InjuryPDC DartsJun 18, 2026, 2:22 AM· 3 min read· #10 of 10 in sports

PDC Injury Report: Van Gerwen Undergoes Surgery as Price and Smith Battle Lingering Health Issues

A grueling 2026 schedule has sidelined several top darts stars, with Michael van Gerwen recovering from arm surgery, Gerwyn Price managing health concerns, and Michael Smith receiving treatment for a severe ankle condition.

By Factlen Editorial Team

Medical & Biomechanical Analysts 35%Touring Professionals 35%Tournament Organizers & Fans 30%
Medical & Biomechanical Analysts
Focus on the repetitive strain and nerve damage inherent to the throwing motion.
Touring Professionals
Emphasize the physical toll of the relentless travel and playing schedule.
Tournament Organizers & Fans
Balance the desire for a packed, entertaining calendar with the reality of player withdrawals.

What's not represented

  • · Sports physiotherapists specializing in darts mechanics
  • · Sponsors affected by star player withdrawals

Why this matters

With the World Cup of Darts and the World Matchplay approaching, the absence of multiple former world champions reshapes the competitive landscape. For fans and bettors, the sheer volume of injuries underscores how the relentless travel and repetitive strain of the modern tour are fundamentally altering players' careers.

Key points

  • Michael van Gerwen underwent arm surgery on June 14 to address Carpal Tunnel Syndrome.
  • Van Gerwen missed the World Cup of Darts but targets a return at the Dutch Darts Masters.
  • Gerwyn Price withdrew from the World Cup to focus on his health after a series of setbacks.
  • Michael Smith is receiving cortisone injections for a severe, chronic ankle condition.
  • The grueling PDC schedule and travel demands are increasingly blamed for player injuries.
3
Former World Champions currently managing injuries
June 24
Target return date for Michael van Gerwen
16
Weeks in the grueling Premier League schedule

The 2026 Professional Darts Corporation (PDC) season has become a battle of attrition, with the relentless schedule of the Premier League, European Tour, and ProTour leaving several of the sport's biggest names battling severe physical ailments.[1][4]

The most significant recent development involves three-time World Champion Michael van Gerwen, who opted for arm surgery in mid-June. The Dutchman underwent a procedure on June 14 to address ongoing Carpal Tunnel Syndrome, a condition that has plagued him for years.[1]

The surgery forced Van Gerwen to withdraw from the prestigious World Cup of Darts, missing the opportunity to represent the Netherlands alongside teammates Danny Noppert and Dirk van Duijvenbode. He is currently targeting a return to action at the Dutch Darts Masters in Amsterdam on June 24.[1]

Key figures highlighting the physical toll of the 2026 PDC Darts season.
Key figures highlighting the physical toll of the 2026 PDC Darts season.

This is not Van Gerwen's first bout with severe wrist issues. He previously underwent carpal tunnel surgery in 2022, which forced a drastic change to his throwing action. Former professional Matt Edgar recently warned that nerve damage makes a full return to his absolute peak 'virtually impossible,' noting that players are rarely the same after such invasive procedures.[6]

Beyond chronic wrist issues, Van Gerwen has also battled acute injuries throughout the grueling campaign. He previously withdrew from a Premier League night in Berlin due to a sudden shoulder issue, and suffered a freak neck injury sustained simply while 'trying on a shirt' for a sponsor.[5][7]

Beyond chronic wrist issues, Van Gerwen has also battled acute injuries throughout the grueling campaign.

Meanwhile, Welsh star Gerwyn Price has also been forced off the oche. Price withdrew from the 2026 World Cup of Darts, citing that he was 'not in a great place at the moment' regarding his overall health and needed time away to recover.[2]

Price's withdrawal from the World Cup followed a cascading series of medical setbacks. He recently pulled out of a UK Open Pool Championship match at the last minute to protect his health ahead of major darts commitments, and has also dealt with a severe hand injury that caused significant swelling.[3]

The injury bug has also bitten 2023 World Champion Michael Smith. 'Bully Boy' recently revealed the severity of a chronic ankle condition, describing it as 'excessive extra bone growing around my ankle' that causes immense pain during long days on his feet.[4]

Repetitive strain injuries, particularly in the wrist and shoulder, are becoming increasingly common among elite darts professionals.
Repetitive strain injuries, particularly in the wrist and shoulder, are becoming increasingly common among elite darts professionals.

The inflammation became so severe that Smith was rendered unable to walk for days at a time. He was forced to withdraw from the International Darts Open in Riesa to finally undergo long-postponed cortisone injections to manage the swelling.[4]

The physical toll extends beyond the former world champions. Veteran Gary Anderson opted out of the 2026 Premier League entirely, citing the intense travel demands and a history of back injuries that flare up during the 16-week competition.[8]

The sheer volume of medical withdrawals has sparked a debate among analysts and fans about the sustainability of the modern PDC calendar. With players crisscrossing Europe weekly for the Premier League and weekend European Tour events, the repetitive strain on throwing arms, backs, and ankles is unprecedented.[6][8]

The modern PDC calendar requires top players to compete in dozens of events across Europe each year.
The modern PDC calendar requires top players to compete in dozens of events across Europe each year.

As the tour heads toward the crucial summer stretch, including the World Matchplay in July, the focus for many top players has shifted from form to fitness. The ability to survive the grueling schedule and manage chronic pain may ultimately determine who lifts the sport's biggest trophies in 2026.[1][4]

How we got here

  1. 2022

    Michael van Gerwen undergoes his first surgery for Carpal Tunnel Syndrome, altering his throw.

  2. May 2026

    Michael Smith withdraws from the International Darts Open to receive cortisone injections for his ankle.

  3. May 2026

    Gerwyn Price withdraws from the World Cup of Darts, citing a need to focus on his health.

  4. June 14, 2026

    Michael van Gerwen undergoes arm surgery, missing the World Cup of Darts.

  5. June 24, 2026

    Targeted return date for Van Gerwen at the Dutch Darts Masters in Amsterdam.

Viewpoints in depth

Medical & Biomechanical Analysts

Experts who view the injuries as an inevitable consequence of the sport's repetitive mechanics.

Sports scientists and former professionals point out that throwing thousands of darts a week places immense, unnatural strain on the wrist, elbow, and shoulder. Analysts like Matt Edgar note that conditions like Carpal Tunnel Syndrome are particularly devastating for darts players, as even a millimeter change in release mechanics due to nerve damage or surgery can derail a career. They argue that the human arm is simply not designed for the repetitive, high-velocity snapping motion required at the elite level.

Touring Professionals

Players who point to the grueling travel schedule as the primary driver of physical breakdown.

For the players themselves, the actual throwing is only half the battle. The modern PDC calendar requires relentless travel, often involving flights across Europe multiple times a week for Premier League Thursdays and European Tour weekends. Veterans like Gary Anderson have explicitly cited the travel demands as the reason for skipping major tournaments, noting that the constant transit, hotel beds, and lack of recovery time exacerbate back and neck issues far more than the time spent on the oche.

Tournament Organizers

Stakeholders balancing player health with the sport's explosive commercial growth.

The PDC and tournament sponsors face a difficult balancing act. The sport's booming popularity has led to a highly lucrative, expanded calendar that offers unprecedented prize money. Organizers maintain that participation in many events is optional, allowing players to manage their own schedules. However, with ranking points and major tournament qualifications on the line, the financial and competitive incentives heavily push players to compete even when carrying knocks.

What we don't know

  • Whether Michael van Gerwen will fully regain his peak throwing mechanics after a second carpal tunnel surgery.
  • The exact nature of the health issues that prompted Gerwyn Price's recent withdrawals.
  • If the PDC will consider adjusting the calendar to provide more recovery time for top players.

Key terms

Carpal Tunnel Syndrome
A medical condition causing numbness, tingling, and weakness in the hand and arm, caused by a compressed nerve in the wrist.
Oche
The line behind which a darts player must stand when throwing.
ProTour
A series of non-televised darts tournaments played by PDC professionals to earn ranking points.
Order of Merit
The official world ranking system used by the Professional Darts Corporation, based on prize money won over a two-year period.

Frequently asked

Why did Michael van Gerwen miss the World Cup of Darts?

Van Gerwen missed the tournament because he opted to undergo arm surgery on June 14 to address ongoing Carpal Tunnel Syndrome.

When is Michael van Gerwen expected to return?

He is targeting a return to competition at the Dutch Darts Masters in Amsterdam, scheduled for June 24-25.

What injury is Michael Smith dealing with?

Smith is suffering from severe ankle inflammation caused by excessive bone growth, which recently required cortisone injections.

Why did Gerwyn Price withdraw from recent events?

Price withdrew from the World Cup of Darts and other events to focus on his health, having recently dealt with illness and a swollen hand.

Sources

Source coverage

8 outlets

3 viewpoints surfaced

Medical & Biomechanical Analysts 35%Touring Professionals 35%Tournament Organizers & Fans 30%
  1. [1]Darts Planet TVTournament Organizers & Fans

    Van Gerwen to miss World Cup of Darts after opting to have arm surgery

    Read on Darts Planet TV
  2. [2]FlashscoreTournament Organizers & Fans

    2026 World Cup of Darts: Gerwyn Price out for Wales, Lukes return for England

    Read on Flashscore
  3. [3]ExpressTouring Professionals

    Gerwyn Price health update issued after withdrawing from tournament at last minute

    Read on Express
  4. [4]Darts World MagazineTouring Professionals

    Smith Struck Down Again

    Read on Darts World Magazine
  5. [5]Sky SportsTouring Professionals

    Michael van Gerwen: 'Neck injury' sustained while 'trying on a shirt' forced Premier League withdrawal

    Read on Sky Sports
  6. [6]Dartsnews.comMedical & Biomechanical Analysts

    Concerns over Michael van Gerwen are growing

    Read on Dartsnews.com
  7. [7]LiveDartsTournament Organizers & Fans

    Michael van Gerwen withdraws from Premier League Darts Night Nine in Berlin

    Read on LiveDarts
  8. [8]SPORTbibleTouring Professionals

    Two Players Have Withdrawn from Previous Editions of Premier League Darts due to Medical Issues

    Read on SPORTbible
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