Tottenham Hotspur have reportedly launched a second review in less than 12 months into their medical department due to the mounting injuries in the squad.

Goalkeeper Guglielmo Vicario is a long-term absentee after undergoing ankle surgery last month. Forward Richarlison is also expected to be sidelined until at least the new year with a muscle problem.

Ben Davies has a thigh injury, while both defenders Cristian Romero and Micky van de Ven returned from their own injury lay-offs over the weekend, but suffered new injuries during the defeat to Chelsea. Romero pulled up early in the first half with a quad injury, while Van de Ven suffered another hamstring injury.

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According to the Evening Standard, Spurs are now undertaking a second review. The report claims the initial assessment over the summer came as a result of last season's injury-hit campaign.

Geoff Scott, their former head of medicine and sports science, was among those to depart the club. Adam Brett joined as their director of performance services and Nick Davies was appointed their new head of sport science.

The article claims Ange Postecoglou has grown frustrated with the growing number of injuries, particularly those suffering further problems upon returning to action. A fresh look at the medical department has been ordered as a result.

“I never think it's just bad luck,” Postecoglou told the media ahead of their Europa League game against Rangers midweek. “Some of it is.

"I've never lost a goalkeeper for this period of time [before]. But some of it is recurring, particularly this year in terms of guys coming back and re-injuring. It's something we're looking at.

“We're always trying to explore whether we can do things better. Last year was different to this year.

“Last year it hit us across the board. This year it's more guys that are coming back who are affected. Knock on wood, we've got a core group who are playing a lot and are getting through it ok. But it is something we are trying to address.”