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.

Andrew Wiggins answers Carmelo with game-winning 3-pointer (VIDEO)

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Sunday’s matchup between the Oklahoma City Thunder and Minnesota Timberwolves was perhaps a preview of a Western Conference playoff series. We should certainly hope so given the late-game heroics we saw this weekend courtesy of Karl-Anthony Towns, Carmelo Anthony, and Andrew Wiggins.

The two teams played a razor thin matchup in the fourth quarter, with Towns hitting a floating shot with just nine seconds left to take the lead. OKC took the torch just seconds later when Carmelo hit a 3-pointer with less than five seconds to play from the left wing.

That left the Timberwolves down by one point with no timeouts to spare.

After Minnesota inbounded to the ball, Wiggins drove down the left sideline and toward the middle of the floor. With the clock running out, Wiggins pulled up from nearly 30 feet out and drained 3-pointer off the backboard as time expired.

Here’s what the two threes looked like back to back.

Via Twitter:

Today was absolutely mental in the NBA. Between the drama that’s happening with the Phoenix Suns and this Western Conference shootout, the regular season just keeps amping it up each and every day.

Clippers say Milos Teodosic out indefinitely with plantar fascia injury

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The LA Clippers needed everything to go right for them injury-wise to be able to survive losing Chris Paul the same year many teams in the Western Conference got much stronger. Sunday’s news that rookie Milos Teodosic is out indefinitely with a left plantar fascia injury won’t help the confidence of fans in southern California.

Teodosic suffered the injury during a game against the Phoenix Suns earlier in the week. Teodosic could be seen pulling up lame toward the near corner on a seemingly innocuous play, which you can watch above.

Here is the release from the team on Teodosic’s injury..

Via Twitter:

Teodosic was expected to be a boost for the Clippers’ offense, who lost Paul over the offseason to the Houston Rockets. Teodosic is a 30-year-old rookie whose passing acumen was sure to be a highlight reel staple over the course of the season.

Plantar fascia injuries can be tough for players to come back from, although the severity of the injury can vary greatly. In the past, players like Damian Lillard and Al Jefferson have made relatively speedy recoveries or have been able to play through the injury itself.

However, a plantar fascia issue can be a tough one and is often difficult to get to recover given the inherent stress level of the area and because soft tissue injuries can be pesky. Obviously, a word like “indefinitely” is pretty dang scary.

Meanwhile, the Suns had a few issues of their own on Sunday. They fired head coach Earl Watson and point guard Eric Bledsoe tweeted out that he no longer wanted to be “here”. The former Clippers point guard has already had lobbyists from LA come calling. Big man DeAndre Jordan already tweeted that he wanted Bledsoe to “come back home”.

Someone has to trade for Bledsoe. Might as well be the Clippers.

Report: Suns fire Earl Watson within an hour of Eric Bledsoe’s tweet

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Things are just getting weirder in Arizona.

According to ESPN’s Adrian Wojnarowski, the Phoenix Suns have fired head coach Earl Watson. This comes in less than an hour after Suns point guard Eric Bledsoe tweeted out that he no longer wanted to be “here”. The assumption is that the “here” meant with the Suns organization, although Bledsoe nor the team have clarified.

Phoenix was always slated to be a bad team but they have been an absolute mess to start the season. Just three games in and they have yet to win a contest. They have lost by a combined 92 points in those games during some hilariously bad efforts. While Watson’s firing is sudden, it’s not entirely surprising.

Via ESPN:

Meanwhile, it’s not clear what the Suns will do from here both with Bledsoe and in filling the head coach spot on the bench.

Teams like the New York Knicks and Indiana Pacers have struggled when players have requested a trade publicly. Much of their leverage is lost and it could be harder to find a usable return for Bledsoe. A friend of LeBron James, Bledsoe has been rumored in trades from Phoenix to places like Cleveland for years. Now, it will be curious to see if the Suns will need to move him and what they can get for Bledsoe once a deal is done. Any assets will be a vital to their rebuilding process.

In terms of coaching, Phoenix has both Ty Corbin and Jay Triano on the bench, both of which who have been head coaches in the NBA before. It appears Triano will be stepping into the interim role, but that still leaves the question of what Phoenix should do from here on out. A directionless team in the middle of a rebuild with less-than-stellar ownership is a recipe for continued failure.

Phoenix has been a poorly-run organization for some time, particularly when it comes to expenses. Phoenix owner Robert Sarver is notoriously cheap, even going so far as selling draft picks outright. Phoenix exchanged players like Marcin Gortat, Rudy Fernandez, and Rajon Rondo for pennies on the dollar.

They are already the worst team in the NBA, one of their star players wants out, and now they no longer have a head coach. If you are a basketball fan in Phoenix, things have to be tough for you right now.

Suns PG Eric Bledsoe tweets “I don’t want to be here”

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The Phoenix Suns were always going to be a bad team, but I think we were all surprised when they started off the season with a historical loss to the Portland Trail Blazers. Now, it seems things are getting worse.

On Sunday, Suns point guard Eric Bledsoe sent out a message on Twitter that seemed to insinuate that he no longer wanted to be a part of the organization in Phoenix.

That tweet set the NBA sphere on fire during a relatively sleepy afternoon. Ramifications of players being open with their requests to move teams has not always played out well for the organizations. Think about the decreased leverage for the Knicks and Pacers when it came to Paul George and Carmelo Anthony.

Via Twitter:

It would be a major bummer for fans in Arizona if Bledsoe does indeed want out of Phoenix. The team has played all of three games, and after years of trade speculation around Bledsoe so it would be a huge blow to give him up to suitors for pennies on the dollar.

As of publication on Sunday afternoon we have yet to confirm that this is the intent of Bledsoe’s tweet, but no doubt we will hear more about it as the day goes on.