im not a doctor, but the issues here seem pretty basic. part of the problem is that we (fans, anyone outside the club) have no idea what the club does in terms of fitness or health. most big teams in major sport have some kind of fitness evaluation method, whether its biomechanical analysis, a dedicated fitness lab, whatever. we dont know what arsenal does, and that is obviously because publishing their methods and secrets would be bad for the club even if it would enlighten us as fans.
biomechanical analysis seems pretty damn routine/basic at this point, and if arsenal aren't invested in that area, it would be pretty damn bewildering. kinetics and the chains in the body isn't a super complicated concept. when you injure or overwork a part of your body, you compensate, and that compensation leads to other potential weaknesses or issues. there is more and more research being done in professional baseball on the impacts and harm of pitching while fatigued. you alter your mechanics because you are tiring, which means you are altering the chain in your arm/shoulder, and that in turn leads to more drastic wear/tear on your ligaments and joints, which leads to injury.
anyone with a modest IQ can figure this out. and arsenal is a massive, multi-billion dollar enterprise, so surely they devote huge amounts of money to ensure that all of these concepts are explored and addressed in an adequate manner. everyone wants to blame either the physios or the manager, but it has to work both ways, doesn't it? if the physio tells the manager that player X can handle a normal training session when the player isn't really physically ready, then its the physio's fault. if the physio warns the manager that the player isn't at peak fitness and the manager puts the player through a full training session, then its the manager's fault.
since this type of information is kept inside the club, its all just speculation, even if some of it (that dutch guy, whatever his name is, who hates us and has criticized us in recent years) is coming from respected people in the medical field.