Why you can play basketball in 90-degree temperatures and LeBron James couldn’t

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LeBron James’ cramping in Game 1 of the NBA Finals is a medical issue that has been thoroughly analyzed by players, coaches, sports media and sports fans.

Maybe a medical professional can add a little more valuable insight to the discussion.

So, I reached out to Ben Wedro of MD direct. Wedro, who wrote more in depth about heat cramps here, was kind enough answer my questions. Here’s what he said:

Q: Eighteen players appeared in Game 1. LeBron was the only one to leave with cramps. Why was that, and what does that say about him?

A: It doesn’t say anything about him. It’s just the way it happened.

That’s not a medical question. That’s a philosophic question. Why do some people get sick and other people don’t? It just happened to him this time. So, if you’re ever on a plane and someone is sick and sneezes, a couple passengers are going to get sick in a couple days and a couple aren’t. Why those two instead of someone else?

Maybe that means he was working harder than someone else on the field. Maybe he was stressing his body more because he was more energetic and expended more energy and worked his muscles harder.

Q: Why couldn’t LeBron adjust to the temperature like so many non-elite athletes do?

A: He’s playing in great conditions all the time. He’s practicing in whatever they keep the arena at – 68 or 72. They tend to keep arenas a little cooler before the game because fans come in, and their body heat raises it a little bit. But he’s not playing on the playground.

“It’s 55 and then it’s 70 and then it’s 90, and you do that over the course of a month. Your body gets used to it. He went from playing in 70-degree weather then to 90. That’s tough. And his body’s not ready for that. He’s not acclimated. He can’t cool as well, and so he’s trying to cool his body, and he can’t, and he’s sweating. He’s not sweating as efficiently as he could and cooling as efficiently as he could.

Q: One LeBron left the game, could he or the Heat have done something differently to get him back on the court?

A: There’s really not enough time in that last four or five minutes of the game to get him better. It’s the equivalent of having an NFL player going in at halftime and getting IV fluids and getting back out there the second half.

What happens is the muscles become inflamed, and they go into spasm. It’s usually the large muscles that go into spasm, so a runner or basketball player, though they use their upper body, it’s going to be their legs and their quads and their hamstrings that get tight – their major jumping muscles.

So, you not only have to get the muscles stretched out and decrease the inflammation, but you also have to replace the fluids. If he’s not vomiting, he can take the fluids in by mouth, but a lot of times, if you want an elite athlete back quickly, you probably have to do IV fluids.

Is LeBron more susceptible to cramps because he’s so muscular?

A: No. He went into cramps, because he got dehydrated.

Q: LeBron has dealt with cramps before during games. Could there be something about his body that makes him more susceptible?

A: Not really.

Just the way it is, and that’s not a very satisfying answer.

Q: Is it possible he wasn’t hydrated enough entering the game?

A: I don’t know. He’s an elite athlete, and he knows his body well.

What we tell athletes who are both elite and non-elite is you have to let urine be your guide. When you’re body’s well hydrated, you’re kidneys make urine because there’s a lot of water in your body, so your urine comes out clear. When you become a little dehydrated, it becomes more concentrated, so it will come out a little bit more yellow.

Q: So any accusation LeBron didn’t properly hydrate before the game is baseless unless the accuser inspected LeBron’s urine first?

A: That’s right.

The big key is he’s an elite athlete. He knows his body. He was put in an unfair situation.

Let’s look at elite athletes who are in heat all the time – marathon runners. You get race days that go from 65 to 90 or 80, and all of a sudden, people are dropping on the course and pulling out in Olympic marathons. You wouldn’t say, “Well, they’re not prepared or they’re not elite.”

When you’re put into environments where you don’t know how to function and your body is not acclimated to it, you may not do well. And that’s not fair to blame the athlete for the environment.

Q: What does LeBron need to do before Game 2 Sunday, and is that enough time for him to fully recover?

A: It should be behind him by Sunday. And what should he do? Not play in an arena that’s 90 degrees.

Q: That’s it? He can go back to his normal training routine, and it will take care of itself?

A: That’s right. His muscles might be a little sorer than they would be, but no sorer than playing extra basketball. He should be ready to go and play well, but he may be more fatigued for a day or two. So, today and tomorrow, he may be a little bit more tired. He may have to work a harder at rest than he normally would.

Mavericks owner Mark Cuban details his two lottery-reform ideas

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NBA lottery reform passed 28-1-1 with the Thunder opposing and Mavericks abstaining.

Mavericks owner Mark Cuban wasn’t against changing the system. He just had his own ideas of how to do it.

Tim MacMahon of ESPN:

Cuban pitched other members of the league’s board of governors on a system in which the draft is abolished, with teams getting a pool of money to sign rookies based on their records.

“The team with the worst record gets the most money and the team with the best record gets the least money,” Cuban said. “It’s like a free agency. It makes it a lot harder to tank because you don’t know if you get the best players if you’re horrible all the time. “Nobody liked that at all, not a single person.”

Cuban’s other idea was to lock the team with the worst record into a draft slot — either third or fourth — to force teams to compete to avoid being at the bottom. That idea never got discussed in the board of directors meeting.

“Now all of the sudden, if it’s close at the end, you’re going to see teams play as hard as they can because if they end up with the worst record, they don’t get the best pick,” Cuban said, explaining the logic of his idea.”You basically eliminate them from getting the best player. Everybody else would just be the way it is now.

“Adam didn’t like that. That never got to the board of directors, but that one was my favorite. I brought up [the other proposal], but after that one got shot down, I didn’t bring up the other one. When I got no response on the one, I just dropped the other because it was obvious that what they had proposed was going to pass.”

Strange tactic to introduce the most radical plan first and then not propose a more moderate solution because the first idea gained no traction. It’s almost as if Cuban just wants to be a contrarian

Neither of Cuban’s plans would completely solve the issue, because both still incentivize losing.

In the first, worse teams would still get more money to spend on rookies. There’s also stronger incentive to tank when an established successful franchise is positioned to do so for a single year. Rookies won’t be scared off by an injury-plagued season that devolved into a horrific record. Armed with money to spend and banked credibility, those teams can swoop far down then vault right up.

It’s also important to remember the NBA isn’t simply 30 teams competing against each other. It’s also a single business competing against other forms of entertainment. It’s bad financially for the league to have markets that feel hopeless, even if they’re poorly managed. Giving bad teams a little extra money to spend on rookies might not be enough for them to land young players who instill hope.

In the second idea, teams would still jockey to be second-worst vs. third-worst, third-worst vs. fourth-worst, etc. – just as they do now. Bad teams would have to be more careful, but there’d still be plenty of late-season games where a team is clearly better off losing – the same games that create a perception problem now.

Are either of these plans better than the current system? Maybe. Rockets general manager Daryl Morey believes there’s still time to implement reform better than the just-passed measure.

I’m convinced the league will let several years play out under the new system before even considering an alternative – Cuban’s or otherwise.

GM Bob Myers: Steve Kerr can coach Warriors ‘as long as he wants’

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Rick Carlisle coached 13 seasons, including seven in Dallas, when the Mavericks stated he could coach them as long as he wanted.

Steve Kerr needed just three seasons with the Warriors.

Monte Poole of NBC Sports Bay Area:

Kerr has done an amazing job in Golden State, implementing a pace-setting offense predicated on movement and fine-tuning a quality defense.

It helps to have great players like Stephen Curry, Draymond Green, Klay Thompson and eventually Kevin Durant. But Kerr has maximized them. He has also played a prominent role in establishing a productive culture throughout the entire organization.

Of course, health is the big catch. Kerr has missed significant time the last two years due to complications from back surgery. He’s looking forward to a long career, but those headaches and pains aren’t far in the rearview mirror.

Kerr clearly knows how to win with this super team, not necessarily as easy of a task as it appears. He has more than earned the right to stay on the bench for the Warriors’ next iteration, whenever that comes.

Hotshot coaches can fade quickly, but Kerr has established an unprecedented amount of goodwill so quickly. Hopefully, he stays healthy enough to take up Myers on his pledge.

Report: NBA not headed toward 1-16 playoff seeding

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NBA commissioner Adam Silver said the league would continue look at 1-16 playoff seeding.

Ken Berger of Bleacher Report:

Silver is well-intentioned on this issue, and open-minded, too—as he is on most agenda items that could, in theory, make the league better. But despite his willingness to discuss postseason reformatting, multiple people familiar with league discussions say it’s not anywhere near the top of the agenda.

After its analysis of the issue in ’15, the league concluded that, for a variety of reasons, it wasn’t sensible to change the playoff format. The two key factors, according to league sources, were 1) travel; and 2) a belief among league officials that conference imbalance was a temporary trend that would correct itself, as it typically has in the past.

For playoff qualification to truly be fair, teams would have to play a balanced schedule. As is, teams play teams in their own conference 52 times and teams from the other conference 30 times.

More 10 p.m. starts on the East Coast and 4 p.m. starts on the West Coast would hurt TV ratings.

Plus, as relative conference strength exists now and has existed for several years, 1-16 playoff seeding would make it harder for bigger Eastern Conference markets and easier for smaller Western Conference markets to qualify for the postseason.

Quality of competition matters, and there would be value in the NBA building a playoff field of its 16 best teams. But follow the money. There isn’t nearly enough urgency with this issue to overcome the direct financial setbacks reform would cause.

Draymond Green’s MRI comes back negative

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The Warriors can exhale. Their status as overwhelming championship favorites remains intact.

Draymond Green injured his knee in Golden State’s season-opening loss to the Rockets, but it appears he didn’t suffer major damage.

Monte Poole of NBC Sports Bay Area:

Even if Green misses a little time, the Warriors should be fine. They can cruise until playoffs – maybe even a round or two into the playoffs.

Kevin Durant and Stephen Curry are Golden State’s best players, but Green’s defense is so important, especially in small-ball lineups with him at center. The Warriors led Houston by 13 when Green left the game and then couldn’t get enough fourth-quarter stops in a one-point loss.

Golden State values rest and built a supporting cast around its stars to follow through. If Green misses tomorrow’s game against the Pelicans or any beyond, Jordan Bell, David West, Kevon Looney and Omri Casspi could all see bigger roles.