Bill Self, Joel Embiid

A doctor explains Joel Embiid’s foot injury


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.

Kristaps Porzingis grew up a Kobe fan. Still is one.


When you hear player comparisons for Knicks rookie, the most common is Dirk Nowitzki — a European big with ridiculous shooting range and potential to embarrass anyone.

So did he grow up idolizing Dirk? Not so much.

Rather, like many of his generation, he grew up idolizing Kobe Bryant, he told Mike Francesa of WFAN.

“My favorite player growing up was Kobe. The Lakers were my team and I still love him.”

There is an entire generation of NBA players — and just fans — who would say the same thing.

In the interview, Porzingis laments his missed shots and turnovers, he thinks he can be a lot better. That is exactly what you want out of a rookie. It’s a huge adjustment playing at the NBA level, the speed of the game and IQ is a leap from Europe (or college). Recognizing the challenge is part of it.

There’s a lot to like in Porzingis. He could be special (we don’t know yet, we see only the potential). But idolizing Kobe — and if you understand the work he put in, the passion for the game — can be a good start.

(Hat tip NBA reddit)

Warriors’ interim coach Luke Walton’s car stolen

Luke Walton

If you’re looking for a “when are things going to go wrong for the Warriors” moment, we have one for you. But it may not be what you had hoped for.

Warriors’ interim head coach Luke Walton — the guy on the sidelines for the 15 (soon to be 16) game winning streak — had his car stolen during a crime spree, reports

One of the cars stolen during an Oakland Hills crime spree belongs to Golden State Warriors coach Luke Walton, Alameda County District Attorney Nancy O’Malley said late Monday.

Walton’s Mercedes Benz was stolen Tuesday by two suspects, who police believe are also responsible for a violent attack on a 75-year-old woman outside her home on Thursday. The suspects also took the woman’s car during the attack, according to police.

Yikes. That’s serious.

I’m sure Steve Kerr has like 14 cars, he can loan one to Walton.

Pacers guard George Hill returns Tuesday against Wizards

Paul George, Marcus Morris
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WASHINGTON (AP) — Pacers guard George Hill returned to the lineup Tuesday night against Washington after missing three games with an upper respiratory infection.

Hill is averaging 14 points and just under 37 minutes in 10 games this season. He was on the bench in case of emergency in Saturday’s victory over Milwaukee.

Coach Frank Vogel said Tuesday Hill’s infection had improved “to the point where he’s fine to play,” but would keep an eye out for fatigue after an 11-day layoff.

Hassan Whiteside on intentional fouls: “It’s not working, so keep fouling me”

Hassan Whiteside

Remember how Adam Silver was preaching that the league didn’t want to change the intentional foul rule — the hack-a-Shaq strategy — because it was really about two players (DeAndre Jordan and Dwight Howard) and a handful of others now and then. The fact that it’s not basketball didn’t matter.

Well, it’s not just two — Miami’s Hassan Whiteside has gotten the treatment this season. He’s a 53.4 percent free throw shooter this season.

And he says bring it on. From Jason Lieser of the Palm Beach Post:

“I’m enjoying this,” he said. “Foul me so I can get a double-double and we can win. It’s not working, so keep fouling me.”

He’s even smart at not getting fouled.

Whiteside also is liking that teams are looking at their options against the best defense in the NBA — yes, Miami at 94 points allowed per 100 possessions, is the best defense in the NBA right now — and deciding to attack Whiteside.

“There’s teams that’s out there that say ‘Stay away from Hassan,’ and there’s teams that say, ‘We don’t care if Hassan’s down there. Attack Hassan.’ I love them teams that do that. God bless them coaches. I love them teams.”

Whiteside is not as great a defender as the block totals would indicate — if he doesn’t see a block in it, his rotations can be a bit slow. One scout recently called him a selfish defender to me recently, suggesting he is in it for the numbers, not the sacrifices needed for an elite defense. True or not, the Heat have an elite defense and Whiteside is at the heart of it.

And if the strategy is to try to exploit him, Whiteside plans to make people pay.