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.

Lakers owner on Lonzo Ball: “He’s going to bring an element that’s very similar to Magic”

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Lonzo Ball has yet to play a minute of professional basketball in the NBA, but fans in Los Angeles sure are happy to have him on board as they get ready for a new era in team history.

An exciting run through the Las Vegas Summer League in 2017 certainly showed us that Ball is ready to meet the challenges of a rookie in the NBA.

Ball won the LVSL MVP award while posting averages of 16.3 points, 9.3 assists, and 7.7 rebounds per-game. Ball and teammate Kyle Kuzma also helped the Lakers beat the Portland Trail Blazers in the championship game to close the tournament.

Lakers owner Jeanie Buss is just as excited about Ball as fans in California are. Speaking on the Petros and Money Show in LA it recently, Buss compared the buzz around Ball to that of Kobe Bryant, saying, “No other draft pick, except maybe Kobe Bryant, has had this kind of excitement about him.”

Buss also has high hopes for Ball’s style of play.

Via Lakers Nation:

“There’s something special about Lonzo […] I think because he just wants to play basketball, he’s selfless. He has a certain charisma and I think the fact that his teammates at UCLA loved playing with him and all the nice things that they have to say about him, I think he’s going to bring an element that’s very similar to Magic Johnson.”

Whatever criticism of his father you want to muster aside, Ball does seem relatively at ease in Los Angeles and in the spotlight. While he will no doubt struggle as a rookie, as even the best do, but it is starting to look up for LA in the post-Kobe era now that Ball is in town.

They seem to have the right coach in Luke Walton to help develop him, and no doubt fans in LA will be hoping that Ball is a superstar sooner rather than later.

Blake Griffin on LeBron James: “I don’t see him coming to L.A.”

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Is LeBron James on his way out of Cleveland? Rumors have it swirled around The King’s exit from his kingdom as of late, which his camp has vehemently denied.

However, LeBron suffered yet another loss in the NBA Finals to the Golden State Warriors in 2017 and his relationship with Cavaliers owner Dan Gilbert has appeared to sour. The history between the two is well-documented, and recently Gilbert failed to renew GM David Griffin’s contract, all without consulting James.

Meanwhile, the rumor has been that James prefers to land in Los Angeles, where he keeps a second home. James can play either with the LA Clippers or Los Angeles Lakers, which would allow him to perhaps add some of his favorite players — Carmelo Anthony, Chris Paul, or Dwyane Wade. The banana boat crew, as it were.

But one player already in Los Angeles doesn’t think that LeBron is on his way to California.

Speaking on a recent podcast with the Sklar Brothers, forward Blake Griffin said he did not think that James would come to L.A. Instead, he thought the best place for James to land would be in New York with the Knicks.

Via View from the Cheap Seats, h/t Complex. The LeBron conversation starts around the 50-minute mark:

“Honestly, I don’t see him coming to L.A. period. Listen, again, I have no idea. I think something is brewing with him and his group of guys. I don’t know what’s going to happen, but I think something’s brewing and they’re going to try to make that work.”

“I could see him going to New York before L.A. I still think, when you go to the Garden, it’s a completely different feeling. The energy, there seems like there’s just a consistent buzz the entire game … even last year when you go play them, it’s still there.”

To give more context to this quote in case you aren’t able to actually listen to the podcast, Griffin is simply speculating based off of what he thinks could happen. He prefaces it by saying it is just a feeling, and my reading of his intonation makes me think Griffin believes there are too many roadblocks to get LeBron to Los Angeles. Couple that with an increasingly difficult Western Conference, and Griffin doesn’t think that The King will give up being able to get to the Finals every year just to come to L.A.

Given all that has happened with the Knicks over the last few decades, it also seems like a fair stretch to think the next best option would be to see LeBron in New York. Remember, with Steve Mills as president a lot of the people who torpedoed the Carmelo situation are still in place even with Phil Jackson gone. If LeBron does indeed want us to pair with Carmelo, or even if he is simply an influence on him as a friend, New York seems like an unlikely destination.

Still, it is interesting to hear the insight of other professionals in this context. It just goes to show you that even NBA players don’t know where LeBron is going to end up.

Report: Nerlens Noel switches agents in hopes of max deal with Mavericks

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Is Nerlens Noel worthy of a max contract? Not on your life.

But will he get it? That remains to be seen after reports that Noel recently fired his agent and will make the switch to Dan Fagen.

According to NBC 5 in Dallas, Noel has done just that and will be seeking a huge deal from Mark Cuban’s organization.

From NBC 5’s Newy Scruggs:

No other NBA clubs tried to sign the restricted 6-11 center. He has a one year qualifying offer of $5.8 million on the table but it’s not to his liking so he switched agents.

“We’re in a holding pattern,” is what Mavericks head coach Rick Carlisle told me back in July on NBC Sports Radio when I brought up the contract talks between Dallas and Noel. The NBA salary cap didn’t go up has high as many previously projected, so the summer of 2017 was not a bonanza some players hoped for.

Even with the increase in the cap, and with big contracts flying around for young talent, Noel has done nothing to prove himself worthy of an offer like that for the Dallas Mavericks. Yes, his advanced numbers from his third season in the NBA looked much better, and that was great news as young big men often take time to develop.

Yet the body of work for Noel is simply not there. Fifty games of good play over a 200 game career does not, or should not, earn you a max contract.

Then again, this could simply be Noel preying on Cuban’s need to rebuild.

With Dennis Smith Jr. at the helm, an aging Dirk Nowitzki, and the team that could soon be irrelevant in a increasingly tough Western Conference, Noel stands as a future franchise piece if he does indeed fulfill his potential.

The question now is, especially after how this summer has gone, do you pay upfront for potential talent to an extent that seems unreasonable to a fault?

I would still doubt that Noel ends up with that max contract, but some positioning here could earn him a few extra bucks.

NBA confirms Lakers under investigation for potential tampering with Paul George

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Paul George is not a member of the the Los Angeles Lakers. Yet.

The California native has one year to go on his contract with the Oklahoma City Thunder after being traded there by the Indiana Pacers. Rumors have been swirling for months about whether George would stay in Indiana, a new city, or if he would bolt for his hometown in LA after the upcoming season comes to a close.

Even more rumors have said that the Lakers have felt confident enough that they are going to get George in the summer of 2018 that they weren’t grabbing him wasn’t considered so urgent that it was a matter of life or death.

Meanwhile, the NBA has confirmed that the Pacers have filed tampering charges against the Lakers, and that the league has hired an independent law firm to conduct the investigation.

From the NBA’s press release:

At the request of the Indiana Pacers, the NBA opened an investigation into alleged tampering by the Los Angeles Lakers. The independent investigation is being conducted by the law firm Wachtell, Lipton, Rosen & Katz. The Lakers have been cooperative and, at this point, no findings have been made. We have asked both teams to refrain from commenting all the investigation is ongoing.

The rumor first broke this weekend when Peter Vecsey published it on his Patreon.

Magic Johnson has spoken publicly about George, explicitly stating that he knows he is not supposed to tamper with players. However, on an episode of the Jimmy Kimmel show, Johnson did say that he would give a wink to George if you happen to see him.

Via Jimmy Kimmel:

“I had to go to school. I had to go to CBA school, salary cap school and tampering school. You can’t tamper with somebody else’s player.”

“We gonna say hi because we know each other. You just can’t say, ‘Hey, I want you to come to the Lakers,’ even though I’ll be wink-winking like, ‘You know what that means, right?’

Punishment from tampering charges are rare in the NBA but are not unheard of. In 2013, the Atlanta Hawks, Houston Rockets and Sacramento Kings were fined for name dropping Dwight Howard and Chris Paul.

According to ESPN, Johnson is at the center of the investigation for tampering with George. If evidence is found, the punishment could be significant for LA, and could include future restrictions when it comes time to acquire George.

Via ESPN:

The Lakers are denying the allegations filed by the Pacers, insisting that there is no evidence of tampering, and they expect to be cleared in the matter, a team source told ESPN.

If the league office’s probe can prove the Lakers were guilty of tampering with George while under contract with Indiana, Los Angeles can be punished in several ways, including a loss of draft picks, financial fines up to $5 million, future restrictions on acquiring George and possible suspensions of offending officials.

It’s still unclear at this point if anything is going to come out of this investigation, but it certainly does seem as though Los Angeles is confident that they are going to be able to sign George next summer.