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.

PBT Podcast: What does Magic’s return mean for Lakers, with Mark Medina of the LA Daily News

In this Aug. 23, 2016, file photo, former Los Angeles Lakers star Magic Johnson speaks at a groundbreaking ceremony for a stadium which will be home to the Los Angeles Football Club in Los Angeles. Johnson is returning to the Los Angeles Lakers organization as an adviser to owner Jeanie Buss. The Lakers announced the reunion Thursday, Feb. 2, 2017, with Johnson, one of the most beloved players in franchise history. (AP Photo/Nick Ut, File)
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Magic Johnson has a statue outside Staples Center.

He’s now also in control of the product inside it — Magic is head of the Lakers’ basketball operations after Jim Buss and Mitch Kupchak were let go on Tuesday. The shakeup was expected, although the timing caught the league off guard.

It also raises questions about how the Lakers’ front office will now operate with Magic and former agent Rob Pelinka in charge, and what direction do they want to take a team with a quality young core?

Mark Media, the Laker insider and beat reporter for the Los Angeles Daily News joins me to break down all the questions around the Lakers moves, from why now to what next. He has some great insight into where the Lakers are headed.

As always, you can check out the podcast below, or listen and subscribe via iTunes (check there to see all the NBC Sports podcasts), subscribe via the fantastic Stitcher app, check us out on Google play, or check out our new PBT podcast homepage and archive at Audioboom.com.

Report: Rockets making push for Iman Shumpert, teams ask Rockets about Patrick Beverley

CLEVELAND, OH - DECEMBER 25: Iman Shumpert #4 of the Cleveland Cavaliers jokes during warmups prior to the game against the Golden State Warriors at Quicken Loans Arena on December 25, 2016 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. (Photo by Jason Miller/Getty Images)
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The moves you see teams make at the NBA trade deadline are the best indicator of what they think their chances are come the playoffs. Do they stand pat and decide to wait a year, or are they aggressive going for win-now moves?

Based on that, the Rockets think they can make a deep run this season. They have already traded for Lou Williams from the Lakers, who should thrive in Mike D’Antoni’s system and add scoring punch to the bench.

But the Rockets may not be not done, they have been talking to the Cavaliers about Iman Shumpert, reports Marc Stein of ESPN.

LeBron has been asking for depth at the point guard spot, Beverley would be a great fit for them. He could shoot the three and score, plus he defends very well.

He’d be a great fit for a lot of teams, which is why the Cavaliers are not the only team with their eyes on Beverley, reports Calvin Watkins who covers the Rockets for ESPN.

According to a source, several teams have expressed interest in Rockets guard Patrick Beverley. Chicago, New York and Cleveland are the main suitors. Rockets front office and coaches value what Beverley brings to the team and that’s being noticed by others. Beverley, according to a source, has a desire to remain with the Rockets.

The Rockets have played have played much better defense since Beverley returned from injury, and they should be hesitant to move him. Watkins tweeted this:

How much of that is a bluff trying to drive up the price and how much of that is serious remains to be seen. The Rockets like Beverley and don’t want to move him, but there is a price for everyone in the league and if some team comes in over the top the Rockets have to listen.

I just don’t think Shumpert is far enough over that top.

Reports: Cavaliers to work out Larry Sanders Wednesday

Larry Sanders
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Let this be a reminder: If you are 6’11” with impressive athleticism, you are going to get second (and third, and fourth, and…) chances in the NBA.

Larry Sanders has been out of the NBA for a couple of seasons after a mutual parting of the ways with the Bucks, a buyout of his contract that let him get away from basketball. He had personal demons to deal with and checked himself into a hospital program for anxiety, depression, and mood disorders.

He’s said now he wants to make a comeback, and the Cavaliers are going to at least take a look, reports Chris Haynes of ESPN.

A solo workout implies this is not going to lead to him being signed soon, it’s just more of a progress check. Sanders reportedly has looked in some previous settings like a guy who has been out of the league for a couple of years.

Sanders averaged 9.8 points, 9.5 rebounds and 2.8 blocks a game, which led to him getting a big extension with the Bucks (and that’s the Sanders teams hope to see in workouts). Sanders wrote later he struggled with the pressure and how to cope with it after signing that deal, which led to things such as a nightclub brawl left him with an injured thumb in need of surgery, being charged with animal cruelty, and being suspended a couple of times by the league for marijuana use.

 

Hopefully, Sanders has found the balance he sought in his life. He’s trying to turn that into a return to the NBA.

Report: Clippers, Thunder may make run at Nuggets’ Wilson Chandler

LOS ANGELES, CA - DECEMBER 20:  Wilson Chandler #21 of the Denver Nuggets looks on from the bench during the second half of a game against the LA Clippers  at Staples Center on December 20, 2016 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 Sean M. Haffey/Getty Images)
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As teams return from the All-Star break, the Denver Nuggets are holding on to the eighth seed in the West. They have an underperforming Trail Blazers team two games back, and a Pelicans team two-and-a-half back that just added DeMarcus Cousins.

Which leads to the question, how eager will Denver be to move players that can help them hold on to the eight seed? There have been trade rumors around veteran forward Wilson Chandler for a couple of seasons, but will they move him at the deadline?

At least a couple of teams are interested, the Los Angeles Clippers and Oklahoma City Thunder, reports Adrian Wojnarowski of The Vertical at Yahoo Sports in a video about trades (video below).

“Watch both of those teams with Denver’s Wilson Chandler. Oklahoma City had been very much in pursuit of Rudy Gay before his season-ending injury. They’d love to get a four-man, a versatile forward, as would the Clippers. Both teams think that kind of player maybe gets them over the hump in a first-round series.”

The Thunder simply need more playmakers and guys who can score around Russell Westbrook. Chandler can do that, he’s averaging 15.6 points a game playing 30 minutes a night in Denver, he has to be respected from three, can score inside, and overall he’s a slightly above-average (or above replacement level, if you will) NBA forward who can play the three or the four.

For the Clippers, he could slide right into the three, which has long been a weak spot in their rotations.

Of course, the real question is what does Denver want in return? And this is where it gets tricky because the Nuggets want to win and Chandler is part of that, so the price has gone up for him in Denver’s estimation. Neither the Clippers or Thunder have obvious players that they would be willing to move that the Thunder likely want, and would either team give up a future first rounder for Chandler?

This trade may well not happen, but it’s something to watch.