When it rains, it pours.
So it seems for a number of Kenyan Premier League (KPL) players who were nursing long-term injuries before coronavirus struck.
In Kenya, close to 80 percent, if not more, of the clubs are struggling financially and it’s not uncommon for players to go for up to seven months without pay.
It means a large number of KPL players were already running on empty before Covid-19 landed in the country on March 13 and for the injured lot, the situation has been turned from bad to worse.
Shafik Batambuze, who plays for KPL champions Got Mahia was looking forward to returning to action in June after suffering a career_threatening knee injury last August.
The Ugandan fullback had to wait for three months before he underwent surgery after his club said it did not have money to cater for his medical costs. Gor are among countless clubs without medical insurance which means the player was now on his own.
Fearing for his career, Batambuze had to solicit for help from family and friends and it was not until November that he raised enough to undergo surgery back home in Entebbe.
Then the tough journey to recovery started. It involved countless visits to his physio, gym work and swimming before he started light training in February.
“I am getting better each day and I am confident by June, I would have recovered fully. I go back to the gym under a personal instructor and also went for swimming sessions until the Covid-19 pandemic made it impossible,” Batambuze told this publication in April.
However, close to two months since, Batambuze’s recovery has stalled if not regressed.
For a player who was given seven months after surgery to fully recover, it now appears like he will have to deal with and extended period on the sidelines all thanks to coronavirus.
“I last revisited my physiotherapist in April then the country went into a total lockdown and it became impossible,” Batambuze told this writer through a phone interview last week from his hometown of Jinja, southern Uganda where he has been since his surgery.
Batambuze’s physio is based in the capital Kampala, some 82km from Jinja and since the lockdown, it became difficult to make the trips.
“Yes hospitals are listed as essential service providers but the challenge is I cannot get public transport since the lockdown. The only way I can get there is through a taxi which costs Sh7,000 then I need another Sh5,000 for the physio sessions. This is too expensive for me given my club has not paid us for six months,” added the former Tusker FC player.
That means, for two months, the player has missed things like ultrasound, scans and drills with his physio which are key in his recovery.
For now, Batambuze depends on a home-based program drawn up by his physio to keep in shape.
It involves light runs, physical exercises to strengthen muscles and the injured leg plus kicking the ball in small fields with not more than seven players.
But experts warm a home-based program without visits to the doctor is a risky approach.
“If they don’t go through the full program, you delay full recovery and return to action. This then erodes most gains that would have been made after surgery,” says Dr Patrick Ngusale, a Nairobi-based physio who have has worked on the rehabilitation of a number of KPL players for close to a decade.
Before Covid-19 struck, Dr Ngusale was working on the recovery of three KPL players nursing long-term injuries.
The most notable one is Gor Maria utility man Philemon Otieno. Otieno just like Batambuze had to foot his own medical bills after his club and Football Kenya Federation haggled for weeks on who should pay after the player sustained a knee injury while turning out for national team Harambee Stars.
He had to wait for three months before family and teammates bailed him out.
“I connected him to a sports surgeon then I took over after the surgery,” Dr Ngusale says of Philemon’s case.
Alongside Philemon, Dr Ngusale is also working on the recovery of Jockins Atudo and Kevin Odongo, both of KPL side Posta Rangers who have also been out for months.
The rehabilitation of the three was going on just fine until coronavirus struck, forcing the players and the doctor to make some sacrifices.
“I would have been close to a return if not for Covid-19 because I don’t train as I would have liked. The other thing is that we go to see the doctor on certain days because we don’t have fare. Our club has been having financial challenges so we cannot afford the physio sessions,” Atudo told People Sport last week.
Unlike Philemon who had to finance his entire medical bill, Atudo and Odongo are lucky that their employer Postal Corporation of Kenya has an agreement with National Hospital Insurance Fund (NHIF) which covered their operation.
However, that is only limited to the surgery which means they have to pay for rehabilitation from their pockets.
This is difficult for players who have not seen a salary for months. The little they get, it’s a choice between the stomach and the injured leg.
There’s is no guessing which one always wins.
It is for this reason that Dr Ngusale has had to make concessions, putting the players welfare ahead of profits.
“Instead of reducing sessions, I reduced the charges from Sh2,000 to Sh1,000 per visit. These are injuries that need nine months to heal and for the first three months after surgery they come daily. When you charge Sh2,000 and they are financially struggling, it becomes tough,” admits Dr Ngusale.
He added: “These are young men with a future and if you compromise on sessions, you compromise on the results. Their rehabilitation is up to date because if it does not go right, it will be me to blame.”
For the three players Dr Ngusale is treating, Kenya Footballers Welfare Association (KEFWA) has shown a willingness not help and there is hope that the two parties will reach an agreement on modalities of payments soon.
But others in Kenya have not been as lucky. Before Covid-19 landed in Kenya, Mathare United defender Harun Pamba was one month away from returning to action after suffering a knee ligament injury six months earlier.
Pamba had been under rehabilitation at Mathare Youth Sports Association (MYSA) in Komarok, Nairobi before gyms were closed to curb the spread of the deadly virus.
That meant the player had to rely on a home-based program to continue his recovery.
“Finances is a big problem for the players. The clubs are struggling financially and unable to pay them. Since our only facility is closed, they cannot go elsewhere for treatment as they can’t afford it and don’t have fare,” the club doctor Wycliffe Oduo told People Sport at the weekend.
“When they get some little money, they prefer to buy food than seek treatment and that is why they are forced to train at home which is not enough,” added Oduo.
For Pamba, training at home has not just been enough but instead come at great cost as he recently slide and injured the very knee he was trying to heal.
So while their peers with similar problems in European leagues have used the coronavirus break to accelerate their recovery, for those in Kenya, the pandemic has all but slowed them down.
