Week 11 Injury Breakdown- Chargers

Detailing the injuries prior to the LA Chargers game.

The Bills continue to make moves that make the fan base question the process. Sean McDermott benched starting QB Tyrod Taylor in favor of rookie QB Nathan Peterman, this year’s 5th round draft pick. This is curious as the Bills are sitting in the last wild card spot, owning a 5-4 record, and create many questions about the reason behind the decision. However, unless you’ve been under a rock, Tyrod has been awful the past 2 games against the Jets and Saints, exposing the Bills as a possible playoff pretender and into a potential free fall. With the Chargers game coming up and the season potentially slipping away, I do applaud the Bills for attempting to make a change instead of running with a system that is shaky as best and awful at worst. Whatever the decision is, I will trust the process. I believe in year’s past, changes would have not been made and success would have continued to elude this team.

Despite the Bills making this big change behind center, today’s post will once again be focused on the injury report, which unsurprisingly, grows longer as the season progresses. Starting off, LB Lorenzo Alexander, DT Kyle Williams, G Richie Incognitio, and RB LeSean McCoy did not practice yesterday due to a veteran rest day. TE Charles Clay (knee) was limited in practice due to a knee issue which I am quite confident that is related to the original injury that kept him out prior to this game. He is possibly dealing with some mild swelling due to the recent surge in activity, but I do not believe that he re-injured the knee. From my vantage point, it did appear that he was wearing some prophylactic bracing under his pants during the game as expected to decrease the injury risk.

Others not practicing today includes OT Cordy Glenn (foot/ankle), K Stephen Hauschka (right hip) and RB Mike Tolbert (hamstring). There is no surprise with Glenn as he has been dealing with his injuries all season. Tolbert is dealing with a hamstring injury which is unknown in severity. I did not see him leave the game or was limited with any of his runs. Hopefully this is not a long term issue as has been the issue with E.J. Gaines.

Hauschka did not practice secondary to a sore right hip which is the leg he kicks with. As Hauschka only deals with kickoffs and field goals, there is limited ability and time for him to injure his hip. Thankfully, kickers do not have to practice much so missing a day is not concerning. The Bills do not have any kickers on the practice squad, but training camp kicker Austin Rehkow is still a free agent and may be an option if Hauschka is unable to go Sunday.

Hughes did not practice yesterday and was limited today, but has been reclassified as a shin/calf injury which does open the door for a variety of other injuries including calf strain, foot flexor tendon injury, or a soleus strain. Considering that his position requires so much energy to push off around the edge, it is common to see a calf strain from time to time. If not managed correctly, this could develop into a tendonitis and could lead to further damage, but the training staff will not let it get to that. As Hughes is also a veteran, limiting him in practice may have been proactive to ensure proper rest and rehab.

Others limited in practice are WR Jordan Matthews (knee) and G John Miller (ankle). Miller is an interesting addition as he has not been active for several games with the recent improved play from G Vlad Ducasse. It is unknown what Miller is dealing with and the fact that he has not been active doesn’t warrant any concern.

Matthews is a new addition to the report after dealing with a thumb fracture earlier this season. There has not been any reports that he sustained any damage or had to leave early but there is concern for a re-aggravation of the knee tendonitis that he was dealing with when in Eagles training camp this season. Tendonitis is an issue that can continue to rear it’s ugly head even after clearing up the original symptoms. Tendonitis is an overuse injury due to repeated microtrauma to the area. If you would like to read more on the issue, please check out my previous article.

When dealing with tendonitis, this is something that a time frame can’t be definitively placed on. He could deal with this the rest of the season or could clear up with proper rehab and rest. This is something that can be played through, but pain may limit the ability to play at full strength.

Finally, WR Zay Jones and CB E.J. Gaines were full participants at practice which is an excellent sign. I originally thought that Jones sustained a high ankle sprain based on the mechanism of his injury during the Jets game, however, it appears he avoided this diagnosis. I did note that I believed that he may have sustained a regular ankle sprain as part of the differential diagnosis. Either way, Zay continues to progress back sooner than expected and this will be an extra weapon for Peterman come Sunday. As a disclaimer, I am only as good as the video available and the reports that surface.

As for Gaines, the fact that he is at full practice on a Thursday indicates that he will be starting Sunday. After seeing what the Saints did to the Bills defense this past Sunday, he is a welcome addition. As of right now, he is at a very high risk for re-injury due to his recent injuries and style of play, but if he is healthy, there is no reason that he is unable to contribute to the secondary.

As stated multiple times this season, the Bills continue to avoid the major injury bug. The Bills have four players on IR: TE Keith Towbridge, S Colt Anderson, RB Taiwan Jones, and WR Jerry Butler. This isn’t a group of players that strike fear into any team. They are still in better shape than other teams and while the team is not performing as expected, the depth that has been there since the beginning of training camp will be key down the stretch if they continue to be in the hunt for that long elusive playoff spot.

As a fan, I’m disappointed in how the team has played the past two games despite the hot start. I will still trust the process and know that McDermott is making decisions to better the current situation. I know complaining won’t change the current situation but will continue to have opinions because we are all entitled to that. If the Bills lose to the Chargers Sunday, then the season may be over. If they win, we’ll see what happens. The Drought has to end sometime, with how this season has been going, why not roll the dice?

Continue to check back with the latest articles and updates. For the latest and game day updates, follow me on Twitter at @kyletrimble88. As always, thank you for reading and GO BILLS!!

Author: Dr. Trimble

My name is Dr. Kyle Trimble and I am, first and foremost, a Buffalo Bills fan!! When I am not cheering on the Buffalo Bills, I am a Physical Therapist. To give a background on myself; I was born and raised in Erie, PA, moved to Buffalo in 2006 to begin my studies at D'Youville College towards becoming a Physical Therapist at which time I became a devoted Buffalo Bills fan.  I graduated in 2013 with my Doctorate in Physical Therapy and moved home for several years. Moving back to the Buffalo area in 2016, I have gained extensive experience in outpatient orthopedics, skilled nursing, acute care hospital, and home care. Having obtained a significant wealth of knowledge that continues to grow, along with a undying fandom of the Bills, puts me in the unique position to educate my fellow fans about our great team. 
I am currently an injury spotter working with Dr. David Chao, Orthopedic Surgeon @ProFootballDoc based out of San Diego. In this role, I provide real time updates regarding injuries during the game. I hope you enjoy what I publish and I welcome any comments or questions you may have.
Disclaimer: My opinions are my own.  Any thoughts I have on the injuries is based on media reports, my knowledge of the injury, and speculation based on the information currently available.


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