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What’s It Like to Return from a Major Injury?

Alex Kennedy talked to players about the physical and mental stress of returning from a significant injury.

Alex Kennedy

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Entering the 2016-17 NBA campaign, a number of notable players are returning to the court after suffering a significant injury last season. This includes big-name stars such as Anthony Davis (left knee), Blake Griffin (left quad), Chris Paul (right hand), John Wall (both knees) and Marc Gasol (right foot).

Every step of an injury is difficult on a player, and their eventual return is no exception. While it’s the culmination of a ton of hard work and they’re thrilled to return to the game that they love, there’s always the possibility that the individual will be limited (physically and/or mentally) at least initially.

When a player goes through an intense rehab regimen, it can drastically change their body. This forces them to make adjustments once they’re healthy enough to play again. Dan Barto, who has trained over 100 NBA players as the Head Skills Trainer at the famed IMG Academy in Florida, has seen this happen many times as a player makes a comeback.

“Any time an athlete misses an extended period of time, they typically come back and work extremely hard, but they’re working with a new body and an old mind,” Barto explained to Basketball Insiders. “When they get back on the court, these ultra-athletic guys have a bunch of very strong muscles from the rehab they’ve done, so their old movement patterns and old reactionary on-court moves put pressure on different areas that their body isn’t used to. Sometimes they try to avoid the pain by moving too hard to one side. Sometimes their muscles are so strong, but their body and joints aren’t ready for the hard cutting and reactionary movements they’re doing. This can lead to an overuse injury or a tear because you’re basically putting a different engine into a car. In some cases, a player has to change the way that they play or work out after an injury to avoid wearing that area of their body out.”

Barto stressed that the key for a player to return to full strength is taking the rehab process slowly. Many NBA players are extremely hard workers who want to be in the gym as much as possible and push to return earlier than expected. While the player thinks they’re doing what’s best for themselves and their team, that kind of mentality can cause problems.

“I think sometimes a player will be cleared and then they think, ‘I’m ready to do everything again,’ but they need to ease back,” Barto said. “In baseball, you have minor league rehab assignments and simulated games for players to test themselves. But in basketball, you hardly see that method used. Rarely do teams send a guy to the D-League for a rehab assignment, but that could help ease them back.”

Jodie Meeks appeared in just three games for the Detroit Pistons last season due to a non-displaced fracture of the fifth metatarsal in his right foot. The veteran shooting guard was traded to the Orlando Magic this summer, but was recently ruled out indefinitely due to another surgery to stabilize the same metatarsal.

“You want to get back as soon as possible, while not rushing it,” Meeks told Basketball Insiders. “It’s real tough to balance those things.”

Barto has a strict order he follows as he eases a player back from an injury.

“What we do when a player is cleared – and I’ve even done this for players who are overweight and trying to get back into shape – is we do a lot of shooting first,” Barto said. “Then, we do jogging. Then, we add some ball-handling and moves. Then, we add jumping and, finally, some contact. If a doctor says you’re going to be out eight months due to an ACL injury, I’ve always said, ‘You need to take nine or 10 months before returning.’ You need time for athletic foundation build-up and then planned contact followed by actual reactive basketball simulation. The best order when a player is coming back is shooting and conditioning, then cutting and moving with the ball, then planned contact and basketball simulation.”

It’s also important to note that every injury is different, which is something Barto was quick to point out.

“Shoulder and ACL injuries are tough to rush back from,” Barto said. “And with ACL injuries, the player needs to slowly get back onto the court and build back up their athletic foundation or they’ll be more at risk for re-injury.”

Then, there’s the mental side of recovering from a serious injury. Not every player can be like Adrian Peterson or Paul George, putting their serious injury behind them and having an amazing bounce-back season right away. Some players struggle with the fear of re-injury. Others are hesitant to duplicate their pre-injury style of play (consciously or not). Mental hurdles are extremely common for a player who is trying to return to form.

BillupsInsideInjury1In fact, when talking to current and former NBA players, the majority said that recovering mentally was the toughest part of their comeback.

“Physically it’s hard, but through rehab you regain the strength and stability that was lost; however, the biggest obstacles are mental,” NBA champion Chauncey Billups told Basketball Insiders. “You have to rebuild your confidence. You not only have to prove to the team and the fans that you’re back but, more importantly, you have to prove it to yourself. Being injured has a way of chipping away at one’s confidence. When you cross that bridge [and regain your confidence], you’re back.”

“You have to get over the mental aspect, the thought of re-injuring yourself, and just trust your hard work and dedication to get back,” Meeks said. “You have to focus on what you can control – things like your effort and mental focus.”

“Coming back from my season-ending back surgery in 2014 was one of the toughest things I have dealt with in my life,” Phoenix Suns guard John Jenkins told Basketball Insiders. “Mentally and physically, I was drained for the first two-to-three months. You hate not playing the game you love for that long, but you learn to embrace the challenge and attack your rehab the same way you would attack a game or practice. Getting back on the court felt different and it takes a while to get back in playing shape. I would say that the hardest part for me was getting my conditioning where I wanted it and getting back into playing rhythm. I missed almost seven months. But after a good two to three weeks on the court, I started to see positives and regain confidence in my back and my game.”

“I was worried about whether I was going to be the same player after the injury,” said forward Adonis Thomas, who suffered a season-ending wrist injury in December. “After returning, I didn’t do anything to change my game though; I played with confidence immediately. But I was worried at first. [My goal became] to be better than I was before being injured. And I wanted to be in the best possible shape, that way I could prevent any other injuries in the future.”

When it comes to helping players with the mental aspects of their recovery, Barto has several methods that he uses.

“I think visualization is important,” Barto said. “You can’t go back and watch highlights of your old self. Using someone like Derrick Rose as an example, I wouldn’t advise him to watch his old film. I’d tell him to close his eyes and imagine himself playing in a Knicks uniform as opposed to dwelling on the past. And, ideally, you want everyone around the organization helping him with this and being on-board with this approach.”

The ease-back strategy also helps the player mentally, since it gradually increases their confidence and they start to feel like themselves again as they go through the progressions.

“In addition to visualization, a player should have a four-to-six week window once they’re cleared where they’re psychologically advancing,” Barto said. “They’re thinking, ‘Okay, I can make some shots now. Next, I can do sprints. Okay, my handle feels sharp and back up to speed. Okay, now they’re leaning on me, but I know they’re going to lean on me and play dummy defense.’ Then, with the simulated basketball, you’re being defended at 75 percent. It’s basically AAA level. By easing them back this way, they advancing physically and mentally.”

As the players quoted above pointed out, getting the body and mind right are equally important.

Returning from an injury is one of those things that players typically do behind the scenes. Outsiders rarely get to see the hard work that an individual is putting in or hear what issues they are dealing as they go through the process. Instead, very little information is disseminated between the point the injury occurs and the eventual comeback. Hopefully, pulling back the curtain on this process gives everyone a better idea of what a player may be feeling and thinking during that important recovery period.

Alex Kennedy is the Managing Editor of Basketball Insiders and this is his 10th season covering the NBA. He is a member of the Professional Basketball Writers Association.

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NBA

NBA Daily: Garrett Temple Fitting In With Clippers

David Yapkowitz sits down with Los Angeles Clippers swingman Garrett Temple to discuss his niche with the team and the culture they’ve established under Doc Rivers.

David Yapkowitz

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It’s been a season of silencing the doubters for the Los Angeles Clippers. Back in October when the NBA season began, you’d be hard pressed to have found anyone that would’ve given them a chance at making the playoffs.

Flash forward to the present, and they not only have made the postseason, but they’re currently tied 1-1 in the first round with the defending champion Golden State Warriors – and with the next two games on their home-court.

Even as recently as the trade deadline, there were people and pundits who doubted them when they traded away Tobias Harris, who was having an All-Star caliber season. But the new guys who arrived in February have been a huge reason why the Clippers continued to win, especially Garrett Temple.

The nine-year veteran began this season in Memphis after having spent the last two years with the Sacramento Kings. When the Clippers dealt Avery Bradley at the deadline, Temple – along with JaMychal Green – was one of the two pieces the Grizzlies sent back.

Temple had been a bit of journeyman prior to his time with the Kings and the four years before with the Washington Wizards. From his rookie season in 2009-10 to 2012-13, he had stints with the Houston Rockets, San Antonio Spurs, Milwaukee Bucks and Charlotte Hornets. When he first arrived in LA, he could tell right away the locker room dynamic.

“It’s great, we have a team where everybody knows their roles, everybody wants to win,” Temple told Basketball Insiders. “Winning is most important here, there’s no egos. We have a team like this where guys are coming together to do whatever coach [Doc Rivers] says. When it’s all about winning, good things can happen.”

And good things did happen. Following the trade deadline, the Clippers went 17-7, including win streaks of five and six games, to finish the season. They were two wins short of winning 50 games.

Temple had a big hand in that, sort of taking over the role Bradley played as the defensive-minded guard, who can stretch the floor and knock down the three.

“Coming off the bench, I give them some defensive energy. I give energy on the offensive end too, in transition, pushing the ball, make my open shots when I’m open,” Temple told Basketball Insiders. “When I get the chance, I make sure I push the pace. But just bringing that energy on the defensive side.”

Defense has been Temple’s strong suit since he’s been in the NBA. At 6-foot-6, he’s got the size to defend both guard positions as well as some small forwards. In this playoff series, he’s got the daunting task of being matched up against Stephen Curry or Klay Thompson.

But defense is something he prides himself on. He isn’t going to back down no matter who is standing across from him. Even as the oldest player in the Clippers locker room, he remains one of their best defenders.

“No question, I’ve prided myself on that since I got in the NBA. It’s part of the reason why I’ve been able to stay in the league,” Temple told Basketball Insiders. “A lot of guys in this league come off the bench and try to score. I pride myself on being that guy on the bench unit that can defend any three positions on the court.”

Since coming over to the Clippers, Temple has been averaging 4.7 points in 19.7 minutes per game. Normally a reliable three-point threat, his shooting numbers have dipped a bit. He’s down to 29.6 percent from three.

None of the team played well enough to mention in Game 1. But in the Game 2 thrilling comeback, Temple gave solid contributions of seven points, knocking down both his free throws and knocking down one of his two attempts from three-point range.

“You don’t fix what’s not broken, you continue to do what you do, whatever’s your strength,” Temple told Basketball Insiders. “Obviously there’s different transitions and different lingo, but at the end of the day, it’s just basketball. I find myself getting comfortable with what our coaches like us to do on the defensive end and offensive end, and trying to fit in well.”

It remains to be seen what happens in this series against the Warriors, but one thing is for sure – the Clippers definitely have Golden State’s attention. To this group, though, the fact that they were able to pull off a historic comeback probably isn’t surprising to them. They’ve prided themselves all season on having this tough mentality.

Temple recognized it right away before the playoffs even began. When he was in Memphis, he experienced the ‘Grit and Grind’ culture of hard-nosed basketball that the team had embraced. He noticed a similar time vibe with the Clippers, a vibe he knew would make them scary come playoff time.

“Just the fact that everybody is hungry, everybody understands their role. There’s no question from anybody what they’re supposed to do when they get on the court. It’s tough when you have a team that just got together,” Temple told Basketball Insiders.

“I think the biggest thing is we know what everybody does. We have enough firepower offensively, we have enough defensive pieces, and we have a Hall-of-Fame coach. We have a good recipe to be somebody to be reckoned with.”

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NBA Daily: 60-Pick NBA Mock Draft – 4/16/19

The deadline to declare for the 2019 NBA draft is April 29th, however, most of the notable prospects have already declared and started the training and preparation process. Steve Kyler offers up his latest weekly 60-Pick Mock Draft.

Steve Kyler

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Let the chaos begin!

The 2019 NBA Draft class has taken on more of a defined shape with the bulk of the expected early entry players having already declared for the draft, with several already in pre-draft gyms training and preparing for the marathon pre-draft process that will play out over the next 65 days.

There are a few dates to keep in mind as the draft process ramps into full speed.

The NBA deadline to declare for the 2019 NBA Draft is 11:59 p.m. on April 29th. Players must submit in writing to be a part of the draft. Once the early entry players are official, teams can start working those players out.

The NBA Draft lottery which will determine the top four selections of the 2019 NBA Draft will be held in Chicago on May 14th, just as the annual Draft Combine kicks off.

The NCAA has changed its rules and will allow players to not only test “the waters” but retain an agent, assuming that player does not accept anything more than transportation, reasonable lodging and meals related to meeting with that agent or conducting workouts for NBA teams.

The NCAA requires those players that wish to remain eligible to withdraw from the draft by May 29th.

The last date to withdraw from the draft by NBA is 5 p.m. on June 10th. This is usually not college level players; this date is typically international players that opt out of the draft.

The 2019 NBA Draft is set for June 20th.

Here is this week’s 60-pick Mock Draft:

Here are the first-round picks that are owed and how those picks landed where they are.

The Atlanta Hawks were to receive the Cleveland Cavaliers’ first-round pick as a result of the Kyle Korver trade in 2017, which is top-10 protected. But based on the final standings, that pick will not be conveyed.

The Boston Celtics were to receive the Memphis Grizzlies first-round pick as a result of the three-team Jeff Green trade in 2015; the pick is top-eight protected and, based on the final standings, that pick will not be conveyed.

The Atlanta Hawks are to receive the Dallas Mavericks first-round pick as a result of the Luka Dončić – Trae Young swap on draft night in 2018. The pick is top-five protected and, based on the final standings, that pick will be conveyed.

The Boston Celtics are to receive the more favorable of either the Sacramento Kings or Philadelphia 76ers first-round picks as part of the Markelle Fultz pre-draft trade in 2017. Based on the final standings, that pick will be conveyed; the Kings pick is the more favorable and would convey to Boston.

The Boston Celtics are to receive the LA Clippers first-round pick as a result of the Deyonta Davis draft day trade with Memphis in 2016. The Grizzlies got the pick in their Jeff Green/Lance Stephenson deal at the deadline in 2016. The pick is lottery protected and, based on the final standings, that pick will be conveyed.

The Cleveland Cavaliers are to receive the Houston Rockets first-round pick as a result of the three-team deadline deal that sent out Brandon Knight and Marquese Chriss.

The Brooklyn Nets are to receive the Denver Nuggets first-round pick as a result of the Kenneth Faried – Darrell Arthur trade in July 2018. The pick is top-12 protected and, based on the final standings, that pick will be conveyed.

The San Antonio Spurs are to receive the Toronto Raptors first-round pick as a result of the Kawhi Leonard – DeMar DeRozan trade in July 2018. The pick is top-20 protected and, based on the final standings, that pick will be conveyed.

The Phoenix Suns are to receive the Milwaukee Bucks first-round pick as a result of the Eric Bledsoe trade in 2017. The pick has top 3 and 17-30 protections, designed to yield a lottery-level pick to Phoenix. Based on the final standings this pick would not convey. Given that the debt is not settled this year, the Bucks pick in 2020 would be top-7 protected.

More Twitter: Make sure you are following all of our guys on Twitter to ensure you are getting the very latest from our team: @stevekylerNBA, @LangGreene, @EricPincus, @TommyBeer, @jblancartenba, @SpinDavies, @JamesB_NBA, @MattJohnNBA, @DrewMaresca, @JordanHicksNBA, and @Ben__Nadeau .

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NBA Daily: Wear & Tear Rearing Ugly Head In Playoffs

A rigorous schedule and demanding workload have limited three of the NBA’s best in the playoffs, writes Spencer Davies.

Spencer Davies

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There is nothing worse in sports than seeing somebody get hurt.

In the NBA, we’ve seen plenty of devastating setbacks. Torn ACL’s, ruptured Achilles, broken bones—all of them season-enders and most of them career-alterers.

Jusuf Nurkic’s gruesome leg injury most recently comes to mind. Before that, Victor Oladipo and Dejounte Murray. Last year, Gordon Hayward’s season was cut short less than halfway into a single quarter, as was DeMarcus Cousins’ in the midst of a dominant campaign. And there’s more going without mention, to boot.

It’s unfortunate that these things happen. Most of them are freak accidents, bad luck or something completely unexpected in an instant. But there’s another type of injury that’s affected the league and its postseason that needs to be addressed.

The term “wear-and-tear” is used predominantly to describe the aging of inanimate objects—shoes, tires, furniture, you name it. Yet, it has another meaning when it comes to the human body. As is the case with the majority of athletes, NBA players like to push their limits, so much so that it sometimes ends up biting them in the behind from doing it on a consistent basis.

Not shortchanging the game on effort is to be expected, but giving 110 percent and going the extra mile nightly to earn victory after victory is a whole ‘nother level of commitment to your craft. While those guys should be rewarded for it, unfortunately, they are oftentimes unfairly punished.

There are three players in the current playoff picture who—when in tip-top shape—can change the course of their respective series in an instant. However, each of those respective talents is dealing with nagging pains affecting their games.

Drawing a first-round matchup with the Milwaukee Bucks wasn’t ideal for the Detroit Pistons. This writer picked an easy sweep for Giannis Antetokounmpo and friends. However, one would be remiss to say that Blake Griffin wouldn’t make things more interesting.

Based on Sunday night, it’s more than arguable that the Pistons wouldn’t have been even close to a .500 record without Griffin’s contributions. He made his first All-Star game in four seasons and played in his most total games in five years.

Of course, as the team battled for a playoff berth, he left every drop of sweat he had. It resulted in left knee discomfort, which has, in turn, caused him to reportedly miss the entire first round of the postseason.

That’s just one case in which a player isn’t seeing the floor. What about the ones who are trying to push through these moments with hefty minutes?

Dealing with a sore knee of his own, Joel Embiid decided to give it a go for the Philadelphia 76ers in their first-round opener. Though he dominated the paint in the early moments and still put up a 22-point, 15-rebound, five-block stat line, it was clear that the dynamic seven-foot center wasn’t himself.

Embiid fired off a third of his shot attempts from the perimeter and never found the mark. When he put the ball on the floor, the burst and nimble footwork he’s shown time after time wasn’t quite there. Sixers head coach Brett Brown could only keep him out there for 24 minutes, well below his season average.

Yes, an Embiid at 75 percent is better than one at zero. It’s just not the same monster we’re all used to seeing on that court, which sucks because, when healthy, “The Process“ is as entertaining and talented as it gets, regardless of size.

We can head out west to find another example. Paul George’s shoulder is clearly bothering him. He stated Monday that the pain is gone—even though there was a bag of ice wrapped around his upper right body as he said the words. That’s probably the right avenue to take so there’s no competitive advantage for the Portland Trail Blazers to exploit against the Oklahoma City Thunder.

George won’t admit this because he wants to be out there and compete at the highest level at the biggest stage. It’s admirable that he’s playing through the pain. He was out there for 42-plus minutes and gave his group all he had. Anybody would take 26 points, 10 rebounds and four steals as an impressive output, too.

It’s the rate at which George struggled—8-for-24 from the field and 4-for-15 from deep, a trend that’s been happening since the All-Star break. Decreased shooting percentages have seemed to be the byproduct of overdoing it. It’s a shame because PG had been lighting it up in the first half of the season to the tune of 40 percent as a three-point shooter.

Whether it’s the reps that have had a negative effect on his motion or the physical style he’s played on both ends, George hasn’t looked like the MVP candidate we were watching back in the December and January.

So why are we bringing this up? Let’s put it as straightforward as possible—shorten the season and start the playoffs earlier.

The topic came up at Adam Silver’s recent media availability session after meeting with the NBA’s Board of Governors, though it was mostly about the pressing concern with players over-resting rather than the subject of wear and tear.

The commissioner has already done an outstanding job at taking a once-ridiculously grueling schedule filled with back-to-backs & four days in five nights and removing the number of such instances at a rapid rate (and completely eliminating the latter).

Possible solutions to lessening the 82-game load are to get rid of preseason altogether and begin the year then. Silver surmised to reporters that in-season tournaments based on the model of soccer overseas might be a way to do it. Another idea brought to the table was taking the full game length from 48 minutes to 40 minutes.

Actively seeking to make the league better is what makes Silver so revered by the NBA, players and executives alike. He’s exceptionally aware of concerns and always has his ears open.

We deserve to see players perform at their peak, especially during this time of year. It’s impossible to control what happens on the floor, but it’s possible to determine the frequency at which things occur.

So, Mr. Silver, this writer is pleading with you: Follow through.

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