Injury worries mount for Nadal after Italian Open exit

Defending champion Rafael Nadal was hampered by a foot injury as his bid for a record-extending 11th Italian Open crown was ended by a three-set defeat to Denis Shapovalov.

Nadal's movement was severely compromised towards the end of this last-16 encounter in Rome by a chronic issue which the Spaniard feared as recently as December would end his glittering career.

With the French Open set to begin on May 22, doubts will increase over whether Nadal will even make it to Paris and, if he does, whether he can be competitive having just returned to action after a broken rib.

"I had my foot again with a lot of pain, and that's it," a forlorn Nadal said after a 1-6 7-5 6-2 defeat. "(The pain) is sometimes more, sometimes less. Today was crazy.

"I am not injured. I am a player living with an injury. That's it. (This) is nothing new. It's something that is there.

"Unfortunately my day-by-day is difficult, honestly. Even like this, I am trying hard. Of course, it's difficult for me to accept the situation sometimes.

"What can happen in the next couple of days, I don't know. What can happen in one week, I really don't know now. It's the time to accept the situation and fight. That's it."

There were few concerns for Nadal early on as he won the first set at a canter and then rallied from 4-1 down in the second to level at 4-4, but some uncharacteristic errors were creeping in.

Nadal saw off Shapovalov at the same stage of this tournament 12 months ago, saving two match points along the way having been a set and a break down, but this time it was the Canadian who rallied.

Nadal faltered in the 12th game of the second set as Shapovalov forced a decider, where it became increasingly apparent that the third seed was struggling physically.

Shapova