Following the 2008 season, Mancuso did not achieve a top-three finish in World Cup events for nearly two years due to back problems, so her silver medal in the women's downhill at the 2010 Vancouver Olympics was another surprise. The very next day, she won another silver in the women's super combined, an event that incorporates both a downhill and a slalom run. However, while Mancuso was trying to defend her title in giant slalom, Lindsey Vonn crashed after Mancuso, the next skier, had started, forcing Mancuso's run to be stopped just before she reached Vonn's crash. Forced to restart from the back of the pack, Mancuso only managed an 18th-place first run, and her strong second run only brought her up to eighth overall. Her Olympic performances did however lead to a revival in form, as she took 16 World Cup podium finishes and two more World Championship medals over the next four years.