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: Liking anti-Russell Westbrook Instagram comment was ‘total accident’

AP Photo/Sue Ogrocki
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Kevin Durant liked an Instagram comment critical of Russell Westbrook.

Here we go again?

Royce Young of ESPN:

I’m not inside Durant’s mind. He could be lying to cover another burner Instagram snafu.

But I tend to believe him. It’s easy enough to accidentally click like, and the greater context is on his side.

Durant has always tried to downplay a feud with Westbrook. Even at the personal rivalry’s peak, Durant just seemed as if he wanted Westbrook to like him. So, it’s nearly impossible to believe Durant – even for a button-pushing moment – wanted to publicly slight Westbrook.

But maybe Durant wanted quiresultan or some other alter-ego to do so? Maybe, as beaten down as he looked by the controversy over those deleted tweets last summer, Durant didn’t learn his lesson and still uses burner accounts. I certainly wouldn’t rule that out.

Again, though, this would be a weird message. Last summer’s deleted tweets praised Westbrook while slamming the rest of the Thunder. Durant was going to have a burner account take the opposite stance now? That doesn’t really add up.

NBA apparently reviewing whether Russell Westbrook should be suspended for Thunder-Jazz Game 5

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The NBA has a hard rule during altercations: Any players who leave the bench area receives a one-game suspension. Intent doesn’t matter. It’s not negotiable. The league simply doesn’t want more players entering a fracas.

Russell Westbrook found a gray area last night.

The Thunder star was waiting to check into Oklahoma City’s Game 4 loss to the Jazz when Raymond Felton fouled Rudy Gobert, um, unpleasantly. Gobert and Felton got into it, though not immediately. Once they did, Westbrook walked onto the court, and he and Gobert swiped at each other.

Gobert and Felton eventually received technical fouls. But could harsher punishment be in store, especially for Westbrook?

Andy Larsen of KSL.com:

A pool reporter request to the game officials to ask them about the play was initiated, but the NBA indicated that the officials wouldn’t comment on the matter because it would be reviewed by the league’s disciplinary committee.

The key question should be: Did a referee already beckon Westbrook into the game? If one did, Westbrook shouldn’t be suspended. If none did, Westbrook should be suspended.

The league will talk to the refs and get a better understanding of what happened. Their account matters most.

But one indicator working against Westbrook: Steven Adamswhose toughness is beyond reproach – was also waiting to check in and stayed on the sideline. If Adams had already entered the game, wouldn’t he have gotten involved? Maybe not, but his hanging back is circumstantial evidence pointing toward a Westbrook suspension.

Again, though, the referees’ accounts matter far more.

Russell Westbrook on matchup with Ricky Rubio: ‘Let’s get past that. We’re done with that’

Gene Sweeney Jr./Getty Images
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After Ricky Rubio‘s 26-point triple-double in Game 3, Russell Westbrook said, “I’ma shut that s— off next game though. Guarantee that.”

Westbrook definitely tried. The Thunder star defended Rubio far more aggressively in Game 4 last night. But Westbrook also fouled Rubio four times in the first half and played too out of control, committing five turnovers. Rubio (13 points, eight rebounds, six assists) wasn’t nearly as individually excellent, but his passing keyed the Jazz’s offense.

Most importantly, Utah outscored Oklahoma City by 12 in the 30 minutes the point guards shared the court and won 113-96 to take a 3-1 series lead.

How did the matchup with Rubio go, Russ?

Westbrook:

It’s not about me and him. Let’s get past that. We’re done with that.

How convenient.

Westbrook is the one who brought attention to the individual matchup. He took stopping Rubio upon himself. Now, when it didn’t go well, Westbrook suddenly doesn’t want to talk about it?

Maybe Westbrook realized he got carried away, to the detriment of his team. It’s not too late to fix that, and this could be his attempt to do so before Game 5 Wednesday.

But he also must own the egg on his face for putting the spotlight on Westbrook-Rubio and then dodging the attention once the matchup went south.

Rockets 50, Timberwolves 20: Most dominant playoff quarter in shot-clock era (video)

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James Harden missed a floater and clapped in frustration. The Rockets’ third quarter in Game 4 against the Timberwolves didn’t get off to a great start. Harden’s shooting had underwhelmed since Game 2.

Then, Harden and Houston broke out of the funk – in a big way.

The Rockets outscored Minnesota 50-20 in the third quarter of their 119-100 victory last night, giving Houston a 3-1 lead in the first-round series. The 30-point margin in the third quarter was tied for the most lopsided playoff quarter in the shot-clock era:

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Harden singlehandedly outscored the Timberwolves himself, 23-20. Paul added 15.

The Rockets shot 5-of-10 on 2-pointers, 9-of-13 on 3-pointers and 13-of-13 on free throws. Houston committed no turnovers and offensively rebounded a third of its misses.

It was incredible output, even for the NBA’s best offense.

The Rockets’ 50 points were second-most in a playoff quarter – and the most in a victory – in the shot-clock era. The leaderboard:

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