A doctor explains Joel Embiid’s foot injury

13 Comments

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.

Cavaliers, Warriors sweeps mean time to rest, get mental breather

Getty Images
Leave a comment

OAKLAND, Calif. (AP) — Kevin Durant can take some pressure off that tender left calf. LeBron James has extra time to recoup after barely leaving the floor in the first round.

Golden State coach Steve Kerr scheduled some medical appointments as he deals with debilitating symptoms still affecting him nearly two years after complications from a pair of back surgeries.

The two star-studded teams expected by many to face off once more in the NBA Finals each swept through their respective first-round playoff series in four games, leaving ample time for the Cavaliers and Warriors to rest up, heal up and prepare for the next opponent.

“It gives me a mental break. As far as physically, I am who I am,” James said. “I’ve played so many games over the years, the best break for me is probably when I’m done.”

Of course guys like James and Draymond Green are already eager to get back on the court.

Cleveland now knows its next opponent is Toronto, while the Warriors were still waiting out the Clippers-Jazz series.

“Definitely have gotten antsy to play,” Green said Friday. “But you see that break and you’re excited about it, just to get that time to rest and get everybody back as close to 100 (percent) as possible for the next round. At the same time you do get antsy to get back on the floor and back in the rhythm of things. I think it’s been a good week for us to sweep and get this time off.”

Durant, still receiving treatment on his left leg and knee, spent Thursday at a San Francisco Giants baseball game. Cavs coach Tyronn Lue threw a huge watch party Thursday night so players and members of the organization could see the Raptors close out the Bucks in six games.

Golden State scrimmaged Friday to stay sharp, while Cleveland players have competed in such ways as racing on cardiovascular machines in the weight room to stay fresh and motivated.

James led the league in minutes during the regular season then played nearly 44 per game in the first-round sweep of Indiana – familiar territory after the Cavs also swept Detroit in the first round last season, then followed by eliminating Atlanta in the minimum four games.

“I’m ready to get this thing going, but obviously I’m not going to rush the process,” James said. “… But, yeah, I don’t like the way I feel when we’re not playing.”

In 2015, when the Warriors captured their first championship in 40 years, Cleveland’s Kyrie Irving suffered a freak Game 1 injury when he fractured his left kneecap, and Kevin Love was already lost to a dislocated left shoulder.

Last June, Stephen Curry had returned from a knee injury but never fully got healthy and the thought was the Warriors wore down after chasing and breaking the Chicago Bulls’ regular-season wins record with 73 victories.

“If you could sweep every series that would be perfect,” Durant said, “because you just want to play well and then you’ll worry about the rest afterward. That’s the situation we’re in. We’ve got a lot of guys banged up, so it’s good to have a few days to get your bodies right and your mind right and just get back to the drawing board in terms of individual work, team work.”

In the Warriors’ case, it also has meant more time working with Mike Brown as acting head coach while Kerr is away. The reigning NBA Coach of the Year missed Games 3 and 4 at Portland because he was in such discomfort, having dealt with headaches, neck pain and nausea that recently became worse.

While Spurs coach Gregg Popovich is most known for sitting several star players at once without regard to anything but his team’s best interest, others have caught on and replicated the strategy of spelling players in order to pace for the long haul.

In March 2015, the Warriors lost at Denver with Curry watching – along with Klay Thompson, Andre Iguodala and Andrew Bogut – in the first game of a back-to-back. Oh, did Kerr take heat for it, even personally answering a few emails. And the Warriors reached out to other upset fans and sent along care packages.

“As a coach your responsibility is to keep your players healthy and there are times when guys need a night off,” Kerr said.

In December, Cleveland caused an uproar by resting James, Love and Irving in a loss at Memphis. Lue then sat several starters for the final game of the regular season against Toronto, and the teams will meet again in the Eastern Conference semifinals starting Monday.

Now, the Cleveland coach insists, James can handle the heavy minutes when it matters most.

“His body can take it,” Lue said, “so I’m not worried about what outside people say.”

AP Sports Writer Tom Withers in Cleveland contributed to this report.

 

Chris Paul told Paul Pierce: “You’re not ending your career in Utah”

Getty Images
Leave a comment

When the Clippers lose their final game this season — maybe Sunday, maybe not for weeks — the Hall of Fame career of Paul Pierce will come to an end.

It’s not why Doc Rivers was leaning so heavily on Pierce Friday night, that’s more desperation on a shorthanded (and not that deep to start with) lineup. The Clippers got away with 20+ minutes of Pierce on Friday and still got the win.

He even served as an inspiration for Chris Paul, as CP3 said in his postgame press conference.

The best part of that video? DeAndre Jordan‘s reaction.

You can be sure Utah Jazz fans will take this comment as a slight and let CP3 hear about it next season. As for the Jazz players, they are heading into Game 7, how much more motivation do they need.

John Wall’s chasedown block of Dennis Schroder, layup saved game for Wizards (VIDEO)

Leave a comment

Washington had been up 22 points in the third quarter and seemed to be cruising to a win in Atlanta, and with it a trip to the second round… but it would not be that easy. The Hawks made their push back, knocking down threes and chipping away at the Wizards lead until it was all the way down to 93-90, a one possession game.

Then John Wall took over.

It started with the big play you see above — a chasedown block on Dennis Schroder, which turned into a Wall layup on the other end.

That play changed the momentum. Washington closed the game on a 22-9 run where Wall scored the final 13 points on his way to 42 for the night on just 25 shots. The end result was a 115-99 Wizards win to close the Hawks out 4-2.

Steve Ballmer loses control after Austin Rivers three, creates another meme

5 Comments

Clippers’ owner Steve Ballmer has been a meme machine this series. First, there was the sad face after the Clippers Game 5 loss at home.

Then Friday, there was his reaction to an Austin Rivers three.

Ballmer’s reactions may be the best part of the Game 7 between these teams Sunday.