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.

Kevin Durant gets into Twitter debate with reporter over White House comments

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Kevin Durant became the latest Warrior — joining Stephen Curry, Andre Iguodala, and Shaun Livingston, that we know of — to say he would not visit President Donald Trump’s White House as NBA champion. Which is all kind of moot because it’s unlikely the White House invites them and outspoken Trump critic/Warriors coach Steve Kerr and his players any way. (The White House’s biggest concern should be that Kerr accepts the invitation and uses that platform to challenge the president’s policies and style in front of him.)

Durant’s comments led to plenty of talk on sports talk radio and around the sports world online about whether a player or team should decline an invitation from the president. It’s not a new debate, Tom Brady denied that politics is why he didn’t visit Barack Obama’s White House (although I’m not sure many believed him), but KD’s on a big stage now so it became a talking point.

Former ESPN reporter Britt McHenry questioned a player not visiting the White House, and Durant responded, leading to a little Twitter back-and-forth.

Durant had previously Tweeted in response “by doing the opposite, I am inspiring more people” but that Tweet was deleted.

There is no one correct way to protest a person/policy/action, McHenry may see things differently, but Durant has chosen to stay away. That’s valid — traditionally these “champions to the White House” things are tedious photo ops with a few bad jokes thrown in. Having a hoops fan/player in Obama in the White House made the NBA visits more entertaining the past eight years, there was some trash talk, but still, they are largely just a public relations moment. If KD doesn’t want to play the PR game with Trump, that’s a legitimate response.

This has all been a tempest in a teapot. Until/unless the White House actually invites the Warriors to come, it’s all kind of moot.

Dwight Howard on Hornets’ coach Clifford: “It’s a great feeling when somebody believes in you”

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Dwight Howard‘s game is much better than his reputation among fans.

He’s not the Defensive Player of the Year/All-NBA/MVP candidate level player he was back in Orlando, but Howard is still one of the best rebounders in the game, he’s strong defensively, and he’s an efficient scorer inside. He’s a quality center, if he plays within himself and is used well. His perception as a guy who does not take the game seriously and held back Houston and Atlanta in recent years has validity (he plays better in pick-and-roll than on the move, but wants the ball in the post), but the idea he is trash is flat-out wrong. He’s still good.

Howard wants to change his reputation, rewrite the final chapters of his career, and told Adrian Wojnarowski of ESPN that Steve Clifford’s Charlotte Hornets are the place that is going to happen.

“The other places I was, the coaches didn’t really know who I am,” Howard told ESPN. “I think that they had perception of me and ran with it. Cliff knows my game. He knows all the things that I can do. I’m very determined to get back to the top. It’s a great feeling when somebody believes in you. They aren’t just saying it; they believe it. It really just pushed me to the limit in workouts: running, training, everything. I want to do more.

“In Orlando, I was getting 13-15 shots a game. Last season, in Atlanta, it was six shot attempts. It looks like I’m not involved in the game. And if I miss a shot, it sticks out because I am not getting very many of them. But I think it’s all opportunity, the system. I haven’t had a system where I can be who I am since I was in Orlando.”

Howard averaged 8.3 field goal attempts per game in Atlanta, which is about five a game below his peak. Last season 75 percent of Howard’s shots came within three feet of the rim — is is not there to space the floor, however, he can still move fairly well off the roll and is a good passer for a big.

Last season, 28 percent of Howard’s possessions came on post ups, and he averaged a pedestrian 0.84 points per possession on those. On the 21 percent of shots he got on a cut, he averaged a very good 1.36 PPP. When he got the ball back as a roll man (again on the move), it was 1.18 PPP. The challenge long has been Howard is better on the move but doesn’t feel involved unless he gets post touches, and if he doesn’t feel involved and engaged he’s not the same player.

Maybe Clifford can make this all work with some older plays where Howard feels comfortable.

Charlotte, with Howard in the paint and on the boards, should get back to being a top 10 NBA defensive team, not the middle of the pack as they were last season. Clifford is better than that as a coach, and Howard is an upgrade in the paint (on both ends). Charlotte should be a playoff team again in the East.

But it all will come back to Howard. Fair or not. And Wojnarowski is right, this is Howard’s last best chance to write the ending he wants to his career.

Friday afternoon fun: Watch James Harden’s 10 best plays from last season

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James Harden had a historic season in Houston.

Since it’s Friday afternoon and your sports viewing options consist of watching guys about to be cut from NFL rosters try to impress, why not check out Harden’s best plays from last season. It’s worth a couple minutes of your time.

Mavericks sign Jeff Withey to one-year contract

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Jeff Withey‘s ex-fiancée accused him of domestic violence, but he was not charged.

That frees him to continue his basketball career, which he’ll do in Dallas.

Shams Charania of Yahoo Sports:

The Mavericks could use another center, even if they re-sign Nerlens Noel. Salah Mejri is the only other true center, though Dirk Nowitzki will now play the position.

Withey is a good rim protector. Just don’t ask him to do anything away from the basket.

Dallas annually brings excess players to training camp and has them compete for regular-season roster spots. Whether or not his salary is guaranteed, Withey will likely fall into that competition.