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.

Life lessons from Latrell Sprewell in new Priceline.com ad (VIDEO)

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Good on Latrell Sprewell for doing this, poking fun at his image.

It would have been funnier with P.J. Carlesimo, but David Robinson is a quality contrast. Well done, Priceline.

Carmelo Anthony on trade rumors: ‘I’m not going anywhere’

New York Knicks' Carmelo Anthony (7) smiles during the second half of an NBA basketball game against the Miami Heat, Wednesday, Jan. 6, 2016, in Miami. The Knicks defeated the Heat 98-90. (AP Photo/Lynne Sladky)
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Carmelo Anthony has the hammer — he has a no-trade clause in his contract. If he doesn’t want to be traded, he’s not getting traded. End of story.

Also, he loves New York.

So when he went on SiriusXM NBA Radio Saturday and was asked about the trade rumors linking him to Cleveland, ‘Melo shot those down.

There were exploratory talks involving Kevin Love going to Boston — the Knicks might have been the third team in such a deal — but the buzz around Toronto (where the NBA World has gathered for the All-Star Game) is those talks have stalled. It’s not impossible that they are revived, but don’t bet on it.

The Cavaliers are a win-now team, and if they move the floor-spacing Love they need to bring in pieces that get them closer to a title. They don’t see that now.

As for Anthony, he re-signed in New York and said he wanted to be there (and get paid.). While there may be people in his camp that think him moving on would be a good for his career, the man himself doesn’t want to go anywhere. And Carmelo Anthony has the hammer.

LeBron James amused by fuss over Tyronn Lue coaching All-Stars

CLEVELAND, OH - JANUARY 30:  LeBron James #23 of the Cleveland Cavaliers high fives Head Coach Tyronn Lue during the game against the San Antonio Spurs on January 30, 2016 at Quicken Loans Arena in Cleveland, Ohio. 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. Mandatory Copyright Notice: Copyright 2016 NBAE  (Photo by David Liam Kyle/NBAE via Getty Images)
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TORONTO (AP) — LeBron James is amused over all the fuss that accompanied Tyronn Lue getting the chance to coach the Eastern Conference in Sunday’s All-Star Game.

The honor typically goes to the coaching staff of the team leading their respective conference at the break, provided that staff didn’t also coach in the game the year before. So when the Cleveland Cavaliers fired David Blatt and promoted Lue from his assistant spot to being the coach in charge, that meant Lue also got the All-Star duty.

And while it might seem strange to some, James was quick to point out Friday at the All-Star media day that Lue “would have been here anyways, even if coach Blatt was still our coach.”

James has been criticized for what many presume to be his role in Blatt’s dismissal, and the four-time MVP says he isn’t letting that perception bother him. He also didn’t take the bait when asked to describe differences between Blatt and Lue.

James’ answer: “Their height.”

For the record, Blatt (6-foot-3) is listed to be about three inches taller than Lue.

 

The time Kobe Bryant tried to recruit Dirk Nowitzki to the Lakers

DALLAS, TX - NOVEMBER 05:  Dirk Nowitzki #41 of the Dallas Mavericks greets Kobe Bryant #24 of the Los Angeles Lakers after a game at American Airlines Center on November 5, 2013 in Dallas, Texas.   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 Ronald Martinez/Getty Images)
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TORONTO — Kobe Bryant has been loyal to the Lakers for 20 seasons (if you ignore some “trade me” tantrums along the way). He’s also been über competitive.

Those same qualities are what he most appreciates about Dirk Nowitzki.

Kobe talked a little Dirk during his All-Star media availability Friday.

“Dirk and I have always had a great relationship because we’re both extremely competitive. Also both extremely loyal to our teams,” Bryant said.

“I’ll tell you a story about Dirk. He was up for free agency, and I knew what his response was going to be. But out of respect, everybody’s looking around at all these free agents, I felt I’d shoot you a text, if you want to come to L.A. He goes, ‘I would love to play with you, but Dallas is my home. This is my team. I’m not leaving here.’ So he and I think a lot alike in that regard.”

Nowitzki’s last couple free agencies have been mere formalities, nobody around the league thought he would leave Mark Cuban or Dallas. The only questions were money and years — in 2014 the Lakers reportedly offered the max to Nowitzki, who took three-years, $25 million from Dallas so the Mavs could rebuild their roster. It’s all part of that loyalty — and it’s worked out, Nowitzki and Cuban have a ring.

Kobe’s respect for Nowitzki was clear when Dirk nailed a game winner against the Lakers this season, Kobe just nodded his approval from the bench.

One of the best things the past couple seasons about Kobe, and especially this season with just about to retire Kobe, is that he is giving honest answers. He doesn’t care what people think. That leads to honest moments and great stories.