LeBron James

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.

Check out Top 10 plays from Timberwolves last season

Minnesota Timberwolves center Karl-Anthony Towns (32) celebrates with guard Andrew Wiggins (22) after Towns blocked a shot by Orlando Magic forward Tobias Harris (12) at the end of regulation to send the game into overtime during an NBA basketball game in Orlando, Fla., Wednesday, Nov. 18, 2015. The Magic won 104-101. (AP Photo/Phelan M. Ebenhack)
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Minnesota is everyone’s team to watch this coming season — Karl-Anthony Towns, Andrew Wiggings, strong supporting cast, now all coached by Tom Thibodeau.

But they already were a lot of fun last season. Check out their Top 10 plays from last season.

Heat owner Tweet to Chris Bosh: “look forward to seeing in camp”

NEW YORK, NY - JANUARY 26:  Chris Bosh #1 of the Miami Heat looks on against the Brooklyn Nets during their game at the Barclays Center on January 26, 2016 in New York City.   NOTE TO USER: User expressly acknowledges and agrees that, by downloading and/or using this Photograph, user is consenting to the terms and conditions of the Getty Images License Agreement.  (Photo by Al Bello/Getty Images)
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This is the clearest sign yet that Chris Bosh is going to suit up for the Miami Heat this season.

The past two years Bosh has missed the end of the season with a very serious blood clotting issue. He has been working out, saying this week he’s hooping. He’s been frustrated with how the Heat have handled his health situation, including leaving this season hanging. But it sounds like the owner wants him to be ready to play — and owners get what owners want.

There are questions still to be answered: Will Bosh still be on blood thinners, and will he come off them on game days? Will there be restrictions on his travel? Will there be restrictions on his minutes?

But Bosh wants to play, and it sounds like the Heat owner is down with that.

The Heat are a much better team with Bosh on the court — he averaged 19.1 points and 7.4 rebounds per game, shot 36.7 percent from three and a true shooting percentage of 57.1, plus he had a PER of 20.2. He was an All-Star, but couldn’t play in the game because of the clotting issue.

With Bosh, the Heat are in the mix for a playoff spot this season. The question is, will they have him for the full season.

Sixers waive both Carl Landry, just acquired Tibor Pleiss

Philadelphia 76ers' Carl Landry smiles after making a basket during the second half of an NBA basketball game against the New Orleans Pelicans, Tuesday, April 5, 2016, in Philadelphia. The 76ers beat the Pelicans 107-93. (AP Photo/Michael Perez)
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Carl Landry and Tibor Pleiss are going to get paid this year — they both had fully guaranteed contracts for this season.

But they are not going to be playing for the Philadelphia 76ers this season — both were waived by the team on Thursday. This was not unexpected. Both players salaries will count against the cap for the Sixers (they are still $16 million below the league salary floor).

Once they clear waivers, both players will be unrestricted free agents (Landry likely will latch on with another team for the league minimum, Pleiss may as well or could head overseas).

Landry will still make $6.5 million (fourth highest on the Sixers) but would have been battling for minutes in crowded and young frontcourt with Ben Simmons, Dario Saric, Nerlens Noel, and Jahlil Okafor (among other potential players, for example the Sixers are high on Anthony Barber).

Pleiss is in the same boat in terms of minutes, he was acquired from the Jazz along with a couple of second round draft picks just a few days back (the Sixers sent Utah Kendall Marshall, who was promptly waived). That trade was really about getting the picks — a very Sam Hinkie move by Bryan Colangelo.

This didn’t move the needle much on the Sixers season.

Trail Blazers Noah Vonleh out 3-4 weeks following leg surgery

LOS ANGELES, CA - APRIL 17: Noah Vonleh #21 of the Portland Trail Blazers shoots over DeAndre Jordan #6 of the Los Angeles Clippers during the first half in Game One of the Western Conference Quarterfinals during the 2016 NBA Playoffs at Staples Center April 17, 2016, in Los Angeles, California. NOTE TO USER: User expressly acknowledges and agrees that, by downloading and or using the photograph, User is consenting to the terms and conditions of the Getty Images License Agreement. (Photo by Kevork Djansezian/Getty Images)
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This is a huge season — a contract kind of season of sorts — for Noah Vonleh in Portland. The team has an option on him next season (the third of his rookie deal), and to impress people he is going to have to earn minutes at the four in front of Al-Farouq Aminu, Moe Harkless, Meyers Leonard, and Ed Davis.

The Blazers have high hopes for Vonleh, he was a central part of the Nicolas Batum trade with Charlotte. However, watching Vonleh at Summer League — 12 points a game on 46.3 percent shooting, 8.8 rebounds a game in more than 30 minutes a night — he didn’t show the development anyone had hoped to see. He should have dominated at that level. He didn’t.

Now there another injury setback for him.

He should be good to go around the start of training camp at the end of September.

But he can’t afford a slow start in training camp (that set him back his rookie season). He needs to show what he can do from day one, or Portland is going to move on without him.