Bill Self, Joel Embiid

A doctor explains Joel Embiid’s foot injury

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With Joel Embiid’s foot injury adding so much confusion to the NBA draft, I asked Dr. Ben Wedro of MD direct to help provide a little clarity – at least about the top-rated center. If you’re looking for help on the Andrew Wiggins/Jabari Parker debate, this isn’t the place (though I’ll have more on that tomorrow).

Q: What might have caused Embiid’s foot injury?

The navicular is located in the mid foot and is responsible for helping maintain the arch of the foot from heel to toe and transverse stability of the foot. It and the ligaments that attach to the mid foot to flex at the beginning of a stride and lock as the foot pushes off.

They are responsible for taking the load of the weight of the body as it comes down an distributing it. So, when you’re 7-foot-whatever and 300 pounds [ed: Emiid’s listed weight was 250 pounds at Kansas], that takes more load than if you’re me and and 5-9, 160. It’s one of those things that happens unfortunately. I don’t know if we’re built to be 7 feet.

Causes include increasing activity too quickly, poor equipment (in this case, perhaps poorly fit or supportive shoes) and bone insufficiency. Normal with the latter, it is due to osteoporosis but in a large 7 footer, it may be that the bones in his foot may not be able to support the size of his body.

When it is injured, it often takes time to make the diagnosis of the navicular stress fracture because it is not easily seen on x-ray.

Q: Considering his back injury also, is it possible Embiid’s bones are weak?

Unlikely. He’s a healthy guy. The think you think about with people with back fractures and bone problems is osteoporosis, and that’s more a disease of aging. You see that in older people, especially women who haven’t deposited calcium in their bones earlier on in life. They have a calcium deficit. So, that’s unlikely the case.

His bones are probably fine. His height is a problem.

Not a problem. You can’t teach height. But it puts more stress on the anatomy of the bones in the body to distribute all that pressure that comes through jumping and running.

As to the relationship with his previous back injury, the only relationship I can think of is being deconditioned and increasing practice and play time too quickly.

Q: What do you make of two screws being inserted into his foot?

The fracture needs to be stabilized and the screws are used for internal fixation. This is the expected procedure.

With either operative or non-operative approach, up to 90% of athletes can return to their  level of competition.

Q: Do you think that percentage is lower for elite athletes, because they must climb back further to a higher level?

They have more incentive to do that or facility to be able to do that. They have more people around them to get them there.

He goes eight hours a day, six days a week. That’s their full-time job, and he has a team of people – from a chiropractor to massage therapist to a physical therapist and a doctor – working on your foot six hours a day.

Q: How can he and his team minimize of suffering another injury?

Part of his rehabilitation and evaluations of his injuries in his rehab will be looking at his footwear and seeing how they can help him with that – whether that’s orthotics or a specially built shoe for him – would probably be appropriate.

You have to work hard on his mechanics. The people will be looking hard at how he lands, how he takes off, how he runs and try to minimize the amount of stress on his feet by doing that.

They’re not going to tell him not to run fast. They’re not going to tell him not to jump high. They’re going to try to work with his natural athletic ability and maximize it.

So, if Embiid returns to full health, preemptively limiting his minutes to avoid future injury would be no more effective than employing that strategy with any other player?

That’s right.

As long as they’re comfortable that his mechanics are together. Let’s say they find – and I don’t know this – but let’s presume he has mechanical issues with his gait or his jumping or whatever. if they don’t correct, then that’s a different story – or if he cannot correct that.

If they find that he is mechanically sound and he’s fully recovered and he has no pain, then he should enjoy a long, healthy career.

That leaves a lot of ifs, though it is helpful to know exactly where the uncertainty remains.

Is he a normal 22-year-old? Is he the next Greg Oden? If we all knew the answer, we could predict the future.

Jakob Poeltl with huge poster dunk for Raptors. Yes, Jakob Poeltl. (VIDEO)

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The scouting report on Jakob Poeltl coming out of Utah said he could run the floor well and he was a good finisher around the rim.

But we didn’t expect this.

During the Raptors win Sunday against the stumbling Hawks, Poeltl filled the lane on the break, got the rock, and nobody was going to stop that finish. Least of all Tim Hardaway Jr., he just ends up in the poster.

Hassan Whiteside: “Portland was my second option”

MIAMI, FL - OCTOBER 28: Hassan Whiteside #21 of the Miami Heat looks on during a game against the Charlotte Hornets at American Airlines Arena on October 28, 2016 in Miami, Florida. 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 Mike Ehrmann/Getty Images)
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Entering free agency last July, Hassan Whiteside said his first choice was to stay in Miami — then Pat Riley gave him 98 million reasons to stick around. While the Heat have been up and down this season, Whiteside has thrived as the franchise player in Miami.

Last July he also met with Dallas, but it turns out that was not his second choice. Here is what Whiteside told Erik Gunderson of the Miami Herald before his team fell to the Blazers on Saturday.

“Portland was my second option,” Whiteside said at the team’s Saturday shootaround in Portland. “I would have came here.”

Interesting. There were reports the Blazers chased Whiteside, but it didn’t seem that serious. Apparently, it was. If The Blazers got Whiteside, would they still have spent $70 million on Evan Turner? Probably not. And suddenly a lot of things look better in Portland.

For Blazers fans, watching their team try to outscore opponents while playing terrible defense this season — in part because of a lack of rim protection behind their undersized guards — it’s easy to imagine how much Whiteside would have changed the picture in the Northwest. But at this point, that’s just fan fiction.

JaVale McGee tries to inbound ball for wrong team, Warriors bench cracks up (VIDEO)

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JaVale McGree has become a solid contributor for the Warriors off the bench, giving them a needed shot blocking presence. He’s not getting a ton of run (seven minutes a night), but he’s efficient when he’s out there.

Still, there is his reputation as the guy most likely to end up on Shaqtin’ a Fool. He hasn’t done anything like that for a while… until Saturday night, when after a made free throw he tried to inbound the ball for the Suns for a second.

The Warriors bench was laughing under their shirts and towels.

Karl-Anthony Towns, Timberwolves battle back to top Hornets 125-120 in OT

Minnesota Timberwolves forward Andrew Wiggins, left, looks to pass around Charlotte Hornets center Cody Zeller in the second half of an NBA basketball game in Charlotte, N.C., Saturday, Dec. 3, 2016. Minnesota won 125-120. (AP Photo/Nell Redmond)
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CHARLOTTE, N.C. (AP) — Perhaps this was the type of win the talented and young Minnesota Timberwolves needed to get on a roll.

Andrew Wiggins scored 29 points, Karl-Anthony Towns added 27 points and 15 rebounds, and the Timberwolves showed late-game poise by erasing a 10-point, fourth-quarter deficit to beat the Southeast Division-leading Charlotte Hornets 125-120 in overtime on Saturday night.

“The more close games you’re in and the more you win, the better you get,” Minnesota coach Tom Thibodeau said. “Repetition builds habits. When you see things happen in a game, it slows everything down.”

Zack LaVine added 17 points and Ricky Rubio had nine points and 12 assists for the Timberwolves, who snapped a four-game losing streak and avoided being swept by the Hornets for the third straight season.

“We came back and really made some really winning plays down the stretch,” LaVine said. “That’s what happens when you keep fighting. We’ve been fighting the last four or five games and been in those positions but we got over that hump. It feels good. Now we need to keep it going.”

Towns, a dominant force on the glass all night, had six points in overtime, including a backbreaking follow off a missed shot with 21 seconds left to put the Timberwolves up by six. Towns sealed the victory with two free throws with 3.9 seconds remaining.

Charlotte appeared on its way to its fourth win in five games, leading 104-97 with less than one minute to play.

But Minnesota battled back to tie the game in regulation with LaVine, Rubio and Wiggins all hitting 3-pointers in the final 39 seconds. Wiggins’ pull-up from 31 feet in transition with 8.9 seconds tied the game at 106.

The Hornets had a chance to win the game at the end of regulation, but Kemba Walker missed everything on a step-back 18-footer at the buzzer.

“There were a lot of mistakes on the defensive end and we gave up some big baskets,” Walker said. “We missed some rotations and we have to be better down the stretch.”

Walker led Charlotte with 22 points and eight assists. Frank Kaminsky had 21 points and Nic Batum had 15 points and 12 assists.

TIP-INS:

Timberwolves: Wiggins and Towns were a combined 22 of 42 from the field. … Blocked 10 shots.

Hornets: The Hornets have given up an average of 16.5 points per game in the first quarter in the last two games, compared to a season average of 27.1 points. … Cody Zeller had four blocks.

STRONG OT START

The Timberwolves took advantage of the momentum they had built at the end of regulation, opening overtime with a 7-0 run.

“You know, it always looks better when the ball is going in,” Thibodeau said. “When we’re getting the right shots and sharing the ball, everything looks a lot better. Obviously, playing from a lead is important and we haven’t been doing that.”

NOT PHYSICAL ENOUGH

Hornets coach Steve Clifford said he was “especially disappointed” with this loss because the team had emphasized getting its defense set and physicality in terms of blocking out.

“They crushed us with the block outs in the fourth quarter,” Clifford said. “They had at least four that might have led to nine points. That can’t happen. It’s been discussed and we’ve watched it and the reality is we either going to become a more physical group or we’re not going to win – at least not every night.”

TOWNS PASSES GARNETT

Towns established a new Timberwolves record with his 27th straight game with at least one blocked shot. He had two blocks against the Hornets.