Neurosurgeon recalls how Barcelona doctors prevented tragedy for Gerard Pique in 2012 | OneFootball

Protocols surrounding head injuries in football have become increasingly strict in recent years, and for good reason. The safety of professional footballers is of paramount importance, and club doctors are acutely aware of the risks.

Barcelona fans may recall an incident last season when Gavi suffered a blow to the head against Alaves. Despite his determination to continue playing, Dr Ricard Pruna deemed him unfit, and Hansi Flick had to convince him to come off the field. This instance highlights how seriously head injuries are now treated.

In a recent interview with SPORT, Andreu Gabarros, head of Neurosurgery at Bellvitge Hospital, reflected on the potential consequences of head trauma in football. He recounted a moment when Barcelona’s medical team saved Gerard Piqué from what could have been a fatal situation. Gabarros explained:

“For example, Piqué lost consciousness in a match. He almost returned to the field but did not. Watching that, I thought: “If he gets hit again, he could die.” I assume Barça’s doctors made the right decision in preventing him from playing.”

Although Gabarros does not specify the game, ardent Barcelona fans will immediately think of the match between the Catalan club and Chelsea in 2012, when Piqué briefly lost consciousness after a collision with Victor Valdes.

Photo by Shaun Botterill/Getty Images

He tried to return to the field but was unable to continue and was eventually replaced by Dani Alves. Barcelona went on to lose the Champions League tie on aggregate, and Piqué was taken to the hospital, where he recovered.

Today, Piqué would not have been allowed to return to the field of play at all, and Gabarros’ words show the dire consequences that could have occurred that night had the Spaniard continued.

Football, like many contact sports, carries inherent risks. Head injuries can result from single severe impacts or from repeated minor impacts over time, such as frequent headers. Even seemingly small blows can cause structural brain changes, and repeated trauma may contribute to long-term neurological issues.

Modern protocols focus on immediate recognition, careful monitoring, and appropriate recovery time. Players experiencing symptoms such as headache, dizziness, nausea, or imbalance are removed from play and closely assessed, often requiring at least two weeks of rest after a concussion.

Gabarros emphasized that prevention is the most effective measure, and professional teams like Barcelona are increasingly proactive. While the incidence of severe outcomes remains low, understanding and respecting the risks is essential.

Head injuries in football are not only a medical issue but a responsibility shared among players, coaches, and medical staff to ensure safety while preserving the integrity of the sport.

The cases of Piqué and Gavi serve as reminders that vigilance saves lives. Football can be thrilling and intense, but player health must always come first.