Buffalo Bills Injury Updates- Patriots

Updating the Bills injury report following many changes & clearing up the confusion.

The Buffalo Bills are making their injury report confusing with their upcoming match up against the Patriots Sunday. Is Sean McDermott and brass take a page from Bill Belichick’s book, making the injury report vague and convoluted to attempt to gain and edge over game planning for certain players? I believe this to be the case. It is also possible that the Bills are dinged up and this week’s injury report reflects that? Quite possibly too. Last game against the Chiefs saw no major injuries occur which bodes well for starting personnel to play.

Today’s post will update my last article as there has been so many changes since Sunday. Starting off with those ruled out are WR Kelvin Benjamin (knee), OT Cordy Glenn (foot/ankle), G John Miller, RB Mike Tolbert (hamstring). No change here; Benjamin is able to perform some light drills as mentioned in the video last article, but he still has a ways before he’s realistically going to be able to return. Earliest is next week against the Colts, but I expect possibly against the Dolphins or 2nd Patriots game.

Glenn continues to deal with his issues and should only be brought back if the team is still in playoff contention. Tolbert’s injury appears to be more severe than I originally thought as this will be his 3rd game he misses. He may be able to return next week, but time will tell. I still believe it is a Grade 1 hamstring that just requires a longer rehab than most.

Questionable’s include: TE Charles Clay (knee), FB Patrick DiMarco (ankle), OT Seantrel Henderson (illness), WR Jordan Matthews (knee), OT Connor McDermott (chest), TE Nick O’Leary (back), and DE Eddie Yarbrough (chest). The interesting ones of this group are DiMarco and McDermott. After reviewing All 22 footage, there did not appear to be any instance where DiMarco had to leave due to injury. He was listed as a full participant Wednesday, did not practice Thursday, and was limited Friday. He could be an ankle sprain that is minor that the team does not want to aggravate. While I am not privy to when the Bills have padded practices, he may have been sat out to avoid full contact practices. As for McDermott, he has not appeared in a game this season so his injury remains irrelevant besides losing a depth player.

Henderson is questionable with illness; to note OT Dion Dawkins had an illness earlier, it is flu season, and that group is together a lot more than the full team practices. Others to note are Clay and Matthews with knee injuries. I believe these two will continue to be mainstays on the injury report for the rest of the season but should not affect their level of play. They have high impact positions and need continued maintenance rehab to ensure they do not suffer a decline in health or production.

O’Leary and Yarbrough remain questionable with their respective injuries, but video review showed that while they did have to leave late in the game, there wasn’t any specific play or instance where there was an observable injury. Out of the questionable players, I expect everyone to play with the exception of McDermott and possibly Henderson. There are always surprises on game day, but my goal in my articles is to better educate my fellow Bills fans.

Finally, RB LeSean McCoy made an appearance on the injury report briefly this week. He was not on the report Wednesday, was a full participant Thursday, did not practice Friday, yet is not listed on the injury report as a game time decision. Going back through the All 22 footage, McCoy was able to play the entire game and showed no limitations with his ability to move. He may have general knee soreness, but it is unknown. It is hard to diagnose an injury or limitations without seeing what happened. As mentioned above, I expect McCoy to play and not miss a step, only making the Patriots defense miss theirs.

I expect New Era to be rocking allowing the Buffalo D to step up and provide pressure all day. The Bills are 4-1 at home, hopefully they will go 5-1 under the right circumstances. I expect a close game and ideally a Bills win!

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

Week 13 Injury Breakdown- Patriots

Detailing the latest Buffalo injury report including why video showing Kelvin Benjamin practicing is not what it appears to be and what it means.

The Buffalo Bills won a vitally important game towards remaining in playoff contention against the Kansas City Chiefs 16-10. However, most of the focus was spent on Monday’s report that WR Kelvin Benjamin is out with a torn meniscus and according to HC Sean McDermott, he is “day-to-day.” If you read my previous article, and you should, you will learn that meniscus injuries are not day-to-day, but at best week-to-week. Personally, I believe the Bills are downplaying the injury by trying to keep the fan base engaged and hopeful. Benjamin has not been a factor in the offense during the games he has been active. Yes, the Bills do lose a potential play maker, but his loss is less worrisome than when TE Charles Clay or CB E.J. Gaines went down with their respective injuries. The Bills sure do know how to sell hope; it’s their best asset after 17 years of subpar football.

Thankfully, the Bills did not lose anyone additional following the win. Those listed on the injury report not practicing today are as follows: OT Cordy Glenn (foot/ankle), G John Miller (ankle), RB Mike Tolbert (hamstring), TE Nick O’Leary (back) and DE Eddie Yarbrough (chest). Those limited in practice are: TE Charles Clay (knee), WR Jordan Matthews (knee). Those full participants are: FB Patrick Dimarco (ankle).

For those not in the Buffalo area, the NBC news affiliate WGRZ had an article on tonight’s news with video of WR Kelvin Benjamin performing ladder drills on the sideline. This tells us two things. First, this indicates that he has not had surgery to the right knee. Second, this states that the meniscus tear is smaller in nature and improves the outlook for return to play. Depending on the location of the meniscus tear which I can safely assume is in the red-red or at worst, red-white area. This is areas with the greatest blood supply, allowing for a better chance at recovery for return to play.

When interviewed by WGRZ, Benjamin states that he is feeling better and will definitely play later this season. I believe this still to be the case if he heals up and if the Bills are still in contention for a wild card spot. Benjamin can walk and run right now with a meniscus tear including performing ladder drills. If he attempts to pivot, sprint, jump, or try to extend his knee to land, his knee may lock up or catch, causing immediate pain and could worsen the meniscus tear, leading to a more complex rehab process. This is not a pain issue, but a functional issue that can worsen if not managed correctly. He could come back at the earliest for the Colts or Dolphins game if things progress really well.

Cordy Glenn may be able to come back soon as he has missed the past three games indicating that this may be a re-aggravation of whatever he has going on. However, reports state that he may also be shut down for the season. This clearly shows that he is not healthy. As the team is tight lipped on what is occurring it is hard to speculate what a viable return to play protocol can be for him. I will continue to monitor and determine if there is any change in his status or information regarding his injury.

Miller continues to be a non-factor and it appears he injured his ankle in a practice which has limited his availability. Tolbert continues to nurse a hamstring pull sustained in the Saints game, but with the change of pace play of RB Tarvaris Cadet, he has become more expendable and does not appear to rushing back to play. The Bills also have FB Patrick Dimarco which allows Tolbert to return to full health, but could potentially leave him jobless in the off-season.

O’Leary is a new addition to the injury report with a back injury. Upon video review, O’Leary was able to catch a pass halfway through the 4th quarter and then did not appear to be any other chance at injury. He may be dealing with general back soreness or recovering from a hit that precluded him from practice as a precaution. I do not expect him to miss any time for next week.

Yarbrough is also added to the injury report with a chest injury. He left at the end of the 3rd quarter and did not return. Upon video review, there was no instances where he was down on the ground or saw that he suffered any injury to his chest. Speculating on why he did not practice, he may have pulled his pectoral muscle which assists with pushing and horizontal adduction or pulling his arm in towards midline. He may have also suffered a contusion to the area; he did pressure QB Alex Smith several times and laid a solid hit on him late in the 3rd. I do not anticipate that he will miss any time.

Clay does not appear to be 100% recovered from his knee injury sustained in the Cincinnati game, but his game has not been affected as a result. He may be dealing with the chronic knee issue that he dealt with all last season, but considering that Clay’s type of injury usually takes longer to be 100%, it is most likely the most recent one. His play suggests that limited participation in practice is related to getting him the reps he needs but limit the chance of re-injury.

Matthews appears to be on the med after injuring his knee a few weeks ago but does not appear limited in running his routes or coming up lame in any of his plays. He was able to play in 62% of the offensive snaps and appears on the better side of the injury he is currently dealing with.

Finally, FB Patrick DiMarco is listed with an ankle injury but was a full participant. Looking at video and snap counts, he played in 25% of the snaps plus saw time on special teams. There wasn’t anything on video that suggested any injury and may just be dealing with a tweaked ankle which requires observation without limitation in practice.

Going into Sunday’s game against the Patriots at home allows for the Bills to have a shot at winning, but everyone must be healthy, the team must play above it’s abilities, and some luck will be required. The Patriots are beatable, this is the NFL, its any given Sunday! Despite all that is wrong with this season, the Bills are still relatively healthy compared to other teams in the league. The difference is when the Bills starters go down, the backups are not high quality as you would find on other teams such as the Patriots, Steelers, or Packers. Hopefully this will change in the coming years, but the Bills are not there yet.

Continue to check back for regular updates and future articles. Follow me on Twitter @kyletrimble88 for real time updates and my thoughts as news breaks. As always, thank you for reading and GO BILLS!!

Kelvin Benjamin’s Meniscus Tear

Detailing Kelvin Benjamin’s knee injury, causes and types of meniscus tears, and expectations for the rest of the season.

Big news coming out of One Bills Drive today! It has been reported that WR Kelvin Benjamin suffered a meniscus tear during the 1st quarter of the disastrous Chargers game last week and will be out multiple weeks per reports. Benjamin was unable to return following the hit and had already had ligament damage ruled out via MRI. This is another blow to the WR corps that has been inconsistent this season due to the inability of Tyrod Taylor to move the ball effectively, opting for check-down passes to his RB’s. Today’s post will analyze Benjamin why suffered a meniscus tear, types of meniscus tears, and expectations for the rest of the season.

The meniscus lies over the tibia and acts as a shock absorber between the tibia and femur. It is made up two wedge shaped areas to assist in deepening the area that the femur articulates with the tibia. During meniscus tears, a rotational force is applied to the area while the knee is bent and causes a shearing motion, causing a portion of the meniscus to tear.

Types_of_meniscal_tears.jpg
Credit: physio-pedia.com

There are various types of tears which include but are not limited to: complete or partial, horizontal or vertical, longitudinal or transverse. Acute tears are more likely to present as longitudinal/bucket handle and radial tears. It is very hard to determine the type of meniscal tear that occurred, but may be a longitudinal/bucket handle tear upon video review. The knee was hit from the front and partially to the outside, causing hyperextension to his knee. As mentioned above, a rotational force or bent knee is far more likely to cause the tear. In Kelvin Benjamin’s case, a hyperextended knee caused the tear, but is usually less likely.

Symptoms of a meniscal tear typically consist of pain, tenderness, and swelling, locking or clicking during knee movement, and initially difficulty in placing weight through the knee. Meniscal tears are typically seen in conjunction with MCL sprains/tears and ACL tears due to the rotational forces through the knee during impact. Thankfully, Benjamin’s injury was isolated to only the meniscus and did not affect other structures.

Meniscus-blood-supply-zones.jpg
Credit: physio-pedia.com

The type of tear can affect healing rates: longitudinal tears heal better than radial; simple tears heal better than complex; traumatic and acute tears heal better than degenerative. Based on location and length of tear will determine management. The meniscus has several “zones of vascularity” which include: red-red zone, red-white zone, and white-white zone. The red-red zone has the highest blood supply and lie on the outermost portion of the meniscus. The red-white zone is the area that connects the red-red and white-white zone and contains some blood supply. The white-white zone has a poor blood supply and demonstrate the poorest area for healing. If the tear is small, conservative management or a meniscectomy may be performed to remove to remove the offending piece. If the tear is larger, then a suture repair of the meniscus is warranted and an extended rehab is required. As Benjamin is slated to miss weeks, this appears to be a minor tear and could come back this season.

I’m sure most people’s thoughts are why WR Zay Jones did not sustain the same injury that Benjamin did? Why Benjamin tore a portion of his meniscus and not WR Zay Jones against the Jets game is certainly confusing. My thought is that Jones got tripped , attempted to regain his footing, and merely fell; Benjamin got hit while his foot was planted causing more of a shearing motion, causing the tear. Whether Benjamin has surgery or not, he will be out several weeks. How long Benjamin is out is unknown at this time, but I foresee him missing most likely a month. Could he come back sooner such as 2-3 weeks? Possibly but highly unlikely pending the location of the tear. He could attempt to rehab without surgery which does show good results compared to surgical intervention but this is the NFL and time is a premium. If he were to be out a month, he could return by the 1st Dolphins or 2nd Patriots game if there is still playoff hope if his recovery went incredibly well.

Finally, Benjamin did suffer a knee injury earlier this season with the Panthers but I do not believe that he was traded to the Bills with a torn meniscus. His play would have been greatly affected and team doctor’s would have caught that. Add in the fact that the knee he hurt this season was on the other side and that was his surgically repaired ACL. There is also delays in reporting of the injury due to the fact that additional imaging is sometimes required along with a clinical evaluation and testing once swelling has reduced. Most likely, the team was waiting to see if the knee would resolve on its own or whether anything would present itself after several day.

The approach should be to rehab him with the hopes that the Bills are still in the hunt. If they fall out of contention, shut him down for the year. Even with the best rehab and doctors, his body still needs to heal and return to playing form. While QB Tyrod Taylor has not built up the rapport that he has with other receivers, it is still a starting caliber receiver that is not able to contribute.

Continue to check back regarding further updates and injuries following the Bills game. Follow me on Twitter at @kyletrimble88 for the latest updates and news. As always, thank you for reading and GO BILLS!

Cordy Glenn-Perpetually Injured

Analyzing/speculating on the lingering ankle injury and how it impacts Glenn’s performance

Cordy Glenn injured his ankle in the preseason of 2016 and has been dealing with the injury ever since. Due to the rigors of the NFL schedule, it is common to deal with nagging injuries that never fully heal during the season. However, due to the Bills ongoing playoff drought, Glenn has not seen the post season since joining the team which means that Glenn has extra time to rehab his ankle. It has been nearly a year since his original injury and yet he still has not returned to full health according to reports. High ankle sprains can fully heal without complication typically, but in Glenn’s case, it continues to be an ongoing issue.

Usually, high ankle sprains require 6 weeks to heal, but can take longer depending on the severity of the sprain. A sprain occurs when the ligaments that stabilizes the connections between the bones becomes damaged which results in instability and an inability of the joint to function properly. In the case of a high ankle sprain, the top of the fibula, the bone that connects on the outside part of the leg near the knee to the tibia via the syndesmotic ligaments, becomes damaged. This is due to stress being placed on the outside part of the ankle, higher than where an individual would roll the foot under during a true ankle sprain. Stresses at a higher level either forces the higher portion of the fibula to pull away from the tibia, causing a sprain. If the foot is fixed into place and the force is great enough, the fibula can break. These forces during the injury are typically seen as external rotation, also known as outward twisting of the foot. Considering the movement of the guard position, plus the 300 lb. bodies falling on top of each other into a massive heap explains why he injured the ankle in the first place. Glenn was placed in a walking boot to stabilize the initial injury and appeared to heal enough to start Week 1 of the NFL season. Glenn then re-injured it during the season opener which caused him to miss the next 3 games. Most likely Glenn originally sustained a Grade 2 injury leading him to sit out the preseason, re-aggravating the injury to a possible Grade 3 later on. Glenn was able to play the rest of the season, missing several games, but clearly not at 100%.

With Grade 3 sprains, the presentation is where the ligament has ruptured, in which the attachment has completely torn or has become so damaged that it can no longer provide effective support. If Glenn did sustain a Grade 3 sprain, surgery is usually recommended, though not always a given. There has been no reports out stating that Glenn had surgery to stabilize the ankle, but considering he is still dealing with the injury, it is quite possible it was not publicly disclosed. The healing time can be anywhere from 3 to 6 months depending on severity of injury. Considering that the Bills season ended at the end of December and that he was not a full participant for OTA’s, the timeline would fit as to why he is not at full health.

Another possibility is that Glenn may also be dealing with chronic ankle instability. This is the result of a recurrent injury leading to deficits in posture control, proprioception, muscle reaction time, and strength leading to a delayed recovery time. This is also more likely due to the demands of the offensive lineman position. Most actions require strategic blocking performing lateral shifting, re-positioning his stance, and driving forward to maintain balance and power required for the position. Rehab for this involves significant focus on balance retraining on the involved foot, progressive loading, and bracing.

Based on the available reports published, it is possible that it is either one of the two scenarios. Both have positive outcomes, but does explain why Glenn is not at 100%. As of August 4th, Glenn is still continuing to deal with potentially the same issues. He has been held out of practice, citing “foot soreness”. It was reported that he went to Charlotte, NC to see Dr. Robert Anderson, a nationally known physician specializing in foot and ankle injuries. Glenn has since returned to practice since the evaluation. While this is continually frustrating being a Bills fan; as a professional, I would rather have the athlete ensure that they are at 100%. At this level, it is not wise to ignore nagging pain, soreness, or small injuries that can lead to further complications down the line. Expect him to be limited in the preseason so as not to aggravate the healing injury. Ideally, Glenn returns to full health for Week 1 and stay healthy to provide effective blocking for the offense to perform at its best.

Continue to check back for regular updates and as always, thank you for reading. Follow me on @kyletrimble88@gmail.com on Twitter for the latest updates. Thank you and GO BILLS!

Week 12 Injury Breakdown- Chiefs

Assessing the latest Buffalo Bills injuries prior to their Week 12 match up against the Kansas City Chiefs.

Another day down, another injury report released! November has not been a great month for the Buffalo Bills. Three straight losses have brought the Bills back down to earth and exposed flaws once thought hidden by the defense. Sunday’s upcoming game against the Chiefs doesn’t make anything easier especially with their recent signing of CB Darrelle Revis. However, the Bills continue to avoid major injury and key players have better injury outlooks than initially thought.

First up on the injury report with did not practice is WR Kelvin Benjamin (knee), OT Dion Dawkins (illness), OT Cordy Glenn (foot/ankle), and G John Miller (ankle). Out of these players, Dawkins is not of concern as he may have the flu. He may be limited but could still play if needed. Glenn continues to deal with his chronic issue and there is no timeline of whether he will be able to play. Miller continues to be hampered with an ankle injury, but as he has not been activated for most of this season; he continues to be a non-factor.

Benjamin is considered “day-to-day” according to McDermott in today’s press conference. As expected, McDermott gives little information other than what is required. Due to the impact during the injury, he may have a bone bruise or a mild sprain. An MRI would demonstrate no significant damage but would still show Grade 1 sprains which are relatively inconsequential. Based on the hit he sustained Sunday, I am still fairly confident that he will be at best questionable for Sunday and learning towards missing the next game.

Those limited in practice were TE Charles Clay (knee), K Stephen Hauschka (right hip), WR Jordan Matthews (knee), WR Deonte Thompson (ankle), and RB Mike Tolbert (hamstring). Clay is still dealing with his original knee injury from October and if he wasn’t pressed to help the offense, probably would have benefited from the extra time to recover as I originally stated. I suspect he is still dealing with some swelling and pain due to the high demands of the position. His play supported the decision to return but he may still not be at 100%. He did have an impact being out on the field Sunday and was a vital cog despite the low offensive output.

Hauschka is still dealing with his right hip injury which is described as soreness. It appeared he was able to perform all his kicking duties without compensation and this should not change Sunday’s outlook. It is unknown what Matthews is dealing with in his knee, but as he missed last game and was limited after today’s practice, this is a positive sign. It was mentioned in the past he has dealt with tendonitis which is still a possibility, but may have also been a mild knee sprain. Having Matthews back in the lineup if Benjamin is unable to suit up with gives QB Tyrod Taylor another weapon he is more comfortable with.

Thompson is limited with an ankle that was rolled up on attempting to catch a pass and was able to limp off. I anticipate that he will play Sunday with a heavily taped ankle and some good painkillers. Tolbert continues to be hampered by a hamstring injury sustained in the Saints game. However, with the performance of RB Tarvaris Cadet backing up RB LeSean McCoy, this may allow Tolbert to rest another week to ensure a full recovery.

Finally, those dealing with injury but able to practice in full include WR Andre Holmes (ankle) and S Micah Hyde (knee). This is promising as there was concern that Hyde would be limited following injury his knee during a tackle late in the game. Practicing in full indicates that these injuries are not worrisome and should not affect performance for Sunday.

One interesting note, typically Wednesday’s are reserved for veteran rest days and there were none listed. It may be possible that the veteran’s didn’t require a rest day or that McDermott wants to push these guys extra to shore up the weaknesses seen over the past several weeks. Either way, none of the injuries are severe, none are key losses which includes Benjamin as Tyrod has not built up the consistency that he has with his other receivers.

If this team has a playoff push in them, they have to win this next game in the always hostile Arrowhead Stadium and continue to stay relatively healthy. This roster is not snake bitten and if some of the flaws can be reduced, this team can play at a higher level than what we have seen. As Bills fans know, we continue to remain eternally optimistic and frequently let down. Things will change though; probably not this season, but this mediocrity has to end at some point.

Continue to check back for breaking news and game day updates/assessments by following me at @kyletrimble88 on Twitter. As always, thank you for reading and GO BILLS!!

Week 11 Recap- Chargers

Assessing Kelvin Benjamin’s knee injury and other injuries following the Bills horrendous loss to the Chargers.

There are the Buffalo Bills we know and love! As Harry Dunne would say, Just when I thought you couldn’t possibly be any dumber, you go and do something like this… and totally redeem yourself! Similar to the quote, we all thought the Bills couldn’t get any worse, they go and turn in Sunday’s performance against the Los Angeles Chargers with a loss of 54-24. Where is the team that started 5-2? Now they are 5-5, losing ground in the playoff race, losing respect, and embarrassing themselves. To add to it, several key players went out with injury and made for an incredibly long day.

First man up, WR Kelvin Benjamin left early in the 1st quarter with a knee injury after a 20 yard catch. Upon replay, Benjamin got hit at the knee with the knee hyperextending while his foot was planted, similar to the Zay Jones injury. Benjamin had to be assisted off the field to the medical tent. After examination, he had difficulty placing weight through his leg and had to be carted off to be done for the day. As there are reports that he escaped serious injury, this does not mean he will play immediately next week. He may have hyperextended his knee as the video shows and may have sustained a bone bruise.

As outlined in my contusion article, there are several types of bone bruises. Bone bruises are actually a type of fracture that is less severe than a true bone fracture that we all think of. Keeping it brief, there are 3 types of bone bruises: Sub-periosteal hematoma, inter-osseous bruising, and sub-chondral lesion.

Sub-periosteal hematoma occurs when a direct high force trauma occurs and blood forms under the periosteum, which is a membrane that covers the outside of the bone. Inter-osseous bruising occurs when the bone marrow of the bone becomes damaged, specifically the blood supply. This occurs as the result of a repetitive high compressive forces on the bone, such as excessive running or jumping. These are seen more common in the knees and ankles.

Sub-chondral lesions occur when the cartilage layer of the bone becomes damaged. This area is found at the end of the bone and is the part that articulates with another bone. An extreme crushing force or rotational/shearing force may also cause this, commonly seen in injuries such as ACL tears. ACL tears typically not isolated, but MCL damage, meniscus damage, and even a sub-chondral lesion due to the forces that occur on the joint during the injury also occur.

At this point, if there is a bone bruise, further imaging is required which has already involved X-ray to rule out fracture and MRI. Imaging supported today that there was no ligament damage which would most likely end his season. If I had to speculate the type, I would suspect sub-periosteal hematoma based on the mechanism of injury and inability to play through it.

Bone bruises are tricky because depending on extent of injury, he could be out for 2-3 weeks or be out for the year in the case of Sam Bradford of the Vikings. I could easily see Benjamin out for at least the next game if not the next two with the possibility to come back against the Colts if the diagnosis is correct.

Next up is S Micah Hyde who also sustained a knee injury early in the 3rd quarter. Hyde was injured while trying to make a tackle and injured his knee. Replays initially indicate that he sustained a direct helmet to helmet hit but upon further review, he injured his knee as he was falling to the field. As there is no video replay of the incident, I can not speculate on what occurred. Sean McDermott did state that Hyde would be alright and did not elaborate. Hyde did suffer a knee injury at the beginning of October and unknown whether it is related.

Finally WR Deonte Thompson injured his ankle trying to catch a ball towards the sidelines at the end of the 3rd quarter. It appeared that he had his ankle rolled up on. He was able to exit under his own power but was clearly not moving well after the injury. McDermott did not mention him during today’s press conference; I do expect him to show up on the injury report but observing how his ankle was rolled on, it should not be something which should affect him playing next week.

Prior to the game, T Cordy Glenn, WR Jordan Matthews, and FB Mike Tolbert were all ruled out which severely limited the depth available today. Considering how the offensive line played, the injuries sustained today, this whole team fell apart today. I have mentioned in previous articles that depth will be key down the stretch, but considering the starters can’t even play up to snuff, depth becomes irrelevant. The Bills are horrendous these past few weeks and something has to change.

Continue to check back regularly for articles updating the injuries as more information is released. Follow me at @kyletrimble88 on Twitter for the latest up to date information. As always, thank you for reading and GO BILLS!

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!!