Dr Marco Marano is a specialist in orthopaedics, traumatology and sports medicine and was responsible for the health of athletes at the 2024 Olympic Games in Paris. In this interview, he talks about what distinguishes Olympians from amateur athletes and why the right mindset is almost the most important thing in the event of an injury.
Dr. Marano: It was an experience that took me right into the heart of the athletic elite. I felt great excitement! It was a very inspiring adventure because it allowed me to live in daily contact with truly top athletes whom I followed on TV until the day before, and whom I then visited in the office during the Olympics. I am a sports doctor and a huge sports fan; this experience has left a mark on me that I will remember for the rest of my life.
Dr. Marano: From a professional point of view, I was already well prepared thanks to my education: In Lugano, I am in medical charge of the hockey and football teams, but without having to deal with critical, high-acuity situations. That's exactly what was required of me at the Olympic Games.
As a sports physician at the Olympic Games, immediacy is required: you have to manage everything at once. That was the difference to what I normally do in Lugano. At the Games, you have to react immediately because the athletes compete in real time. And that's the really exciting test: to assess and deal with the problem immediately. It's definitely different to anything I normally experience in my job in Ticino.
Dr. Marano: Actually, being a medical partner of professional hockey and football teams, we already have experience of sports injuries in elite athletes. Therefore, it was precisely this daily practice that enabled me to be prepared in the management of injuries that I had to follow.
Dr. Marano: In addition to what has already been said, the Olympic athlete has a special feature: he or she hardly ever gives up competing. These are athletes at the highest level, who have arrived after many years of hard work. They would hardly accept not participating. So the question becomes: how to get the injured athlete to participate in the race? This is the real difference to taking on the classic athlete.
It is like always living the day before an important team final. It's three weeks like that.
Dr. Marano: There were a few memorable moments, one of which I remember particularly well: Once, when I arrived at work at 6.30am, I found myself in the middle of the French rugby team's gold party, and it really was great fun! Or how could I forget the general excitement at the games? For example, with Federica Pellegrini and with Marsel Jacob (100m athlete) ...
I also remember visiting the athlete Khadija El Mardi, world heavyweight champion in 2023 and the first African, Arab, Moroccan woman, mother of three, to win a gold medal in boxing. She told me about her life and what winning has meant to her. She also explained to me what it means to come from an Arab country and to be a woman and how she is committed to opening centres for women in her country where they can do sport. And about her disappointment when she didn't manage to realise her dream of winning the Olympics. She spoke of her father, who had encouraged and supported her to take up sport: he had died shortly before the Olympic Games.
The Olympic Games thrive on stories like these. They testify to the strength of the athletes, some of whom come from countries where it is not always easy to do sport. Only athletes with a lot of tenacity can make it this far.
Dr. Marano: Basically, we tried to do what we do in our daily work in Ticino. As we have already said, the experience gained at the centro dello sport was very valuable.
Dr Marano: I think that sports medicine practised with elite athletes is always on a knife-edge: We always go very far in terms of the treatments we recommend and the management of injuries.
Over time, we manage to transfer these treatments into daily practice. Amateur athletes benefit from the experience we gain with top athletes. Working with top athletes helps us a lot in our daily work and many patients also realise that our approach differs from that of other physicians.
Dr Marano: More than technical innovations, I prefer mentioning the underlying mindset and concept, which I would like to repeat: the Olympic experience makes you understand that willpower and the mind often make a big difference. We also pursue this approach with our patients.
As mentioned earlier, the Olympic experience reinforces the importance of will and the right mindset making the difference. By pursuing a goal like the Olympics, one can put into perspective situations that seem insurmountable in everyday life.
Our patients need to understand that an injury can sometimes help them to grow. We should not only see their negative side. An injury can bring us closer to ourselves: We get to know ourselves better and can ultimately perhaps even raise the bar a little higher by just trying a little harder.