2020 Week 13 Bills Injury Preview- 49ers

Will Milano and Dodson get activated?

It’s December and the Bills are not only playing meaningful football, but it’s in prime time! In addition, getting this injury report really feels like Christmas with how much improved the report is and for my sake, a much easier review to write up. While there are minimal injury concerns this week, there are still several players to note and watch for Monday’s contest against the 49ers. This is the first time since Week 10 of the 2019 season against Cleveland where there were not any game day designations prior to the game.

QB Josh Allen (Right knee/ankle)

Allen has practiced in full this week despite dealing with a minor knee and ankle sprain from the result of a Joey Bosa tackle. Fortunately, he did not suffer worse damage despite how rough the injury originally looked. For more details, check out my article from Tuesday that breaks down why he is also dealing with a knee injury on top of the ankle injury. 

Thankfully he can play through a likely minor MCL sprain with bracing and with an effective tape job he can manage the ankle sprain he’s dealing with to play against the 49ers. He may be limited with running but it doesn’t mean that he won’t be mobile. 

G Jon Feliciano (Foot)

Not much is noted about Feliciano and his foot. He did play in all 62 offensive snaps and didn’t appear to require any medical attention during the game. This could be as simple as he was stepped on and made note of it to the training staff. Feliciano was a full participant all week and considering he’s missed enough games already this season, I didn’t expect him to miss for minor ailments. 

DE Mario Addison (Knee/vet rest)

The details of Addison’s knee injury continue to escape me but he is 33 and requires more time to recover than when he started out. The knee may be a chronic issue at this point and the team may be looking to keep him as fresh as possible and for as long as possible. 

TE/FB Reggie Gilliam (Hamstring)

Gilliam’s first appearance on the injury report with a hamstring isn’t all that concerning as he was limited Thursday and practiced full on Friday & Saturday. This may be something that’s sore, something that he wanted to make the team aware of in case it worsens Monday night. His practice participation suggests that this is minor and not something that should hold him out. 

He continues to see most of his time on special teams with 44% of snaps taken there compared to 10% of snaps on offense. I would say his injury risk is higher with a hamstring injury present, but between those two percentages, that’s only 18 plays. He’s on the field infrequently and that may benefit him, in the long run, to get past this hamstring and off the injury report. 

RB Taiwan Jones (Hamstring)

It’s unclear if this hamstring is a continuation from the last hamstring strain that cost him two games and the bye week or if this is a new issue. Jones has shown the ability, again and again, to play through injuries and if he is practicing in full, this doesn’t concern me for Monday especially with the extra day of rest. 

LB Matt Milano (Pectoral strain)

After missing two games due to a pectoral injury followed by two ineffective games, Milano was placed on IR to take a full month to recover for the final stretch of the regular season. While at the time of publication, the team has not made any official designation on whether they will activate Milano. They have until Monday at 4 pm to make this designation. I fully expect the Bills to wait until the last second for a competitive advantage. 

The only way we find out sooner is if it’s confirmed that Milano travels with the team as injured reserve players don’t travel on game days. I do expect that Milano gets activated as there are open roster spots for him right now and playing against the 49ers would allow for him to get back up to game speed.

Observed in Thursday’s practice is the fact that he continues to wear his shoulder harness on his left arm which isn’t a surprise. I don’t expect him to get rid of that harness until the end of the season to prevent any further issues. It also appears that may be on a pitch count, similar to what he was on earlier and what the expectations would have been for Jon Feliciano if not for Mitch Morse’s concussion.

I expect the team to adhere to the pitch count and to get back in the swing of things as he prepares for bigger opponents such as the Steelers. 

LB Tyrel Dodson (Hamstring)

Dodson is in the same boat with the roster designation and activation for 4 pm Monday. He continued to work back from his hamstring strain suffered against the Chiefs in Week 6. It’s impossible to determine the grade of the hamstring strain by video but considering he was out for 6 weeks, he may have had a Grade 2. The only reservation I have regarding whether it was is whether the team needed to pull him off IR or kept him there to get fully healthy and he was not needed before that especially when Matt Milano was playing after his return. 

Either way, Dodson should be very close, if not 100%, giving the Bills a much-needed boost at linebacker depth heading into the final stretch of the season. I also believe that Dodson will return due to the open roster spots available. 

Inactives:

QB Jake Fromm

RB TJ Yeldon

DT Harrison Phillips

DE Trent Murphy

TE Lee Smith

*With the health of the team, they may not need to have PS callups, leaving 5 players inactive. 

Looking at the game, there is a lot of money going towards the 49ers making this game a pick ‘em which could be a concern Monday night. While bettors do not decide the games, they are betting on an improving 49ers team from a health standpoint and angry that they cannot play in their own stadium due to local restrictions in California. 

While the fan base waits for a designation for Milano and Dodson, the 49ers are in the same boat with QB Jimmy Garoppolo and TE George Kittle as they are finally eligible to return off injured reserve with their respective injuries. However, the team has not activated their practice window according to reports. The Bills appeared to have dodged a bullet in not seeing those two for this game.

The 49ers will be without reserve CB K’wuan Williams (ankle) and CB Emmanuel Moseley (hamstring) is questionable. While these are not starters, the loss of any depth can be tough to overcome if starters go down with an injury. There are still questions that cannot be answered until 4 pm Monday, but this is the best information that we can go off of right now. 

The Bills have an excellent shot to win this game and move to 9-3 on the season. December is the time of the year where this makes or breaks most teams, I believe the Bills have what it takes in order to end 2020 strong and head into the playoffs ready to make a deep run.

Top Photo Credit: Buffalo 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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