When the group stage of the Euro 2025 qualifiers finishes in July it will mark almost an entire year of football for some of the world's best players.
Despite Team GB failing to qualify for the Olympics, summer football is again on the agenda and many players and coaches are worried about the risks.
Georgia Stanway admitted she thought she had her first summer off since 2016 but England now face Sweden, France and the Republic of Ireland in June and July.
"Burnout" is the word she used to describe her fears, which is something shared by her head coach.
"Every player really wants to play for club and for country," Sarina Wiegman told Sky Sports. "It's our job to monitor them and have conversations if we think they aren't alright.
"We always have a general plan and we always modify when necessary. What we don't want is they come in, burn out and we lose them for months."
Players being out long term is a huge issue in the game.
FIFPro, world football's player union, found 14 per cent of the 139 international players they monitored over a two-year period picked up an ACL injury.
Its research also found that the more a player travels and the fewer rest days they have between games, the more susceptible they are to a major knee injury.
"It's impossible. Players get injured and we're playing with their health. It's not the meaning of sports," Netherlands head coach Andries Jonker told Sky Sports during a training camp in Spain.
"I'm very worried. The first thing I did when we qualified for the European Championships was give the players a holiday.
"It's really necessary that things are going to change. Our technical director Nigel de Jong has spoken to UEFA, to FIFA. England are now doing the same. Now people are starting to realise this
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