce joint inflammation, accepting that a full shoulder replacement will eventually be necessary once his professional career concludes.[2]

Despite the daunting diagnosis, Smith's outlook remains overwhelmingly positive. By stepping away from the board when the pain peaks and prioritizing his mental health, his condition has shown gradual improvement. He recently returned to the practice board with renewed vigor, determined to reclaim his spot among the elite without pushing his body past its breaking point.[2]
The proactive measures taken by Aspinall and Smith underscore a broader evolution in professional darts. Gone are the days when players could simply throw through the pain week in and week out. Today's top competitors are treating their bodies with the same meticulous care as elite athletes in any other global sport, proving that strategic rest is the ultimate key to darting longevity.[2]
How we got here
Jan 2023
Michael Smith wins the PDC World Darts Championship.
July 2023
Nathan Aspinall wins the World Matchplay title in Blackpool.
Late 2025
Smith opens up about his severe osteoarthritis and shoulder injuries.
July 2026
Aspinall hints at schedule reductions to manage his chronic arm injury ahead of his Matchplay defense.
Viewpoints in depth
Player Welfare Advocates
Emphasizing the necessity of schedule management to prevent career-ending injuries.
Advocates for player welfare stress that the modern darts calendar is unprecedented in its physical demands. With tournaments spanning the globe and floor events requiring multiple matches in a single day, the repetitive strain on the shoulder, elbow, and wrist is immense. This perspective argues that players like Aspinall and Smith are setting a vital precedent by prioritizing long-term health and physical therapy over chasing every available ranking point, which ultimately protects the sport's biggest assets.
Tournament Organizers
Balancing the grueling tour schedule with the need for star power at major events.
From the perspective of the PDC and broadcasters, the primary goal is delivering high-quality matches during flagship television events like the World Matchplay and World Championship. While organizers want top players competing in floor events to maintain a robust ranking system, they recognize that a burnt-out or injured star diminishes the product. Consequently, there is a growing understanding that elite players must be allowed the flexibility to manage their bodies to ensure they peak when the television cameras are rolling.
What we don't know
- Whether Aspinall will officially withdraw from all remaining Players Championship events this season.
- How Michael Smith's shoulder will hold up during the grueling winter tournament schedule.
Key terms
- Players Championship
- A series of untelevised floor tournaments that make up a significant portion of the PDC Pro Tour calendar.
- World Matchplay
- One of the most prestigious major television tournaments in darts, held annually at the Winter Gardens in Blackpool.
- Cortisone Injection
- A medical treatment used to relieve pain and reduce inflammation in a specific area of the body, such as a joint.
- Average
- The mean score a player achieves with three darts during a match, used as a primary metric of performance.
Frequently asked
What injury is Nathan Aspinall dealing with?
Aspinall is managing severe swelling in the tendons and ligaments of his throwing arm, a condition similar to tennis elbow.
Why might Aspinall skip the Players Championship events?
He is considering skipping the grueling floor events to rest his arm and ensure he is fully fit for major televised tournaments like the World Matchplay.
How is Michael Smith managing his injuries?
Smith is utilizing targeted cortisone injections to reduce inflammation from osteoarthritis and a shoulder injury, alongside taking strategic breaks from the tour.
Sources
[1]PDCTournament Organizers
2026 Betfred World Matchplay Round One schedule confirmed
Read on PDC →[2]Oche180Darts Traditionalists
Michael Smith admits he's been through hell just to get back on the oche
Read on Oche180 →
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