Petra Vlhova’s participation in the upcoming races in La Thuile, Italy remains in question due to knee pain the Slovakian has experienced since Saturday’s downhill in Crans Montana.

Livio Magoni, Vlhova’s coach, reported to Italian media prior to Sunday’s alpine combined that further examination showed some damage to the cartilage in her knee. According to Magoni, she could no longer bend her knee properly and painlessly. Although the medical team recommended upwards of 20 days of rest, Vlhova used pain-relieving medication to start in Sunday’s race.

Vlhova, who is still in the hunt for three major globes – the overall, slalom, and giant slalom – is currently 159 points behind Italy’s Federica Brignone in the race for the overall, and 86 points behind Mikaela Shiffrin, who has been on leave since the sudden death of her father. Brignone also leads the race for the giant slalom crystal globe.

Since Shiffrin’s departure from the tour, Vlhova has overtaken her by 20 points in the slalom standings and 19 points in GS. The Shiffrin team has not yet released any information regarding a return to racing for the three-time Overall World Cup champion, but if Vlhova is forced to rest for the recommended two-week time period, her departure will continue to shake up the final standings on the women’s World Cup.