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.

LeBron James starts game with protective goggles. That lasts about a minute.

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LeBron James suffered a scratched cornea Friday night when he went up for a layup late in the third quarter and Jeremy Lamb tried to contest and caught him clean across the face. LeBron got the and-1, but had trouble keeping his eye open in postgame interviews Friday.

Saturday he did play — wearing protective goggles. As you can see above.

That lasted about a minute.

LeBron was likely frustrated as the Cavaliers defensive woes had the Wizards up double digits much of the first half.

Kobe Bryant says he’s “only a phone call away” if organization needs his advice

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For the first time since he walked off the court in his final game, Kobe Bryant was back at Staples Center Friday night.

The reason was Shaquille O’Neal was getting a statue out in front of Staples Center (a building that may not have gotten built without the two of them). The two famed feuders sat next to each other and joked around through the ceremony. Time heals all wounds.

With the new management of the Lakers — specifically Kobe’s former agent Rob Pelinka as GM — there has been speculation Kobe could take on a role. He’s not looking for something formal, according to reports, but he didn’t say no, either, when asked.

I picture Kobe as a guy who someday buys a team, not a guy who wants to haggle with agents over the details of a contract. He’s not going to take on a day-to-day role, he likes the retired life and what he is building with the Kobe brand.

That said, the Lakers front office can use all the smart voices it can get as they try speed up a rebuild. They should give him a call every once in a while.

Clippers win likely playoff preview 108-95 over Jazz

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LOS ANGELES (AP) — Jamal Crawford scored 28 points off the bench, and the Los Angeles Clippers beat the Utah Jazz 108-95 on Saturday to clinch a playoff berth for the sixth straight year.

The Clippers trail the Jazz by a half-game in their race for the No. 4 playoff seed in the West. The teams are likely to face in the first round of the postseason.

Blake Griffin added 15 points and DeAndre Jordan had 15 rebounds for the Clippers.

Rudy Gobert had 26 points and 14 rebounds for Utah, and reserve Joe Johnson added 17 points. The Jazz have dropped four of five.

Utah rallied in the third, putting together a 20-6 spurt to trim Los Angeles’ lead to 72-70 heading into the final period. Gobert had nine points and Johnson scored seven during the run that included 10 straight points for the Jazz over one stretch.

Chris Paul and Crawford both got technicals while the Clippers struggled to score and defend.

But Los Angeles turned things around in the fourth, scoring the first eight points for an 80-70 lead. Crawford had 17 points in the quarter, scoring six in a row to push the Clippers’ lead to 103-84. He was 9 of 9 at the free-throw line for the game.

The Clippers grabbed control early on, shooting 52 percent in the first quarter while building a 15-point lead.

The Jazz got within seven to start the second before the Clippers restored their 15-point margin and eventually led 49-41 at halftime.

Utah’s top two scorers, Gordon Hayward and George Hill, struggled. Hayward, who averages 22 points, had 13 points on 5-of-12 shooting. Hill, who averages 17.1, had nine points while shooting 4 of 11.

TIP-INS

Jazz: Gobert was coming off a career-high 35-point, 15-rebound performance against the Knicks on Tuesday. … G Sheldon Mack missed his 11th straight game with a left ankle sprain. … F/C Derrick Favors remains out with a left knee bone contusion.

Clippers: Their six-year playoff run is the longest in franchise history. … They have won 18 of 20 against the Jazz dating to Feb. 1, 2012. … They won the season series 3-1.

 

More NBA basketball: https://apnews.com/tag/NBAbasketball

Sixers’ Joel Embiid officially has knee surgery, expected to be back on court in summer

Associated Press
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“The… follow-up MRI of Joel Embiid‘s left knee appears to reveal… the previously identified meniscus tear appears more pronounced in this most recent scan.”

When Philadelphia’s chief medical director Dr. Jonathan Glashow said that in a statement announcing Joel Embiid was being shut down for the season, the chance of knee surgery to clean up that meniscus was possible. Friday it became a reality, the team announced.

CSNPhilly.com had the details.

The team expects Embiid to resume basketball activities during this summer, according to Sixers director of performance research and development Dr. David T. Martin. Embiid will begin his rehab in Los Angeles with specialists and Sixers medical and training staff members.

“The overall status of Joel’s lateral meniscus and his cartilage is very good,” surgeon Dr. Neal S. ElAttrache, M.D., who performed the surgery, said in a statement. “Today’s procedure focused on removing a small portion of the meniscus that was responsible for his symptoms.

“The recovery program that has been established targets Joel transitioning back to full weight-bearing in approximately two weeks, at which point a conservative approach to his rehabilitation will be introduced.”

After Embiid missed two seasons with foot issues, there is a tendency to lump everything together and call him injury prone. This, however, was a minor surgery with a relatively short recovery period, even as the Sixers bring him along slowly. There is reason for concern, but this shouldn’t be an issue by next training camp.

Embiid averaged 20.2 points and 7.8 rebounds per game despite a minutes restriction all season. He was incredibly efficient in getting his numbers — he had an All-Star level PER of 24.2 — and when he was on the court the Sixers outscored their opponents by 3 points per 100 possessions. He’s still likely a top three finisher in Rookie of the Year balloting despite playing in just 31 games.