Amar’e Stoudemire regrets microfracture surgery, had it only because he didn’t know what it was

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Amar’e Stoudemire had microfracture surgery before the 2005-06 season, and he played just three games late that year.

But he returned to make five more All-Star games, an All-NBA first team and three All-NBA second teams.

It sure doesn’t seem as if that surgery hindered Stoudemire’s career. It seems as if it saved it.

A spate of other injuries, not just the 2005 knee problem, have set him back in the years since.

That’s why I was surprised to see Stoudemire say he regretted the microfracture surgery.

Stoudemire, via Jared Zwerling of Bleacher Report:

My intense training focus first started after my microfracture surgery in 2005. That was the hardest recovery I’ve ever been through in my life. I actually didn’t know what a microfracture was. If I had known what a microfracture was, I would have never gotten that procedure. Going into surgery, it actually wasn’t guaranteed that I was going to have a microfracture.

The doctors said, “There’s an option between a scope or a microfracture depending on how big the injury is.” So I said, “OK.” They said, “We’re going to go in and see, and if it’s a microfracture we’re just going to have the procedure.” So I wake up and there’s a microfracture, so I’m like, “Holy smokes. How long am I out for?” They said, “Six to 12 months.” I couldn’t walk for like two months after the procedure. No weight bearing and I had a machine that flexed my knee for me. I was like, “Man, this is crazy.”

When I went through the recovery, one day I feel great and the next day I’m in excruciating pain. It was just back and forth. I’m hearing, “Stoudemire will never be the same. He will not recover from this injury.” They’re naming Jamal Mashburn, Penny Hardaway, Chris Webber—all these great players who had this procedure and never returned. And I have a day where I feel like, “Oh, I’m back,” and then I feel like, “Oh, can I ever get back?” So I had to work and train and work and train, and I developed a habit of training.

It seems Stoudemire was in a bad position as soon as his knee reached the level of damage it had. What were his alternatives to microfracture surgery?

I reached out to Ben Wedro of MD direct, and with the caveat he doesn’t know Stoudemire and hasn’t reviewed his medical records, Wedro provided context about microfracture surgery and answered my question:

There are two types of cartilage, hyaline and articular. Articular lines joints and is thicker and stronger than the other. Unfortunately, articular cartilage has poor blood supply and does not heal well when damaged.

In microfracture surgery, small holes are drilled through the bone beneath the damaged area. This allows blood to well into the area and clot. It begins to heal and form hyaline cartilage, not as strong as articular, but adequate to return an athlete to play for awhile.

The rehab is 6-12 months because it takes time for the new cartilage to form and stabilize. Forcing the femur onto the healing  area with walking would prevent the purpose of the surgery.

There are some alternatives to microfracture surgery now available and likely could have been used in 2005, including cartilage cell injection. It requires both an arthroscopy of the knee to assess the damage and harvest cartilage cells plus an open operation to cut into the knee to perform the transplant. (The cartilage cells are reproduced in the lab to make millions to form a patch.) The rehab time is the same as microfracture.

The bottom line is that the initial injury is what altered his career. The operative repair allowed him to maximize potential after injury.

Stoudemire has had an excellent – and, at this point, underrated – career. It sure seems the microfracture surgery helped him continue it as well as possible.

An intriguing what if: How good would Stoudemire have been if not for his injuries?

But that’s a different question than: How good would Stoudemire have been if nor his microfracture surgery? It seems the answer is: about the same.

Everything big and small goes right for DeMarcus Cousins in Warriors debut

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LOS ANGELES — It was the little things.

Not that DeMarcus Cousins’ overall line — he fouled out with 14 points on 5-of-11 shooting, 3-of-4 from three, six rebounds, three assists, one block, and he was +21, all in 15 minutes — was bad at all. In fact, it was pretty damn good. In his first game in nearly a year, Cousins looked like a slightly rusty version of himself. All the trademarks were there, from hitting threes to complaining about calls.

Cousins made the Warriors better from the moment he stepped on the court, and while the big things were obvious it was the little things should worry any challenger to the crown. For example:

• Cousins’ ability to not just score but to be a playmaker out of the midpost adds a new dimension to the Warriors offense.

• Cousins provides versatility to sets the Warriors already run regularly. For example, in the third quarter, he was the guy making the entry pass on the double-screen play the Warriors like, with Draymond Green in the post and Klay Thompson curing off the screens. Cousins set a hard screen that freed Thompson up for a clean look.

• He gives them another three-point shooter, one that creates matchup problems for defenses. The Clippers chose to chase Stephen Curry and Klay Thompson over picks and play on top of them, but that means the big has to drop back and protect against backcuts and drives. Do that with Cousins off the ball and he’s wide open for threes.

“I want to know what the scouting report is on me,” Cousins joked about how open he was from deep.

• Cousins is strong on the offensive glass and that’s going to lead to more kick-out threes for Golden State’s shooters.

• Cousins also gives the Warriors some defense. He’s a big body in the paint who knows how to get in the way. At one point on back-to-back plays Cousins drew a charge on Tobias Harris, then on the next trip down stripped Harris when he drove.

“Like a kid on Christmas,” Cousins said of how he felt on the night. “It’s been a long journey… this was probably one of the best days of my life, just being out on the floor again and playing the game that I love.”

Cousins was part of the Warriors picking up their seventh straight win, beating the Clippers 112-94. Curry led the way with 28 points.

Everything went Cousins’ way — he even got a standing ovation from the bench when he fouled out.

“Hopefully that’s the last time we give him a standing ovation when he fouls out, but it was great to see him out there,” Durant said.

“Probably all the fakest love I’ve received in my life,” Cousins joked.

The NBA world shook when Cousins signed with the Warriors last July. Everyone knew it was going to take him a long time to get healthy and right, but Golden State was a team that could be patient and wait for him, not rush him back, and when he did play it would be another weapon to punish switches or just use in their existing sets.

“I thought, good for him. It’s a good spot for him,” Clippers’ coach Doc Rivers said of his reaction when he read about the Cousins signing. “And then I thought, wow, that’s not right.”

Cousins started the game with Curry, Thompson, Kevin Durant, and Draymond Green, which meant nobody could really double him.

“This is a first, like in my entire basketball career,” Cousins said of the lack of doubles thrown at him. “I definitely can get used to this.”

Cousins’ first bucket as a Warrior was a thunderous dunk, one created because his man had to focus on Durant (and Danilo Gallinari was late with the rotation).

“I’m just glad to know I can still dunk,” Cousins joked.

Cousins said he was nervous before the game but his girlfriend sent him a picture of himself in the hospital, sitting in a wheelchair the day after his surgery. That helped put the journey in perspective.

“It’s been a year since his injury, he’s gone through a long rehab process…” Kerr said before the game. “This is not the end of the story, this is sort of the middle of the story and it’s a milestone but there is a long way to go.”

Cousins is going to get better at things big and small as that journey continues.

Which should scare the rest of the NBA.

DeMarcus Cousins’ first bucket as a Warrior is a monster jam

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LOS ANGELES — DeMarcus Cousins sure looked his hops are back on this throw down.

Cousins started for the Warriors Friday night after missing almost a full year with a torn Achilles, and on the Warriors first possession they fed him the rock in the post. Cousins faced up on Marcin Gortat, drove baseline with a nice first step, but got caught under the basket and couldn’t power it up through the Clipper big, getting his shot blocked.

Nobody was blocking his next shot.

It was a side pick-and-roll where Gortat had to cut off Durant’s drive, but Danilo Gallinari didn’t tag into the middle to cut off Cousins’ roll (or, made the business decision not to). The result was an impressive first bucket for DeMarcus as a Warrior.

Cousins’ first shift was three minutes long. He’s on a minutes restriction for a while.

D’Angelo Russell drops 40 on Magic including shot that put Nets up for good

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D'Angelo Russell is playing like a guy in a contract year. And that’s just fine with Brooklyn.

Russell tied his career best with 40 points Friday night against the Magic, including hitting the shot that put the Nets up for good on the night with 27 seconds remaining. Russell was 16-of-25 shooting, including 8-of-12 from three, and he was an analytics dream — Russell took all but one of his shots either in the paint or from three.

The Nets — now 24-23 on the season and the sixth seed in the East — came from 21 back to get the win and that included their guards hitting the big shots at the end.

First up was Spencer Dinwiddie.

Then came Russell’s shot that proved to be the game winner.

With the Nets extending Dinwiddie during the season, it’s unlikely Russell returns to Brooklyn next season, but a number of teams are interested in him as a free agent (restricted, the Nets can match if the offer is low).

Report: Isaiah Thomas could return to Nuggets right before All-Star break

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The Denver Nuggets have shown off their depth this season. Three starters — Will Barton, Gary Harris, and Paul Millsap — have missed a chunk of time and yet until a few days ago the Nuggets were the top seed in the West, and they are still a clear second.

And all of that without Isaiah Thomas, their biggest name reserve. He has been recovering from hip surgery last March.

The Nuggets are hoping Thomas will make his debut next month, right before the All-Star Break, reports Adrian Wojnarowski of ESPN.

Thomas has been gathering momentum in his rehabilitation process from hip surgery in March, and there’s hope among Thomas and the Nuggets organization he could return as soon as a Feb. 11-13 homestand against Miami and Sacramento, sources said.

There’s strong confidence that he will return no later than the first game after the All Star break on Feb. 22 in Dallas, league sources said….

The final hurdle for Thomas remains playing full 5-on-5 scrimmages. He is expected to start that process soon.

Thomas was playing well and playing through pain in Boston, becoming a fan favorite and pulling that team into the postseason, before his hip injury caught up with him. He tried to recover without surgery playing for the Cavaliers and Lakers last season, but that never really worked like he hoped. He had the surgery and signed a one-year deal with the Nuggets.

Thomas could provide a playmaking guard off the bench, although Monte Morris has filled that role for the Nuggets so well he gets mentioned as a most improved player candidate. Coach Mike Malone will need to finesse the minutes to get both of them touches and involved. How much Thomas can help the Nuggets in the playoffs depends on how he recovers (he has always been a defensive liability because of his size, which factors in as well).

If Thomas can show he would have value as a bench player he will have teams calling next July about a much bigger contract. He has motivation, and he’s popular around the league — people want to see him succeed. But is he fully healthy and does he still have the lateral explosiveness that made him so hard to stop on drives to the rim? We should find out the final couple months of the season.