Patrick Mouratoglou Defends Alcaraz's Cramp Treatment, Calls Zverev's Claims Misguided
Mouratoglou: Denying Alcaraz Treatment Would Be Real Scandal

Patrick Mouratoglou's Insight on Alcaraz-Zverev Cramps Controversy

In the wake of the Australian Open semifinal between Carlos Alcaraz and Alexander Zverev, a heated debate has erupted over medical treatment rules in professional tennis. Zverev claimed Alcaraz received special treatment for cramps during their match, but renowned coach Patrick Mouratoglou has offered a nuanced perspective that challenges this narrative.

The Rulebook Versus Reality in Professional Tennis

Taking to LinkedIn and his podcast, Mouratoglou emphasized that tennis needs to confront the gap between official regulations and actual practice. In the world of professional tennis, there is the Rulebook, and then there is Reality, he stated. When reality follows its course, we shouldn't pretend it's a scandal.

Mouratoglou, who coached legends like Serena Williams and currently works with Grigor Dimitrov and Harold Rune, argued that unfairness stems from inconsistent application of rules rather than what's written on paper. If Alcaraz hadn't received treatment, that would have been the real scandal, he declared, pointing out that players who cramp almost always receive medical attention based on his 25 years of experience.

The Technical Rules and Their Practical Interpretation

On paper, tennis regulations are strict regarding cramps:

  • No Medical Timeouts (MTO) for cramps: Players don't get the 3-minute grace period reserved for acute injuries
  • Changeover Limit: Treatment is restricted to 90-second changeovers or 120-second set breaks, with a maximum of two sessions

This is Zverev's point, and technically, he's right, Mouratoglou acknowledged. However, he highlighted a significant gray area in how these rules are applied in real matches.

The Gray Area of Medical Evaluations

Mouratoglou explained that chair umpires and physios constantly navigate a thin line during matches. If a physio evaluates a player and determines the condition might be an injury rather than just a cramp, the MTO is granted, he noted. This was particularly relevant in Alcaraz's case, where his adductor issue could have been interpreted as more than simple cramping.

The French coach drew a parallel to on-court coaching before it was legalized. It's exactly like coaching before it was legalized: Everyone did it, and almost every umpire tolerated it, he said. The only scandal was when an official decided to be pushy about applying the letter of the law.

The Human Element in Professional Sports

Mouratoglou emphasized the humanitarian aspect of the debate, stating that denying treatment for cramps is frankly cruel. He argued that when a rule is consistently ignored for valid reasons, it loses practical value.

If a rule has no value in practice because it's ignored for everyone, we can't cry foul when the top seeds benefit from that same status quo, Mouratoglou concluded, referencing how the International Tennis Federation eventually allowed limited on-court coaching in 2025 after years of unofficial tolerance.

This controversy highlights the ongoing tension between strict rule enforcement and practical compassion in professional tennis, with Mouratoglou's perspective suggesting that consistency in application matters more than technical adherence to regulations that don't reflect real-world practice.