PDC Darts Injury Report: Clayton Battles Gout, Ratajski Returns from Surgery, and Lewis Eyes Comeback
As the 2026 PDC season intensifies, players are navigating significant physical hurdles, from Jonny Clayton's severe gout to Krzysztof Ratajski's remarkable return following brain surgery.
By Jackson Reed
- Player Management
- Advocates for strategic load management and skipping grueling exhibition tours to extend a player's career.
- Competitive Resilience
- Celebrates the grit of players who battle through acute physical pain to maintain their ranking and secure major titles.
- Health & Well-being Advocates
- Emphasizes that mental health and family well-being must take precedence over professional competition.
Why this matters
The physical and mental toll of the professional darts circuit is often overshadowed by the spectacle of the sport. Understanding how top players manage chronic pain, recover from life-threatening surgeries, and prioritize mental health provides crucial context for their performance and longevity on the tour.
Key points
- Jonny Clayton continues to win on the PDC Tour despite battling a severe and painful case of gout in his ankles.
- Krzysztof Ratajski has successfully returned to elite competition following brain surgery to treat an aneurysm.
- Gary Anderson is utilizing strategic load management, skipping the Premier League to protect his back and extend his career.
- Two-time World Champion Adrian Lewis is reportedly considering a return to the sport after a three-year mental health hiatus.
The physical demands of professional darts are rarely visible to the casual observer. The relentless travel, the hours of standing perfectly still at the oche, and the high-pressure environment take a significant structural and mental toll on the athletes. As the 2026 PDC season moves into its crucial late-summer stretch, the latest injury reports highlight several top-tier players battling severe physical ailments, managing chronic conditions, or plotting emotional returns to the sport.[1][2]
At the forefront of those playing through immense pain is Jonny Clayton. The Welsh star has been battling a severe case of gout in his ankles, a condition that causes intense joint inflammation and makes standing for prolonged periods excruciating. During the grueling Premier League campaign earlier this year, Clayton admitted that the pain made it difficult to even walk to the board, forcing him to alter his usual stage movement and endure significant discomfort during his matches.[1]
Despite the severe physical toll, Clayton has managed to maintain a world-class standard of play. He notably thrashed reigning World Champion Luke Humphries 6-1 in Nottingham to claim a nightly title, revealing afterward that his strategy was to simply keep practicing between matches. Sitting down, he explained, caused his joints to stiffen up entirely, leaving him dreading the moment he finally had to take his shoes off at the end of the night.[1]

While Clayton plays through acute pain, Krzysztof Ratajski is continuing his inspirational return to form following a life-threatening health scare. The 'Polish Eagle', once a staple of the world's top 16, saw his form dip and his ranking plummet out of the top 32 while dealing with an aneurysm that ultimately required brain surgery.[3]
Ratajski's return to the big stage was marked by a dramatic and emotional comeback victory at the World Darts Championship, where he recovered from a 3-1 deficit against Wesley Plaisier. Now fully cleared by medical professionals, Ratajski is using the 2026 season to reclaim his position among the sport's elite, stating that his health is finally back to 100 percent and his focus is entirely on climbing the Order of Merit.[3]
For veteran Gary Anderson, managing chronic physical issues has required a strategic overhaul of his entire playing calendar. The two-time World Champion has struggled with severe back problems for years, leading him to explicitly opt out of the grueling 16-week Premier League Darts circuit in 2026 to protect his body and extend his career.[2]
For veteran Gary Anderson, managing chronic physical issues has required a strategic overhaul of his entire playing calendar.
Anderson noted that the intense travel demands of the Premier League—which requires weekly flights across Europe—would compromise his ability to compete in European Tour and Players Championship events. "If I done the Premier League, Europeans gone, Players Championship gone," Anderson stated, emphasizing his need to concentrate on ranking events rather than the invitational showcase.[2]
The load management strategy appears to be working brilliantly for the Scotsman. By carefully selecting his tournaments and avoiding the burnout of the weekly arena tour, a resurgent Anderson has steadily returned to his finest form on the floor, proving that strategic rest and physical preservation can successfully extend a darting career at the highest level.[2][5]
In one of the most anticipated potential returns to the sport, two-time World Champion Adrian Lewis is reportedly considering a comeback to the PDC circuit. 'Jackpot' stepped away from professional darts in April 2023 to prioritize his mental health and support his family, as his wife Sarah battles an incurable kidney disease and his daughter navigates combined autism and ADHD.[4]

Lewis, now 41, has spent the last three years playing select untelevised exhibitions while taking a much-needed break from the relentless pressure and scrutiny of the main tour. Recent reports in July 2026 indicate that he is now open to talks about rejoining the professional ranks, a move that would inject a massive wave of nostalgia and excitement into the sport while highlighting the importance of taking mental health sabbaticals.[4]
Together, these individual battles highlight the hidden endurance required to survive in professional darts. From Clayton's grit in managing acute pain to Ratajski's recovery from major surgery and Anderson's calculated load management, the 2026 season serves as a powerful testament to the resilience of the players behind the tungsten.[1][3][5]
How we got here
April 2023
Adrian Lewis steps away from the PDC Tour to prioritize his mental health and family.
December 2025
Krzysztof Ratajski makes a triumphant return at the World Championship following brain surgery.
January 2026
Gary Anderson confirms he will skip the Premier League to manage his chronic back injury.
March 2026
Jonny Clayton wins Premier League Night Six while battling severe gout.
July 2026
Reports emerge that Adrian Lewis is considering a return to professional darts.
Viewpoints in depth
The Case for Load Management
Advocates for veteran players reducing their schedules to prolong their careers.
As the PDC calendar expands, the physical toll of traveling across Europe week after week has become unsustainable for some veterans. Proponents of load management point to Gary Anderson's resurgence as proof that skipping grueling invitational events like the Premier League allows players to peak for crucial ranking tournaments. By prioritizing rest, older players can protect their backs and throwing arms, ensuring they remain competitive against a younger, highly active generation.
The Grit of the Tour
Highlights the traditional mindset of playing through pain to secure ranking points.
Professional darts has long maintained a working-class ethos where players are expected to grit their teeth and play through discomfort. For players like Jonny Clayton, stepping away from the oche means losing crucial ranking points and prize money. This perspective admires the sheer resilience required to stand under hot stage lights and execute millimeter-perfect throws while battling conditions like severe gout, viewing it as a core component of a champion's makeup.
Prioritizing Mental Health
Supports players taking extended sabbaticals to manage personal and family crises.
The intense scrutiny and isolating nature of life on the road can exacerbate mental health struggles and family emergencies. Advocates for player well-being argue that Adrian Lewis's three-year hiatus should be normalized rather than viewed as an anomaly. By stepping away to care for his family and his own mental health, Lewis set a precedent that players do not have to sacrifice their personal lives for the sport, and that the door remains open for a return when the time is right.
What we don't know
- Whether Adrian Lewis will officially commit to returning to the PDC Tour or Q-School in the near future.
- How long Jonny Clayton can continue to manage his severe gout without requiring a prolonged absence from the tour.
Key terms
- PDC Tour
- The Professional Darts Corporation circuit, the highest level of professional darts in the world.
- Premier League Darts
- An elite, 16-week invitational tournament featuring eight of the world's top players traveling across Europe.
- Order of Merit
- The official world ranking system used by the PDC, based on prize money won over a two-year period.
Frequently asked
Why did Gary Anderson skip the 2026 Premier League?
Anderson opted out to manage a chronic back injury, stating that the intense 16-week travel schedule would prevent him from competing effectively in other ranking events.
What surgery did Krzysztof Ratajski have?
Ratajski underwent brain surgery to treat an aneurysm, which caused him to temporarily drop out of the world's top 32 before making his return.
Is Adrian Lewis returning to darts?
As of July 2026, Lewis is reportedly considering a return to the PDC Tour after a three-year hiatus to focus on his family and mental health.
Sources
[1]FlashscoreCompetitive Resilience
Dominant Clayton shrugs off injury to thrash Humphries and extend Premier League lead
Read on Flashscore →[2]SPORTbibleHealth & Well-being Advocates
Gary Anderson confirms he won't compete in Premier League Darts
Read on SPORTbible →[3]DartsNewsCompetitive Resilience
Krzysztof Ratajski opens up on health scare after dramatic World Championship comeback
Read on DartsNews →[4]SPORTbibleHealth & Well-being Advocates
Adrian Lewis considering talks over stunning PDC return after three-year absence
Read on SPORTbible →[5]Darts Planet TVPlayer Management
Having defied injury woes, a resurgent Gary Anderson is steadily returning to his finest
Read on Darts Planet TV →
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