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.

Hornets’ GM slips up, introduces Dwayne Bacon as Dwyane Wade

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It’s a slip that would have made Freud proud.

Charlotte had a good draft night. In the first round, Kentucky shooter Malik Monk fell to them at 11 and they grabbed him. In the second round, they took a smart risk with Florida State wing Dwayne Bacon.

Friday came the usual team press conference with the GM introducing his players and Charlotte GM Rich Cho made a mistake, introducing Bacon as “Dwyane Wade.”

I love Bacon’s reaction.

Cho instantly realized his mistake and laughed it off, then later said: “Actually, I think they have some similarities.” Hornets fans can only hope.

Kevin Durant trolls Westbrook, haters with cupcake hat — now topped with a ring

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Back when Kevin Durant and Russell Westbrook were breaking into the NBA together and learning how to win together, one of their veteran mentors was tough guy Kendrick Perkins. When Perkins thought someone was acting soft, he called that player a “cupcake.”

When news broke on the Fourth of July last summer that Durant was leaving OKC for Golden State, the NBA world freaked out. Except for Westbrook. He just posted one Instagram photo that day — a tiered tray of red, white, and blue cupcakes. It was meant as a subtle jab at Durant, but when word got out (via Lee Jenkins of Sports Illustrated) what it meant, Thunder fans embraced it and had cupcake signs and clothing made for Durant’s return to Oklahoma City.

Durant had the last laugh — he’s got a new hat with a cupcake on it, topped by a ring.

Well played Durant. Well played.

Another report Rockets “aggressively” trying to clear cap space to chase Chris Paul

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Daryl Morey is big game hunting. Again.

The Rockets, with James Harden running Mike D’Antoni’s offense, made a leap up to the NBA’s second tier last season — then landed with a playoff thud. The team should be better the second season in the same system, but to get past the Warriors, the Rockets need more talent.

Hence the Rockets are going to chase Chris Paul. That’s not new news to anyone paying attention, but Chris Haynes laid it out in more detail in on SportsCenter.

The Rockets need talent and Chris Paul is unquestionably that. He and James Harden could figure out how to play together.

The problem is money. Chris Paul is going to demand max or near-max money, so close to $30 million. The Rockets enter the summer with about $10 million. The Rockets need to clear cap space and are ready to deal so long as they don’t take contracts back. Lou Williams will make $7 million next season, so even moving him and Patrick Beverley is not enough to land a Chris Paul or Paul Millsap. Moving Ryan Anderson ($19.6 million) or Eric Gordon ($12.9 million) helps much more.

That Morey is being aggressive isn’t the news, the question is can he find a willing partner to lower some money off his cap and give him a sense of what is to come. CP3 is going to meet with a lot of teams, but the Clippers do have advantages and are the favorites to retain him.

Jimmy Butler trade sets the stage for looming free agency

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(AP) — As draft night approached, some of the heavy hitters in the NBA – Cleveland, San Antonio, Houston, Boston, the Clippers among them – were jockeying, making calls and looking for deals to try to position themselves to make a run at the Golden State juggernaut.

The Warriors’ greatness has forced the rest of the league to do deep self-examination and be aggressive in upgrading their rosters if they’re even going to have a chance to compete. The Celtics and Cavaliers were looking hard at Pacers star Paul George and Bulls guard Jimmy Butler, the Rockets and Spurs were looking at clearing cap space to make a run at some big-name free agents next week and the Knicks were, well, the Knicks.

Draft night always lays the groundwork for what will happen when the circus (officially known as free agency) begins on July 1. And with all of those contenders looking to make a splash, the biggest move was made by … the Minnesota Timberwolves.

The Wolves reunited Tom Thibodeau with Butler, giving up two promising young players in Zach LaVine and Kris Dunn and the No. 7 overall pick to land one of the best two-way players in the game. The move should jumpstart Minnesota’s pursuit of its first playoff spot since 2004 and, the Wolves hope, pave the way for success in free agency.

“I think it will (help) a lot,” Thibodeau said. “With players, they look around the league, they see the makeup of the team, they see how they play, play together. That’s the main thing. Both offensively and defensively.”

The Timberwolves have long had difficulty attracting free agents to a relatively small market that spends four months of the year covered in ice and snow. Landing a top-15 player like Butler to team with Karl-Anthony Towns and Andrew Wiggins sends a sign of how aggressive the teams could be.

The Bulls plunged head-first into a rebuild with the decision, and now it’s up to the Pacers to decide if they want to do the same.

Much to the dismay of Pacers GM Kevin Pritchard, George let it be known last week that he did not plan to re-sign in Indiana when he becomes a free agent next summer. Most of the league assumes that he wants to play for the Los Angeles Lakers, who appear to be in a tug-of-war with the rival Celtics for George’s attention.

“I’m confident we’ll get something,” Pritchard told reporters in Indianapolis on Friday.

One of the big markets affected on Thursday night was at point guard, the deepest position in the league. Philadelphia, the Lakers, Sacramento, New York and Dallas all drafted point guards in the top 10, which could diminish the options for veterans like Jrue Holiday, George Hill, Jeff Teague and Patty Mills.

The elite point guards available – Chris Paul and Kyle Lowry – should have no trouble finding significant contracts. With Tony Parker suffering a serious injury in the playoffs, the Spurs were reportedly trying to clear space to make a run at Paul, who is widely considered the best point guard in the league. Paul has spent the last six seasons with the Los Angeles Clippers, but has yet to advance to the Western Conference finals.

The Clippers are trying to make a decision about retooling around the core of Paul, Blake Griffin and DeAndre Jordan, but really it’s a decision that depends largely on Paul’s thinking. He has long struggled to win big in the postseason, and heading to San Antonio to join with Kawhi Leonard or Houston to team up with James Harden could prove to be more attractive.

Lowry figures to remain in Toronto with a Raptors franchise that he has helped put back on the map, but after that there will be few teams in the market for a high-priced starting point guard. Denver, Utah, New York and Indiana could wade into those waters. But if they look at themselves as still being a couple of year away, they might be hesitant to spend big bucks on a veteran.

Other big names available include Gordon Hayward, Paul Millsap and Andre Iguodala. And while some of the very biggest names like Kevin Durant and Steph Curry figure to stay put, it only ramps up the sense of urgency for teams that have big holes to fill.

The clock is ticking and Thursday night provided the first steps toward making big improvements to the roster.

The Timberwolves rocked the boat with Butler, but the waters were calm after that, which should only mean one thing: It’s about to get real choppy when the clock strikes midnight on July 1.