Not only has Conte feuded with Chelsea striker Diego Costa after sending him into exile, the Italian has clashed with his employers over the terms of his contract the make up of his coaching staff and the club's failure to land his top transfer targets.
News of Eden Hazard's return from injury will be music to the ears of Chelsea fans.
The problems have spilled onto the pitch as Chelsea lost the Community Shield against Arsenal before having two players sent off in a stunning home defeat against Burnley on the opening day of the season.
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"We must be focused on the game, We don't find excuses".
When asked if the French midfielder could start the game, Conte added: "I don't know, I have to decide, the situation could force me to take a different decision because in this moment some players are not 100 percent".
The Chelsea manager could battle with Martinez to keep Hazard at the club during the World Cup qualifiers.
'The situation is not easy in this moment.
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"I don't know about Pedro. It could force me to take a hard decision, because in this moment some players are not 100 per cent in their physical condition", he said. "Then we can solve this situation".
"Hazard is improving, but to be fully fit I think he needs time".
Just to hammer home the issues the club now face, they will take on Spurs this weekend without the suspended Gary Cahill and Cesc Fabregas following the pair's red cards against Burnley. We have to face a hard situation and for this reason I have to make hard decisions.
Chelsea are also yet to replace Nemanja Matic and Conte added: "At this moment I don't have other midfielders available".
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"We must have patience with him and try to do the best for him". "We have to take some risks".