2020 Week 5 Bills Injury Preview- Titans

Which of the questionable players will suit up?

Heading into Tuesday’s unusual matchup against the Tennessee Titans, the Bills are fairly beat up with injury designations already determined on Saturday afternoon. While the injury list looks dire, things actually aren’t all that bad. Check out the details below. Let’s hope this game gets played & put in the rearview mirror.

OUT

LB Matt Milano (Left pectoral)

Milano has since been ruled out for Tuesday’s contest which isn’t a surprise considering he did not practice all week.

Milano is coming off what appears to be a left pectoral strain. Based on the literature, it’s no surprise that he will be out for the short term. In my article at Buffalo Rumblings, I had detailed that he would be out at least 2 games and potentially more. The fact that he hasn’t been placed on IR also hints at the timeline the team thinks he may return sooner than later.

QUESTIONABLE

WR John Brown (Left knee)

Brown has been battling calf and foot problems all season, none of which have been serious enough to miss any time. Brown did appear to tweak something on the left side as shown in the video below.

Per the injury report, he is dealing with a knee injury now. While there is video of the injury, it’s hard to discern what he exactly did. In the video, he planted his left foot and pushed right before taking another step and then began hopping in pain.

He took several hard steps on his left leg to turn back to the right to catch the pass. His knee appeared to bow out on the next step, but it’s possible he could have tweaked the MCL or inside knee ligament on the prior step, felt it, took an uneven step which where we saw the bowing out, and then the final hopping off the field.

Credit: PTHealth.ca

If this injury was in isolation, I would say he’s alright to play especially with the few extra days off. But considering he’s dealing with foot & calf injuries, he may be best suited to take a week off. May come down to how he feels. This is one position where the team has healthy depth.

G Cody Ford (Groin/left shoulder)

Ford is battling a groin strain apparently suffered in the Raiders game. Sean McDermott did note that Ford was battling through some things during the Raiders game. I believe he was referring more to the left shoulder which could be anything at this point. There is nothing definitive on film & would need more information for a specific injury. There is a possibility that he’s dealing with a rotator cuff issue or labral injury due to the brace, but something to monitor.

As for the groin, also not sure when he injured it which makes it difficult to determine how it will affect him. The one upside is that playing on the interior part of the line; he will not have to use as much lateral movement or sprinting which can reduce strain on the area. If he doesn’t go, then G Quinton Spain would likely get the start.

RB Zack Moss (Toe)

Moss continues to be limited with a toe injury that appears to be turf toe. He was potentially able to play Sunday against the Raiders, but he ultimately did not suit up.

He has missed the last 2 games which fits in the timeline for a turf toe. The hope is that he returns for Tuesday’s game with a few extra days rest & is more of a factor than RB TJ Yeldon. Considering all the questionable players & that he practiced in full leads me to believe he will play.

LB Del’Shawn Phillips (Left quadriceps)

Phillips has returned to practice & began practicing in full which is an excellent sign for the special teams linebacker. He has missed the last 3 games following a quadriceps injury that appeared to be a strain by video.

I expect most of his playing time to be on special teams once again unless he is called upon to play on defense if injury occurs. I also expect that he will continue to be slowly worked back in as he acclimates to not playing football for nearly a month.

Update: Phillips has since been placed on IR. The team promoted LB Deon Lacey in his spot.

WR Andre Roberts (Ankle)

There is no information on Roberts other than he injured his ankle. Nothing on film indicates that he suffered an injury and nothing in the media reports indicate the type of injury he is dealing with. The fact that he hasn’t practiced all week isn’t a great sign either.

The only two instances I could find for a possible injury came in the 1st quarter. The first was a right end around where Roberts lost 3 yards when he was flipped upside down by S Johnathan Abram. The other, three plays later, when Roberts caught a 6 yard pass to the left and was taken down by CB Nevin Lawson.

He had his left ankle get clipped on the first tackle and on the second, he was twisted down. Hard to identify if this is when he hurt his ankle or what the exact injury could be.

This will be something to monitor as the season progresses.

CB Tre’Davious White (Back)

This has been a mystery. White played in every defensive snap on Sunday & has been fairly durable throughout this season & career. He has not practiced this past week & it’s not clear whether he is even at the facility.

Watching film from Week 4, he appears to move well around the field and is not labored or slow to get up. As this is a back injury, these are harder to identify the injuries as there is typically not bracing or specific movements that are limited by the injury.

More information would be needed in order to identify what he’s dealing with. I could list a bunch of injuries & conditions, but trying to identify this injury is like throwing a dart in the dark at the dart board. The only reason that he could possibly be questionable after not practicing is if it’s a pain related issue where the team is hoping that things can calm down before Tuesday. But even that doesn’t narrow things down.

I have heard severe people say that he got his money & is not playing as hard anymore or that he is attempting to opt out because of the COVID concerns with the Titans with the team saying he has a back injury. Sure, there’s always that possibility that he is phoning it in now that he got paid. If he was, then that was a poor decision by the team to sign him to an extension. If he is not trying anymore, that’s on him. I don’t believe the Bills want guys on the team like that. I personally don’t believe this to be the case.

The COVID concerns are real, but to have the team say he has a back injury in order to keep him away from the facility, that’s a stretch. They could list him with an injury, we do see guys on injury reports often every week and don’t appear to have anything wrong. If I recall, Tom Brady was notorious for that with his right shoulder.

But to fake an injury would go against the competitive balance & intention of the injury report. To use it to cover up for something else makes me think the NFL wouldn’t take too kindly to that.

Right now, I am going with the fact that he has a back injury, details are not available, and the hope is that it isn’t serious. If he doesn’t go, the team has CB Dane Jackson they can call up for depth.

G Brian Winters (Right knee)

Winters appeared to injure his right knee on the same play that Josh Allen injured his shoulder. He fell hard on the right knee and was labored upon getting up and trying to get back into the play.

It appears to be a generalized contusion, but considering he hasn’t practiced in the past week, there’s potential it could be other things. He could have injured the bursa which is a fluid filled sac that helps lubricate the joint. A direct blow to that could cause inflammation to the area, limiting range of motion.

There are other possible injuries that he could have suffered but without more information, hard to establish a timeline. Considering the team has a bevy of offensive lineman, he could afford to sit this week.

INJURED RESERVE

CB Levi Wallace (Left ankle)

This move was a possibility but not certain as low ankle sprains can be played through, depending on the severity. Unfortunately for Wallace, he appears to have suffered a Grade 2 low ankle sprain early against the Raiders. This is due to the fact that he was placed on IR on Wednesday which requires a 3 week stay indicating a timeline for severity.

Credit: Medium.com

According to this picture sent in by a fellow Twitter user, Wallace appears to be off crutches and the swelling in the left ankle looks minimal. However, there is still likely instability due to the ligaments getting stretched out from the injury.

What we also don’t see in this picture is if he is on crutches and he put them down for the picture. We also don’t see how much weight he is putting through his left foot. Both feet could be down but he could be leaning more to the right to off weight the leg. Whatever he’s doing, he can rest for the next 3 weeks now that CB Josh Norman has returned from IR.

ACTIVE

WR Cole Beasley (Left foot)

Beasley continues to battle with numerous injuries including previous injuries to his thumb and hip. After being limited in practice earlier this week, Beasley was a full participant which signifies that he is healthy enough to play. The extra days off will certainly help his foot to heal further which will allow him to make those cuts over the middle effectively and use his speed to work around the field.

QB Josh Allen (left shoulder)

Allen practiced in full every day despite the left shoulder designation from Sunday’s injury. The injury designation officially notes that he does have an injury and that it could affect his ability to play. The concern is that he has either an AC joint sprain, rotator cuff injury, or labral tear.

He did have a brace on for Wednesday’s practice and kinesiotape on for Thursday’s practice. The hope is that he has the AC joint sprain & it’ll heal on its own. My worry still remains that he had more damage in there as mentioned above. I would anticipate to see some bracing on for Tuesday regardless of the injury.

As the season progresses, the injury will become more clear if he takes further hits to the shoulder or if he continues to wear bracing.

Inactives:

LB Matt Milano
TE Lee Smith
G Brian Winters
QB Jake Fromm
RB TJ Yeldon

A bye week would be beneficial like it was last year at this time, but the Bills are not due for one for some time. These kinds of weeks will really test the depth at each position and the training staff’s ability to get each guy ready. It is important to note that a player may be active but may not get much play, only available for depth if needed. The team was forced to do this several times last year.

While the Titans are healthier as evidenced by the list below, they also have not had the ability to practice as a team in the last 2 weeks, unless you could the unauthorized practices after their facility closed. They also still have a number of players on the COVID reserve list.

Even if they’re healthier, I would be concerned about in-game injuries due to the sudden ramping back up of game play. I do not wish injury on anyone, but there is a greater risk. That along with not having the ability to fully implement their game plan may help be an equalizer in the game.

Remember, this is a team that was an AFC finalist last year. This team is no slouch. I would expect the Bills to win because I am biased and believe we have the better team. But if they lose, they are a worthy opponent. I’d like to see a win, but more importantly, minimal injuries as the Bills prepare for a short week against the Chiefs in Week 6 at home.

Top Photo Credit: Bleacher Report

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.


Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s