 Milsom made his league debut for Fulham on 18 February 2009 in a 3–0 defeat at Old Trafford against Manchester United, coming on as a replacement for Danny Murphy.Unfortunately one week later, Milsom sustained a knee injury that ruled him out of the entire 2008–09 season.Then in March 2010, Milsom signed another contract extension, which would keep him at the club until 2011.