Portland Trail Blazers vs San Antonio Spurs Picks and Predictions for Tuesday April 28 2026

By: Kim Smith Published 04/28/2026, 12:15 AM ET
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The Portland Trail Blazers travel to face the San Antonio Spurs in Game 5 of the Western Conference First Round at Frost Bank Center in San Antonio, Texas, on Tuesday, April 28, 2026, with tip-off set for 9:30 PM and coverage available on ESPN. San Antonio enters this matchup with a 3-1 series lead and a chance to close out the series on their home floor. At the time of this writing, the Spurs are favored by 11.5 points and sit at -575 on the moneyline, while the Trail Blazers are listed at +425, with the total set at 215.5. Get in on all the NBA action with our Free NBA picks.

Previous Game Recap

San Antonio recently won over Portland 114-93 in Game 4, taking a commanding 3-1 series lead. The game began with Portland holding a narrow edge after the first quarter, but San Antonio settled in and gradually took control. The Spurs surged in the second half, outscoring the Trail Blazers 73-35 over the final two quarters to turn a competitive contest into a decisive victory.

San Antonioโ€™s performance was highlighted by Victor Wembanyama, who delivered a dominant outing with 27 points while shooting efficiently and adding 12 rebounds, seven blocks, and multiple steals in a complete effort. De'Aaron Fox added 28 points and seven assists, helping orchestrate the offense with strong efficiency. Stephon Castle contributed 16 points and eight assists, while Julian Champagnie added eight points on efficient shooting. The Spurs showed balance across the lineup, shooting 49 percent from the field and maintaining control throughout the second half.

Portland was led by Deni Avdija, who scored 26 points on efficient shooting while adding seven rebounds and several assists. Jrue Holiday contributed 20 points along with rebounds and assists, but the supporting cast struggled to keep pace. Scoot Henderson had a difficult game, finishing without a field goal, while Donovan Clingan added five points and six rebounds. Portland shot just 40 percent from the field and was unable to match San Antonioโ€™s second-half surge.

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Portland Facing Elimination Pressure on the Road

The Trail Blazers enter Game 5 with a 42-40 record and an 18-23 mark away from home. Their recent stretch has been difficult, as they recently lost to San Antonio 114-93 and recently lost to San Antonio 120-108 after recently won over San Antonio 106-103. Earlier in the series, they also recently lost to San Antonio 111-98, while picking up a recent win over Phoenix 114-110 before the playoffs began. With the Game 4 loss, Portland now faces elimination heading into this road matchup.

Portland is averaging 115.5 points per game while allowing 112.0 points against. The Trail Blazers shoot 45 percent from the field and average 46.0 rebounds and 25.1 assists per game. They also contribute 5.5 blocks and 8.3 steals per contest, showing the ability to impact the game defensively despite their recent struggles.

A key issue for Portland has been consistency, particularly on offense. While their scoring average is solid, the Game 4 performance showed how quickly things can fall apart when efficiency drops. Shooting just 40 percent and scoring only 93 points in that game highlights a weakness when facing a strong defensive opponent like San Antonio.

San Antonio in Position to Close the Series

The Spurs come into Game 5 with a 62-20 record and a dominant 32-8 mark at home. San Antonio recently won over Portland 114-93 and recently won over Portland 120-108 after recently lost to Portland 106-103. Earlier in the series, they also recently won over Portland 111-98, while dropping a game to Denver before the playoffs. With a 3-1 series lead, the Spurs now have a strong opportunity to close things out at home.

San Antonio is averaging 119.8 points per game while allowing just 101.3 points against. The Spurs shoot 48 percent from the field and average 47.0 rebounds along with 28.1 assists per game. They also record 5.5 blocks and 7.5 steals, maintaining a balanced approach on both ends of the floor.

The biggest strength for San Antonio is its efficiency and defense. The Spurs not only score more points per game than Portland, but they also allow significantly fewer points. That combination creates a strong advantage, especially at home where they have been dominant throughout the season.

Portland Trail Blazers vs San Antonio Spurs Picks and Prediction

Spread Pick

  • San Antonio Spurs -11.5

San Antonio on the spread at -11.5 is the preferred play in this matchup. The Spurs have recently won over Portland in three of the four games in this series, including a decisive 114-93 victory in Game 4. Their overall record, dominant home performance, and significantly stronger defensive numbers all point in their favor. Portland has recently lost to San Antonio multiple times and struggled to maintain offensive efficiency, making it difficult to keep this game close.

Total Pick

  • Under 215.5

The total is set at 215.5, and the lean is toward the under. While both teams have shown the ability to score, San Antonioโ€™s defensive numbers stand out, allowing just 101.3 points per game. The most recent game finished with a combined 207 points, and Portlandโ€™s offensive inconsistency, as seen in their 93-point output, suggests this game could stay below the posted number if San Antonio controls the pace again.

Final Score Prediction: San Antonio Spurs 112 โ€“ Portland Trail Blazers 98

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