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.

Timberwolves coach and president Tom Thibodeau thanks Kevin Garnett after retirement announcement

BOSTON, MA - APRIL 28: Kevin Garnett #5 of the Boston Celtics sits not he bench prior to Game Four of the Eastern Conference Quarterfinals of the 2013 NBA Playoffs against the New York Knicks on April 28, 2013 at TD Garden in Boston, Massachusetts. 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 Jared Wickerham/Getty Images)
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Tributes have poured in all over the NBA world since Kevin Garnett announced his retirement on Friday afternoon — from other players, commissioner Adam Silver and media members who covered him. Garnett and Tom Thibodeau have a lengthy history together: Thibodeau coached Garnett in Boston as an assistant under Doc Rivers, and they won a championship in 2008. This spring, Thibodeau took over as head coach and president of basketball operations for the Minnesota Timberwolves, the team that drafted Garnett, saw his best years and saw him end his career. Thibodeau released a heartfelt statement on Saturday congratulating Garnett:

“I would like to take this opportunity to congratulate and thank Kevin for all of his great accomplishments and contributions to the NBA, the Minnesota Timberwolves organization, and for me personally with the Boston Celtics. Kevin combined great talent with a relentless drive and intelligence. I will always cherish the memories of the way in which he led the Celtics to the 2008 NBA Championship. His willingness to sacrifice and his unselfishness led us to that title. Kevin will always be remembered for the way in which he played the game. His fierce competitiveness, his unequalled passion for the game, and the many ways in which he cared about this team was truly special. KG is without question the all-time best player to wear a Minnesota Timberwolves jersey, and he is also one of the best to ever play this game.”

It’s a shame that Thibodeau didn’t get to coach Garnett again in Minnesota, but the team is in good hands with Andrew Wiggins and Karl-Anthony Towns.

Pacers unveil 50th anniversary patch for their uniforms (PHOTO)

NEWARK, NJ - MARCH 28:  Leandro Barbosa #28 of the Indiana Pacers looks on against the New Jersey Nets at Prudential Center on March 28, 2012 in Newark, New Jersey. 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 Chris Chambers/Getty Images)
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The Indiana Pacers have been a franchise for 50 years — 10 in the ABA and 40 in the NBA. To celebrate this anniversary, they’ve unveiled a new patch that they will wear on their uniforms this season. You can check it out below:

It looks pretty sleek, combining the Pacers’ logo with the zero in “50.” It’s subtle and well-designed.

Kobe Bryant pays tribute to Kevin Garnett on Twitter

LOS ANGELES, CA - JUNE 12:  Kobe Bryant #24 of the Los Angeles Lakers puts a shot up over Kevin Garnett #5 and Paul Pierce #34 of the Boston Celtics in Game Four of the 2008 NBA Finals on June 12, 2008 at Staples Center in Los Angeles, California.  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 Stephen Dunn/Getty Images)
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This summer, three of this generation’s defining NBA players, and three of the greatest players of all time, called it a career: Tim Duncan, Kobe Bryant and Kevin Garnett. The latter two in particular had a lot in common, as psychotic competitors and polarizing personalities. They had many memorable battles over the years, including the Lakers-Celtics Finals in 2008 and 2010 (they each won one) and the playoffs in 2003 and 2004, when Garnett was in Minnesota. On Saturday afternoon, a day after Garnett officially announced his retirement, Kobe paid tribute to him with a tweet.

The next time they’ll be together is 2021, when they go into the Hall of Fame together.

Doc Rivers calls anthem protests “the most patriotic thing we can do”

OAKLAND, CA - MARCH 23:  Head coach Doc Rivers of the Los Angeles Clippers shouts to his team during their game against the Golden State Warriors at ORACLE Arena on March 23, 2016 in Oakland, California.  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 Ezra Shaw/Getty Images)
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With the NBA season around the corner, there are a lot of eyes on how teams and players will handle the national anthem protests that have become prominent in the NFL. Clippers head coach Doc Rivers wholeheartedly supports the notion of his players participating, and hopes the whole team can figure out a statement to make together. Via Dan Woike of the Orange County Register:

“Listen, we need social change. If anyone wants to deny that, they just need to study the history of our country,” he told the Southern California News Group on Friday. “… I’ve said it 100 times. There’s no more American thing to do than to protest. It’s the most patriotic thing we can do. There are protests I like and protests I don’t like. It doesn’t matter. …Protests are meant to start conversation. The conversation, you hope, leads to acknowledgement, and the acknowledgement leads to action. We’re, right now, still in the conversation.”

“I hope we do it as a group. I know whenever you protest as one solid group, the protest has more teeth if you want to protest,” he said. “… I’m supporting our guys’ right to protest. I’m saying that up front. My hope is you believe it and do it for the right reasons and not just because it’s a hot topic on Instagram.

Rivers has a unique perspective — his father was a police officer, but he’s seen plenty of racism in his life. This won’t be his first time leading a team when it comes to social issues — he was able to unite the Clippers in the spring of 2014 when the Donald Sterling racism scandal broke. It’s encouraging to see NBA coaches trending towards fostering open dialogue on their teams about these issues.