LONDON — Louis van Gaal conceded that Manchester United may need to win the Europa League to qualify for the Champions League after its 2-1 defeat at Sunderland Saturday.
Bidding to close the six-point gap separating them from the Champions League places, United fell behind in the third minute when Wahbi Khazri's free-kick from wide on the Sunderland left crept in.
Anthony Martial leveled before half-time, but an unfortunate 82nd-minute own goal by United goalkeeper David de Gea gifted Sunderland the points and increased the pressure on embattled United manager Van Gaal.
"It will be very difficult now (to finish in the top four) because we give five points away, Chelsea and now," Van Gaal said, referencing last weekend's 1-1 draw at Chelsea. "It's too much at this time."
United faces Danish side FC Midtjylland in the Europa League last 32 next week and Van Gaal agreed when it was put to him that his side's best chance of reaching the Champions League is to win the competition.
Compounding United's misery, Italian right-back Matteo Darmian sustained a dislocated left shoulder that Van Gaal said would keep him out for "several weeks".
With Antonio Valencia, Marcos Rojo, Ashley Young, Phil Jones, Guillermo Varela and Luke Shaw already sidelined, United finished the game with Cameron Borthwick-Jackson, 19, and 21-year-old Donald Love at full-back.
Khazri had set up Jermain Defoe for a late equalizer in Sunderland's 2-2 draw at Liverpool and he made an early impression on his home debut with a free-kick that eluded everyone to nestle in the bottom-right corner.
United built up a head of steam and equalized in the 39th minute when Martial artfully dinked in his 10th goal of the season after Vito Mannone had parried Juan Mata's low shot.
But Sunderland regained the lead when the unmarked Lamine Kone met Khazri's right-wing corner with a powerful header that found the net via Martial's right foot and De Gea's right elbow.
United, however, held onto fifth place because West Ham United fell just short of a stirring comeback after coming from 2-0 down to draw 2-2 at Norwich City.
Dimitri Payet celebrated his new West Ham contract by scoring and then teeing up Mark Noble for a thumping 76th-minute equalizer after goals from Robbie Brady and Wes Hoolahan appeared to have put Norwich in control.
Southampton crept past West Ham into sixth place on goal difference after extending its unbeaten run to six league games by winning 1-0 at Swansea City courtesy of Shane Long's 69th-minute header.
Watford is now eighth after captain Troy Deeney scored twice in a 2-1 win at Crystal Palace, who momentarily drew level through new signing Emmanuel Adebayor's header.
Stoke is ninth following a 3-1 win at Bournemouth in which record £18.3 million ($26.4 million, 24.2 million euros) signing Giannelli Imbula opened the scoring with an instinctive ninth-minute volley from 25 yards.
Ibrahim Afellay and Joselu swelled Stoke's lead early in the second half before Matt Ritchie hit back.
Everton lost ground on its rival for European football after a 1-0 defeat at home to West Bromwich Albion, for whom Salomon Rondon chested in a 14th-minute winner.