Coroner’s Ruling on Stiles’ Death
A coroner has determined that Nobby Stiles, an England World Cup winner, died from a brain condition caused by repeatedly heading a football. The former Manchester United midfielder passed away in 2020 with severe dementia. An inquest at Stockport Coroners’ Court heard that Stiles had headed a football approximately 140,000 times during his career.
Dr Daniel Du Plessis, a neuropathology expert, stated his conviction that the extensive heading of the football was the cause of Stiles’ Chronic Traumatic Encephalopathy (CTE). Senior Coroner Alison Mutch recorded the cause of death as Alzheimer’s disease, with CTE, another neurodegenerative condition, and cerebrovascular disease as contributing factors.
Stiles, born in Collyhurst, Manchester in 1942, was known as a tough-tackling defensive midfielder. He earned caps for England and made appearances for Manchester United. He resided in Stretford, Greater Manchester, before his death in a care home on October 30, 2020, after his dementia left him bed-bound.

Family’s Campaign and Concerns
Stiles’ family has been actively campaigning for football authorities to provide more assistance to former players who suffer from injuries they believe were sustained during their playing careers. John Stiles, Nobby’s son, commented after the court hearing that the coroner’s ruling was not a surprise. He expressed concern that the football industry is reluctant to offer help and suggested that his father’s inquest might be the first of many similar cases.
During his testimony, John Stiles highlighted the significant role of heading the ball in training. He estimated that his father headed the ball around 40 times a day, five times a week, throughout each 10-month season. He also mentioned that his father was a humble individual who did not let his football achievements define him, prioritising his family and friends above all else.
The court was informed that at Old Trafford, a ball would hang from the stand, and players were encouraged to head it. John Stiles clarified that while this was not forced upon them, the players were unaware of the potential long-term consequences. The family began noticing Stiles forgetting things and asking repetitive questions in his late 50s and early 60s, leading to a sense of impending doom.

By 2010, Nobby Stiles’ health had deteriorated, prompting him to sell his medals to cover care costs as his mental struggles intensified, leading to increased anxiety. John Stiles is now a leader of the Football Families for Justice (FFJ) group, which advocates for greater support for ex-players from football authorities. This group is part of a larger legal action against the Football Association, the Football Association of Wales, and the English Football League, alleging negligence and a breach of duty of care towards former players.
Broader Implications for Football
Lawyers representing former players and their families have previously argued that football bodies were aware, or should have been aware, that repeated heading of the ball during training and matches could lead to brain injuries, with these risks known for decades. However, lawyers for the FA stated in March that science has not definitively established a link between heading a ball or occasional concussions and permanent brain damage.
The FA, in collaboration with the Professional Footballers’ Association (PFA), co-funded a 2019 study. This research indicated that footballers were three-and-a-half times more likely to die from neurodegenerative diseases compared to individuals of the same age in the general population. The FA is implementing a policy to phase out all heading in youth football for players up to under-11s by 2026.
The PFA has established various services to support players affected by dementia and other neurodegenerative diseases. These include financial assistance through The Football Brain Health Fund and direct support from The PFA Dedicated Brain Health Team, which helps with diagnoses and educates current players on brain health. In January, an inquest into the death of former Scotland, Manchester United, and Leeds defender Gordon McQueen also concluded that heading the ball likely contributed to a brain injury that factored in his death at the age of 70.

McQueen was also diagnosed with CTE. His daughter, Hayley McQueen, a television presenter, noted that the 1966 England World Cup-winning team has been significantly affected by neurodegenerative disease. The coroner’s ruling on Nobby Stiles’ death occurred during an inquest.
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Source: bbc.com
