Daniil Medvedev has revealed he endured significant shoulder pain for an entire year, starting in mid-2023, which severely hampered his serve and affected his performance. Although his prowess was evident during his 2023 Rome title run, where he defeated fierce competitors including Alexander Zverev, Stefanos Tsitsipas, and Holger Rune, Medvedev has since struggled to maintain consistent results.
Since his Rome victory, Medvedev has not claimed any titles and has lost in all six finals he reached, contributing to a fall from the ATP top 10 to world No. 14 as of March 2025. Medvedev shared details of his shoulder issues during a 2025 Citi DC Open press conference, explaining the pain was persistent and forced him to limit serving practice for fear of worsening the injury.
“If I remember correctly, it would be from mid-2023 to mid-2024,” Medvedev said. “It was painful almost all the time. Sometimes more. Sometimes less. It’s not easy because in many training sessions, you want to work on the serve, but I didn’t because I was afraid of aggravating it further. However, we found a way to work on it, and I’ve been pain-free for quite a while now, since mid-2024.”
He noted the injury also affected his right arm and overall energy, making competitive play challenging. Despite these struggles, Medvedev reached the 2023 US Open final, overcoming a five-set semi-final against Carlos Alcaraz, but ultimately lost to Novak Djokovic. He admitted that pain accompanied him throughout that campaign, stating, “I managed to reach the final of the 2023 US Open, which was an incredible stretch on my part, but I had shoulder pain every day.”
Reflecting on his journey, Medvedev emphasized the importance of hard work and adaptation. “After a couple of days in Ibiza, you realise that the only way forward is to work hard,” he said. “If it doesn’t work out, then that’s life. Life is ups and downs with some bumps on the road.”
Following his win over Yibing Wu at the Citi DC Open, Medvedev is set to compete at the Cincinnati Open, where he will face either a qualifier or world No. 46 Luciano Darderi in his opening match.