Sefako Makgatho Health Sciences University (SMU) alumnus Thabo Sekwati has become a key figure in South African football, serving as a Physiotherapist for the national team, Bafana Bafana. His journey from an aspiring student to a professional working at the highest levels of the sport is one of dedication, passion, and perseverance.
Sekwati, a Sports Physiotherapist, hails from the village of Mamone, Maroteng section, in the Sekhukhune district, Limpopo. He matriculated in 2006 from Tenyane Secondary School before enrolling at the University of Limpopo (Medunsa Campus) in 2007 for a BSc degree. In 2009, he pursued a BSc in Physiotherapy, later obtaining an MSc in Physiotherapy in 2019. Currently, he is a PhD student at SMU, focusing on developing a physiotherapy fatigue management protocol for footballers.
His education at SMU provided him with a strong foundation. “The education I received at SMU played a crucial role in shaping my career by equipping me with the essential knowledge, skills, and experience needed for the sports industry,” he says.
Sekwati’s journey to the national team was not an overnight success. He started with South Africa’s under-17 male team in 2018, having been on SAFA’s database since 2016. “I attended recommended courses such as the FIFA Online Football Medicine Diploma while balancing other responsibilities. My first call-up came in 2018 while I was in Cape Town for a rugby tournament. Dr Thulani Ngwenya, SAFA’s Chief Medical Officer, informed me that I had to report for the under-17 camp in Gauteng,” he recalls.
From 2018 to 2021, he worked with the under-17 and under-20 teams before being promoted to Bafana Bafana under Coach Hugo Broos. “I was excited but also nervous. The pressure is immense at the senior national level, as you are dealing with high-profile players and intense scrutiny. But once you understand that anatomy and physiology remain the same regardless of the level, everything falls into place,” he explains.
The demands of international football present unique challenges. “At the senior level, you are surrounded by cameras, sponsors, and expectant fans. Compared to working with junior players, where the focus is more on growth-related injuries, the senior team demands peak physical performance,” he notes.
Despite these challenges, Sekwati credits his smooth transition to the guidance of veteran physiotherapist Gift Ndlovu. “He played a major role in ensuring that I adapted easily to the high demands of the job,” he acknowledges.
Sekwati plays a crucial role in ensuring player fitness and recovery. “Our day starts early with a meeting with the team doctor and head chef to review meal plans. We then hold a clinic session for player assessments and treatments before presenting injury reports to the coach,” he explains.
Common injuries among players include contusions, sprains, strains, and fractures. “Our rehabilitation strategy involves pain management, injury assessment, and a gradual return to play. Medical clearance is essential before allowing a player back on the pitch,” he states.
One of Sekwati’s toughest moments was during the Africa Cup of Nations (AFCON), managing multiple injuries at once. “Players want to play, but sometimes their bodies do not cooperate. Managing their emotional and psychological well-being is crucial,” he shares.
Sekwati believes South Africa has made significant strides in sports physiotherapy but still has room for improvement. “We need to invest in motion capture systems to analyse player movements, as well as cryogenic chambers and saunas for faster recovery,” he suggests.
Reflecting on his time with Bafana Bafana, Sekwati says: “Singing the national anthem at AFCON’s opening game was a surreal moment. That was when I realised we were not just representing ourselves, but the hopes of 63 million South Africans.”
Looking ahead, he envisions opening a sports recovery centre and contributing to research in sports physiotherapy. His advice to aspiring physiotherapists is simple: “Invest in continuous learning, stay updated with the latest treatment modalities, and believe in yourself.”
As for his role with the national team, he concludes: “The sky is the limit—you just have to spread your wings. I will forever be grateful for this opportunity to serve my country.”
By Tumelo Moila
