Embiid out game 1; will play Game 2

[Vermont Green]

Shams Charania
@ShamsCharania

From Run It Back on @FanDuelTV: The latest surrounding 76ers star Joel Embiid, who, sources say, underwent platelet-rich plasma treatment on his injured knee as part of his recovery process

Sources: The knee injury 76ers star Joel Embiid suffered April 20 is considered to be more serious than a Grade 1 LCL sprain. He is currently doubtful for Game 1 vs. Boston.

I know others have referenced this but does anyone have an understand of these treatments?  To me it implies something is damaged and has to heal or kind of grow back.  That does not seem like something that clears up in a week.  If you sprain your ankle (for example Jimmy Butler), you don't typically do the PRP treatments do you?  PRP seems more unique to the knee.  Does anyone know why?  How is an ankle sprain different than a knee ligament sprain?

My understanding is that Grade 1 is stretched ligaments, no tear.  Grade 2 is a partial tear.  The reporting is "something worse than a Grade 1 Sprain".  That seems to imply at least some level of tear.  Would they do PRP treatments with a Grade 1 sprain?  If they did, I am guessing they are just throwing whatever they can at it with the hope of a miracle.

Embiid is a warrior.  I suspect he will do whatever he can.  Maybe a Willis Reed type of moment.

[Vermont Green]

Can you exercise after PRP injections?
The quick answer is no, at least not immediately.

After the plasma-rich platelets are injected into your joints, they won’t take effect immediately. They need time to rebuild damaged tissues and speed up your body’s recovery. Any exercise after PRP injection therapy makes it hard for the platelets to attach to the tissues easily, slowing down the healing process.

How long after PRP can I exercise?
Any kind of exercise after PRP injection must be avoided for at least two weeks after the procedure, as this can impact the injection’s efficacy and even cause complications. You can return to light workouts after 14 days with your medical provider’s approval, but more intense exercises will have to wait until after four weeks of your PRP injections.

https://www.chicagostemcells.com/blog/can-you-exercise-after-prp-injections/?bp=32675#:~:text=How%20long%20after%20PRP%20can,efficacy%20and%20even%20cause%20complications.

Trying to learn more about this.  This web site says avoid activity for 2 weeks or you can negate the benefits of the treatment itself.  More intense exercise should not be done for 4 weeks.

This could all be smoke screen leaks by PHI but if it is true that Embiid "has something worse than a Grade 1 sprain", and also just got a PRP treatment.  I don't see how he plays anytime soon.

[Roy H.]

Shams Charania
@ShamsCharania

From Run It Back on @FanDuelTV: The latest surrounding 76ers star Joel Embiid, who, sources say, underwent platelet-rich plasma treatment on his injured knee as part of his recovery process

Sources: The knee injury 76ers star Joel Embiid suffered April 20 is considered to be more serious than a Grade 1 LCL sprain. He is currently doubtful for Game 1 vs. Boston.

I know others have referenced this but does anyone have an understand of these treatments?  To me it implies something is damaged and has to heal or kind of grow back.  That does not seem like something that clears up in a week.  If you sprain your ankle (for example Jimmy Butler), you don't typically do the PRP treatments do you?  PRP seems more unique to the knee.  Does anyone know why?  How is an ankle sprain different than a knee ligament sprain?

My understanding is that Grade 1 is stretched ligaments, no tear.  Grade 2 is a partial tear.  The reporting is "something worse than a Grade 1 Sprain".  That seems to imply at least some level of tear.  Would they do PRP treatments with a Grade 1 sprain?  If they did, I am guessing they are just throwing whatever they can at it with the hope of a miracle.

Embiid is a warrior.  I suspect he will do whatever he can.  Maybe a Willis Reed type of moment.

From a provider's website:

What is platelet-rich plasma (PRP) and what are PRP injections?

Platelet-rich plasma (PRP) therapy uses injections of a concentration of a patient’s own platelets to accelerate the healing of injured tendons, ligaments, muscles and joints. In this way, PRP injections use each individual patient's own healing system to improve musculoskeletal problems.

PRP injections are prepared by taking anywhere from one to a few tubes of your own blood and running it through a centrifuge to concentrate the platelets. These activated platelets are then injected directly into your injured or diseased body tissue. This releases growth factors that stimulate and increase the number of reparative cells your body produces.

Ultrasound imaging is sometimes used to guide the injection. The photographs below illustrate a PRP injection into a patient's torn tendon. The ultrasound guidance is shown at left and the injection is shown at right.

Platelet-rich plasma has been found to significantly enhance the healing process, and using a PRP injection for shoulder pain caused by rotator cuff tears, for Achilles tendon ruptures and for other soft-tissue injuries is becoming more common.

PRP has also been demonstrated to improve function and reduce pain in people who have tendonitis or chronic tendinosis conditions such as tennis elbow or golfer's elbow.

Some of the key advantages of PRP injections are that they can reduce the need for anti-inflammatories or stronger medications like opioids. In addition, the side effects of PRP injections are very limited because, since the injections are created from your own blood, your body will not reject or react negatively to them. Learn more about PRP injections from the articles and other content below, or find the best doctor who performs PRP injections at HSS to match your particular condition and insurance.

And another:

Platelet rich plasma (PRP) is a medical treatment being used for a wide range of musculoskeletal problems. Platelet rich plasma refers to a sample of blood plasma that has as much as eight times more than the normal amount of platelets. This treatment enhances the body’s natural ability to repair itself and is used to improve healing and shorten recovery time from acute and chronic soft tissue and joint injuries.

Many famous athletes — PGA’s Tiger Woods, NBA’s Steph Curry, MLB’s Alex Rodriguez, tennis star Rafael Nadal, and several others — have received PRP for various problems, such as sprained knees and chronic tendon injuries. This treatment technique is relatively new in the field of sports medicine, but has been gaining popularity quickly. Dr. Meyers has extensive experience with PRP as he has been providing this treatment to patients since 2007.

After PRP injection into your joints, there is usually minimal pain. However, with PRP injection into tendon, there is typically moderate pain for the first few days that may require prescription pain medicine. Typically, PRP injections into tendon will require immobilization for a few days after the procedure. Once you return home, you can use ice over the injected area, elevate the leg or arm and limit your activities as much as needed to remain comfortable. You will need to avoid all non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen, naprosyn, Motrin, Advil, Aleve, Celebrex and Mobic as these can block the effect of the platelets.

Improvement after PRP injection does not happen overnight. Growing new tendon and healing tissue take time. Most patients see some improvement at one month. But, full improvement can take 10-12 weeks or longer.

After tendon PRP, you will typically need physical therapy to help regain motion, strength, and function. Dr. Meyers and his physical therapy department have developed specific therapy protocols to optimize recovery after PRP treatment.

[Phantom255x]

I work at a hospital and actually asked a few of the people I work with (2 of them actual doctors), and they say if it's a Grade 2 LCL sprain, he's done not just for this series, but the whole postseason. A tear isn't going to just heal up completely in a month, and it'll likely be 6-8 weeks.

Maybe his injury is between a Grade 1 and Grade 2 (if that's even possible), but even then that doesn't sound good for his chances of playing this series. Up until the gap between Games 6-7, the games are every other day this series. Not like they have 2-3 days off in between games where he could rest up and potentially return.

[SparzWizard]

I work at a hospital and actually asked a few of the people I work with (2 of them actual doctors), and they say if it's a Grade 2 LCL sprain, he's done not just for this series, but the whole postseason. A tear isn't going to just heal up completely in a month, and it'll likely be 6-8 weeks.

Maybe his injury is between a Grade 1 and Grade 2 (if that's even possible), but even then that doesn't sound good for his chances of playing this series. Up until the gap between Games 6-7, the games are every other day this series. Not like they have 2-3 days off in between games where he could rest up and potentially return.

They're more hopeful for him to return in Game 2. As for being 100%? Doubt it.

[Phantom255x]

I work at a hospital and actually asked a few of the people I work with (2 of them actual doctors), and they say if it's a Grade 2 LCL sprain, he's done not just for this series, but the whole postseason. A tear isn't going to just heal up completely in a month, and it'll likely be 6-8 weeks.

Maybe his injury is between a Grade 1 and Grade 2 (if that's even possible), but even then that doesn't sound good for his chances of playing this series. Up until the gap between Games 6-7, the games are every other day this series. Not like they have 2-3 days off in between games where he could rest up and potentially return.

They're more hopeful for him to return in Game 2. As for being 100%? Doubt it.

Then it might just be a Grade 1 sprain. You can return from those a lot sooner. And Embiid will play hurt which he's shown he's willing to do in the past

[kraidstar]

I work at a hospital and actually asked a few of the people I work with (2 of them actual doctors), and they say if it's a Grade 2 LCL sprain, he's done not just for this series, but the whole postseason. A tear isn't going to just heal up completely in a month, and it'll likely be 6-8 weeks.

Maybe his injury is between a Grade 1 and Grade 2 (if that's even possible), but even then that doesn't sound good for his chances of playing this series. Up until the gap between Games 6-7, the games are every other day this series. Not like they have 2-3 days off in between games where he could rest up and potentially return.

They're more hopeful for him to return in Game 2. As for being 100%? Doubt it.

Then it might just be a Grade 1 sprain. You can return from those a lot sooner. And Embiid will play hurt which he's shown he's willing to do in the past

Even if it's not a tear, this is a terrible situation for Embiid. If that ligament is weaknened he could be jeopardizing his career by pushing it too hard.

[RodyTur10]

Without Embiid I'm 100% sure they won't stand a chance against the Celtics.

[86MaxwellSmart]

I ain't buying any of it, He'll score 40 tonight and it will be the headline tomorrow. 

[Vermont Green]

I work at a hospital and actually asked a few of the people I work with (2 of them actual doctors), and they say if it's a Grade 2 LCL sprain, he's done not just for this series, but the whole postseason. A tear isn't going to just heal up completely in a month, and it'll likely be 6-8 weeks.

Maybe his injury is between a Grade 1 and Grade 2 (if that's even possible), but even then that doesn't sound good for his chances of playing this series. Up until the gap between Games 6-7, the games are every other day this series. Not like they have 2-3 days off in between games where he could rest up and potentially return.

That is what was reported, that it is "something worse than a Grade 1 Sprain".  Not sure if that report is based on fact or what that would even mean from a medical standpoint.  It seems like either there is a tear, in which case it is Grade 2, or there is not a tear, in which case it is a Grade 1.  The definition of Grade 1 that I found is "stretching of the ligament but no tear".  I am sure there are varying degrees of stretching.

I can't help thinking that this is all smoke screen.  Someone leaked this just to mess with the Celtics.  I hope they are ignoring all this.  I bet it is a Grade 1 sprain, no tear.  He will probably play but not be 100%.  Kind of like RWill was last playoff.

[celticsclay]

I work at a hospital and actually asked a few of the people I work with (2 of them actual doctors), and they say if it's a Grade 2 LCL sprain, he's done not just for this series, but the whole postseason. A tear isn't going to just heal up completely in a month, and it'll likely be 6-8 weeks.

Maybe his injury is between a Grade 1 and Grade 2 (if that's even possible), but even then that doesn't sound good for his chances of playing this series. Up until the gap between Games 6-7, the games are every other day this series. Not like they have 2-3 days off in between games where he could rest up and potentially return.

That is what was reported, that it is "something worse than a Grade 1 Sprain".  Not sure if that report is based on fact or what that would even mean from a medical standpoint.  It seems like either there is a tear, in which case it is Grade 2, or there is not a tear, in which case it is a Grade 1.  The definition of Grade 1 that I found is "stretching of the ligament but no tear".  I am sure there are varying degrees of stretching.

I can't help thinking that this is all smoke screen.  Someone leaked this just to mess with the Celtics.  I hope they are ignoring all this.  I bet it is a Grade 1 sprain, no tear.  He will probably play but not be 100%.  Kind of like RWill was last playoff.

You really think he is playing tonight? That would be pretty shocking to me. You could make a lot of money if you are right and he plays. Celtics are 9.5 point favorites. In the days of daily fantasy and legal betting teams will get in a lot of trouble for lying about injuries. It puts partners of the NBA like draft kings and fan duel in a very bad situation.

[President Red]

Per Woj, Embiid still likely out tonight, but there is "optimism" that he'll be available for the second game.

https://twitter.com/ESPNNBA/status/1653114030620303378

[Neurotic Guy]

Without Embiid I'm 100% sure they won't stand a chance against the Celtics.

Besides having jinx written all over that comment, have to take into account Cs propensity to take teams for granted and let them hang around. Conditions are ripe for Cs to be sloppy or mercurial - even if they take a big early lead. Also this is the kind of game (with their MVP out) that guys like Harden, Maxey or maybe even Harris take on a bigger role and go off.  Sixers can play loose and aggressive - it is by no means a must win for them. Perfect opportunity to be heroes, steal one. 

For Celts it’s much more of a must win (obviously not a true must win) - really don’t want to give up HCA with Embiid out. The dynamics creates more stress for Cs than it does for Sixers.

[Phantom255x]

Doc says Embiid took some shots during shootaround but hasn’t done any running. Umm… that doesn’t sound like a guy who is close to returning

[celticsclay]

He has been ruled out, not sure how to change my subject line