I Was sad to see Nadal in pain. Looks like it's his foot again. There's 10 days till Roland Garros - My guess is Rafa will go see his Orthopedic Doctor in Barcelona & see if he can get a treatment done on the foot & be able to play The French Open.
Photo source:
https://www.tennisnet.com/news/atp-masters-rom-live-rafael-nadal-vs-denis-shapovalov-im-tv-livestream-und-liveticker?amp=1
He's had the degenerative foot problem since he was young (he was born with it that way). When you think about it, it truly is amazing that Rafa has played for 21 yrs. professionally & won so many Grand Slams & many other tournaments on every surface.
Rafa Nadal is truly a Gladiator!!!!! Hope to see him playing at RG only if he's healthy & feeling better with his foot.