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.

Shaq donates a year’s rent to a paralyzed Atlanta boy

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ATLANTA (AP) — Basketball Hall of Famer Shaquille O’Neal has donated a year’s rent in a new home to an Atlanta woman whose 12-year-old son was paralyzed in a shooting at a football game.

O’Neal tells WXIA-TV  that Isaiah Payton’s family had been living in a one-bedroom apartment that wasn’t accessible for people with disabilities.

“It’s just sad. It could have been any one of us,” Shaq told the Atlanta station. “It could have been my son. It could’ve been your cousin. She was living in a one-bedroom apartment with her two boys, so we found her a house in a nice area.”

Now they have a home in a good neighborhood. He says he’s helping furnish the home and will pay its rent for the next year.

Isaiah was shot through the spine in August after a football scrimmage between two high schools. Sixteen-year-old Damean Spear also was wounded and treated for minor injuries. Isaiah’s mother, Allison Woods, has said relearning how to care for Isaiah meant she had to leave her job, adding financial stress to her emotional turmoil.

Jazz reportedly extend contract of coach Quin Snyder, locking him down well into future

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Quin Snyder has evolved into one of the best coaches in the NBA (and my pick to win Coach of the Year this season). He’s built a development program and system in Utah that has turned Rudy Gobert into a two-time Defensive Player of the Year, Donovan Mitchell into the face of a franchise, and Joe Ingles into a guy other teams covet. His players like and respect Snyder, and he has worked well with the front office of Dennis Lindsey and Justin Zanik.

So the Jazz are locking him up with a contract extension beyond the two seasons remaining on his deal. Adrian Wojnarowski of ESPN broke the news.

Utah Jazz coach Quin Snyder has agreed to a long-term contract extension, league sources tell ESPN. Snyder had two years left on his deal, and a new contract extends multiple years beyond that term, sources said.

After upgrading the team’s talent base over the summer, locking Snyder into an extension had been a top organizational priority.

Jazz fans should be ecstatic about this.

Snyder has built a system team in Utah, one that moves the ball beautifully on offense, and that has been tough to defend in the regular season, with the Jazz winning 50 games last season. Utah has made it to the second round of the playoffs the past two seasons, but when the level of play made that leap a lot of the system gets taken away by good defenses, and the Utah offense became Donovan Mitchell against the world. It didn’t work, Mitchell (still just 22) wasn’t fully ready and there was not enough shooting around him.

This past summer, the Jazz added Mike Conley at point guard and Bojan Bogdanovic on the wing, two excellent shooters who also can create off the dribble. Expectations are high in Utah.

Whatever happens, Snyder is their coach now for a long time.

Giannis Antetokounmpo says he learned from Kawhi Leonard: “He was calm”

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Milwaukee was up 2-0 in last season’s Eastern Conference Finals on Toronto, having won those games by an average of 15 points. Giannis Antetokounmpo had scored 54 points, pulled down 31 rebounds, dished out 11 assists, and was looking every bit the MVP.

Then the games shifted to Toronto, Kawhi Leonard took over — including guarding Antetokounmpo more — and the Raptors rattled off four straight wins to take the series on their way to the NBA title. The Greek Freak still averaged 20.4 points a night in those final four games, but the buckets were much harder to come by.

Milwaukee returns this season as the Eastern Conference favorites and legit title contenders, in part because of what they learned from that loss. Antetokounmpo told Vincent Goodwill of Yahoo Sports he learned a lot directly from Leonard in that series.

“I learned a lot from him,” Antetokounmpo said. “He knocked down free throws. He was calm. When double-teams came, he was swinging the ball but getting it right back. He was aggressive. He was calm but he was on a mission.”

Leonard is the living embodiment of the old John Wooden axiom “be quick, don’t hurry.” He’s not rushed, he’s rarely forced into shots he doesn’t want to take or plays he doesn’t want to make.  That’s true of all champions on some level. LeBron James, Kobe Bryant, Tim Duncan all bring an inner calm.

If Antetokounmpo brings that to his game, the Bucks are one big step closer to a title.

Domantas Sabonis on trade rumors: ‘I know exactly how the Pacers feel about me now’

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The Indiana Pacers have started to explore the trade market for Domantas Sabonis. There are logical reasons for this: Sabonis is good (he was second in Sixth Man of the Year voting last season), yet he and the Pacers are nowhere near agreement on a contract extension, and the Pacers already paid big money for Myles Turner to be their center, how much do they want to pay Sabonis, too?

That’s sound logic if you’re in the Pacers’ front office.

If you’re Sabonis, it can feel like a slap in the face to a guy who put in a lot of sweat and passion for the franchise. That’s what Sabonis sounded like in this quote, via Scott Agnes of The Athletic.

The Pacers are not talking about the report, which started with the well connected and reliable Sam Amick at The Athletic.

Pacers’ brass needs to talk about this with Sabonis (and likely already have, behind closed doors). If the Pacers trade him, it’s likely not until after Dec. 15 at the earliest (when most players signed this summer can be included in a deal) and probably closer to the February trade deadline. That’s a lot of season to play out, and Sabonis remains a vital part of the Indiana rotation.

There is likely to be a lot of interest in Sabonis on the market. However, because he’s a center (a position teams are careful not to overspend on in today’s market) and in the last year of his rookie deal — meaning he becomes a restricted free agent next summer and gets more expensive — teams are not going to overpay for him. Right now the Pacers are asking for too much and interested teams are lowballing their offers. The sides will meet in the middle.

That middle could shift if Sabonis has a rough start to the season. Both sides need him to play well and feel comfortable, whatever is going on with the business side of his contract.