Week 8 Recap- Raiders

Discussing the Buffalo Bills injury report following a dominating win over the Oakland Raiders.

These Bills continue to make me BILL-EVE!!! With a dominating 33-14 win over the Oakland Raiders, the Bills move to 5-2 on the season and 4-0 at home. These Bills look good!! While we have been here before recently in 2008 and 2011, finishing 7-9 and 6-10 respectively, this team is different. There are still tough games ahead including match ups with the Patriots and Dolphins twice, Chiefs, and Saints. If the Buffalo Bills continue to play complete games as they have most of the season, there’s no reason why they can’t continue to win. I expect some losses coming up, but this team does not appear capable of long losing streaks. I may come back and eat crow for that statement, but I continue to remain optimistic on these Bills!

With a convincing Buffalo Bills win despite the cold and rainy weather, injuries continue to remain at a minimum. The slick surface contributed to this as this lessened the chance for firm planting in the ground, leading to decreased major knee and ankle injuries. With decreased friction at point of contact with the ground, this leads to decreased force through the joints. Makes it very hard for running, but the Bills did just fine with LeSean McCoy rushing for 151 yards and a TD.

Notable injuries to the Buffalo Bills today included WR Zay Jones (Shoulder), C Eric Wood (Ankle), and G Richie Incognitio (Ankle). It is unknown when both Jones and Wood sustained their injuries, but considering they are on a short week, any possible injury must be reported and managed. If this were a normal week, this may not have even come to light. Jones was a full participant in practice and while Wood and Incognitio were limited, this is not concerning as they are both veterans. It is concerning that Jones is listed on the injury report after his most successful game to date, but I suspect it is nothing more than general soreness.

TE Charles Clay (Knee) and LB Ramon Humber (Thumb) continue to be out with their previously mentioned injuries. Originally, I believed that Humber should have come back shortly after his surgery, but not knowing the specifics of his particular injury clearly altered my initial projection. With the emergence of LB Matt Milano continuing to demonstrate stellar play allows Humber to take his time to get healthy.

I had originally also stated that Clay would be able to return for the Colts game which would have put him at 10 weeks from initial injury. As the Bills did not put him on short term IR, this allows the possibility to return sooner. Reports state that he has been stretching and preparing to practice, but has not been cleared yet. If the Bills clear him to practice and play in time for the Saints game, this would be a fantastic and incredibly short recovery. It is still within the realm of possibility, but I would still expect him to be out until at least the Chiefs game, possibly the Chargers game if he’s really pushing to play. While the knee can heal quicker than expected, the change in weather and surfaces will have an impact on when he returns which can alter re-injury rates.

Despite missing both S Jordan Poyer and CB E.J. Gaines due to injuries sustained last game, the secondary did not struggle as everyone believed they would. Filling in without missing a beat, CB Trae Elston came up with his first interception and CB Micah Hyde continued his stellar play, collecting his 5th interception of the season. I would expect that they continue to hold Gaines out until the Chiefs game to ensure prevention of further re-injury. Gaines goes all out which is appreciated, but not at the risk of turning into the Buffalo Bills version of S Bob Sanders when he was with the Colts during their Super Bowl run.

Through all these smaller injuries, this depth the Buffalo Bills have exhibited so far this season is the reason why they have stormed out to a 5-2 start. While some of these players are not starting material week-to-week, the idea is that the backup can come in and play up to par in short term stints until the starter can return. The Bills continue to avoid season ending injuries and key players missing extended time. It is impossible for a team to get through a season without injury, but the Bills are pretty close to that at this time. With the exception of Clay, Humber, Gaines, and possibly Poyer, I expect everyone else on the injury report to play Thursday without any limitations.

Continue to check back on a regular basis for updates on new injuries, my personal thoughts and observations, and detailed explanation on Bills specific injuries. Thank you for your time and GO BILLS!!

Week 8 Injury Breakdown- Raiders

Assessing the latest Buffalo Bills injury report and implications for Sunday’s match up against the Oakland Raiders.

Since today’s injury report was released today, relatively nothing new has occurred injury wise with the Bills. LB Ramon Humber and TE Charles Clay continue to be on the mend with their respective injuries. RB LeSean McCoy, DT Kyle Williams, LB Lorenzo Alexander did not practice secondary to requiring a rest day. Those guys go hard every Sunday, a rest day is more than well deserved. CB E.J. Gaines (hamstring), S Jordan Poyer (knee), and G Richie Incognitio (ankle) did not practice secondary to their recent injuries.

I had previously given my thoughts on Gaines and Poyer in my last article. With soft tissue injuries, there are general guidelines based on severity, but it ultimately come down to each player’s response to the injury. I still believe Poyer may be able to play Sunday, but the Bills continue to be proactive, releasing CB Tony McRae and signing CB Lafayette Pitts, who has spent time with Miami and Jacksonville the past 2 seasons.

G Richie Incognito did injure his ankle early in the 2nd quarter, sat out several plays, and was able to return to the game. It appears as though he may have sprained his ankle, which is not surprising considering his position. Considering he was able to continue playing, sitting out today’s practice especially in the rainy weather, ensured that he could have an additional day to rest his ankle. With proper bracing, Incognitio may be able to play Sunday, but not knowing the severity clouds my ability to make a definitive prognosis.

It is worth mentioning that WR Jordan Matthews is no longer listed on the injury report. While I am not an expert yet in the reporting of injuries to the NFL, this indicates two things. This indicates that Matthews did not have a set back in his recovery from thumb surgery. This also indicates that he is most likely not back at 100% though. Just because he is not listed does not mean that he is still not still healing. I expect him to continue wearing his brace for protection for at least another 1-2 games until team doctors can be confident that he will not re-fracture the area.

The only other notable injury is LB Preston Brown. He was able to participate in practice despite a shoulder injury. There is not any information other than the official press release to indicate the nature of the shoulder injury. Brown’s job is to throw his body at a moving object and stop it in its tracks. I expect that his shoulder will hurt from time to time due to the repeated impacts. As the NFL injury rules are quite strict, it is in the Bills best interest to report all injuries. As there is no information on the shoulder and he was a full participant, this does not concern me at all and does not indicate any underlying chronic issues.

Minimizing the injuries continue to be a focus of this team and while the secondary has taken a hit, the team as a whole continues to be relatively healthy. The secondary was awful last year; so far it has exceeded expectations, but this will be an area that Oakland will attempt to exploit in order to win. This will be an area that I expect the Bills to continue to address on the waiver wire and in next year’s draft. I still believe the Bills have the talent to win this game, but if the Bills have to lose, I would rather be it this game than a winnable game such as the Chargers or Jets in the next several weeks. My football predictions may not be accurate, but my knowledge of the injuries are. That’s why you are here reading.

Look for future posts including my thoughts on Sean McDermott and the culture he is instilling in Buffalo. I will continue to report on the Buffalo Bills injuries as they occur and begin to incorporate new items into my posts as they become relevant. As always, thank you for your time and GO BILLS!!

Week 7 Recap- Buccaneers

Breaking down the latest on EJ Gaines and Jordan Poyer injuries and following the exciting win over the Buccaneers.

The Buffalo Bills continue to thrill and excite the fan base with a fantastic 30-27 win over the Tampa Bay Buccaneers! Despite giving up 27 points to the Bucs, the Buffalo defense made key stops including a late fumble recovery by Tre’Davious White to set up the game winning field goal. Buffalo is now 4-2, including 3-0 at home, making Sean McDermott the first Bills head coach to start 3-0 at home. These Bills continue to impress, but key injuries may derail the good times.

Thankfully, the Bills injuries continue to occur at a minimum, but injuries in the secondary may be ill timed with the Oakland Raiders offense coming to life. CB E.J. Gaines suffered a hamstring injury during a tackle on DeSean Jackson early in the 3rd quarter. Gaines was able to walk off on his own power but was unable to return. As reports are minimal at best to avoid giving a competitive advantage to their opponents, Gaines has been listed day-to-day. Based on this report, he may have suffered a Grade 1 hamstring strain.

If you recall from my article on hamstrings, this is something that can be managed conservatively and is a week-to-week injury. It’s possible that he may be able to play in time for the Oakland game, but considering that Gaines had a hamstring injury in training camp and is just recently coming off a groin injury, this doesn’t bode well. Unfortunately, these are soft tissue injuries and while can be reduced, they are not fully preventable.

I would not hang the “injury-prone” tag on Gaines though at this time. During each time he has been injured, he has been going all out trying to make the play. I would rather have him go all out trying to make a play rather than a player taking it easy, such as CB Stephon Gilmore, who we dealt with for far too long last season. However, I believe based on all the previous history, he misses next week. As Brandon Beane has been known to do, he has been preemptive, signing CB Tony McRae and releasing WR Kaelin Clay with the uncertainty following the injury.

This signing was also made with the recent injury of S Jordan Poyer. His injury came on the last play of the game in which Tampa Bay attempted their pathetic imitation of the Music City Miracle. They were playing the Bills, you’re not going to fool them twice! Video of the play shows a player hitting Poyer low and Poyer reporting he felt a pop. Based on video, it appears he did injure his right knee, though the injury does not appear to be as severe as it could have been.

During the hit, Poyer was able to begin lifting his leg and turn his hip inward away from the hit, allowing him to deflect some of the force on the knee joint. As he was able to walk off with the trainers, this also indicates that this may be a Grade 1 MCL sprain. Thankfully, this MCL sprain is nowhere near the severity of the Charles Clay injury. I believe there is a better shot at Poyer playing Sunday than Gaines at the moment. This week’s practice will dictate how each player responds to the injury. I believe that the Bills could go without one of these players, but not both.

Finally, WR Jordan Matthews was able to suit up and play, recording 3 targets for 2 catches for 10 yards. While this is not the type of production the Bills had hoped for, this far exceeded expectations considering he is still coming off a broken thumb. It was a stretch that he was able to play this week, it appeared that he was used more as a decoy to help in allowing WR Deonte Thompson to make his mark after being signed off the street earlier last week. Having Matthews return to play gives Tyrod another weapon going into next week’s game against the Raiders.

Despite missing TE Charles Clay and using a less than effective Jordan Matthews, Tyrod Taylor was able to spread the ball around to Thompson, Logan Thomas, Nick O’Leary, LeSean McCoy, and even Zay Jones. Despite missing some top end talent on the roster, the Bills still benefit from the depth at each position which allows for a next man up mentality. I believe this is why the Bills have been able to stay in every game this season and win the close ones such as Sunday’s game. This formula will not work every week, but the Bills have to begin winning the close ones in order to have a shot at turning their years’ long misfortunes around.

The Bills aren’t losing anyone to season ending injuries, unlike many other teams in the league. Depth continues to be a concern, but it is not as though other teams lose their starting player and a Pro Bowl caliber replacement is warming the bench. I believe with this depth and team first mentality, the Bills can beat the Oakland Raiders and move to 5-2 on the season. The Raiders do have a talented offense lead by Derek Carr and Amari Cooper, but if the secondary can get healthy in time, this should limit the effectiveness of the passing game. With how the Bills defense has played this season, I expect McDermott and Frazier to draw up a defensive game plan to limit the Raiders offense.

I know that many Bills fans are still on the edge despite a 4-2 start. The Bills have been here several times in the past with poor finishes. This may be another year in which that’s the case. Experience, injuries, schedule all play a part in the rest of the season. Time will tell how the rest of the season plays out; I will continue to hope for the best, but prepare for moments that remind me why I am a Bills fan. Until then, I will continue to cheer and enjoy the moment. Thank you for your time and GO BILLS!!

Week 7 Injury Breakdown- Winston’s Woes

Breaking down the Bills injury report, analyzing QB Jameis Winston’s AC sprain, and how it will impact Sunday’s match up.

Well, I was wrong. Yet I couldn’t be more happier! WR Jordan Matthews has been cleared for practice! After breaking a bone in his thumb which required surgery and a pin inserted just two weeks ago, he has already begun practicing on a limited basis. This is far faster than the anticipated month long absence the team expected. This also blew my prediction out of the water of returning at least by the Jets or Saints game.

This determination was made with full confidence of team doctors and how Matthews has responded to treatment. While there are guidelines with each surgery, they can be circumvented based on variables such as healing, pain, and strength/range of motion progress. As of today, he is listed as questionable for Sunday. He was listed as a full participant in practice today, however, it may still be beneficial to come back with an additional weeks rest. As we have found out, anything can happen, so stay tuned.

Conversely, I believed that LB Ramon Humber would be the one returning quickly as he was able to play through the Falcons game with a club on the hand until he could be examined further. As of today, he is still listed as out. This may change as he continues to be week-to-week, but LB Matt Milano is filling in place with satisfactory results.

CB E.J. Gaines continues to deal with a groin injury also sustained in the Atlanta game which indicates that it may be been more severe than DE Shaq Lawson injury. He was listed as a full participant today which is a good sign heading into Sunday. CB Leonard Johnson is listed as still dealing with a hamstring injury, but also was able to practice in full today. As previously mentioned, hamstrings can be tricky and not quite heal up completely if Johnson re-aggravates the injury. Both are listed as questionable going into Sunday’s game, but considering these are soft tissue injuries, I have much more faith in them playing than Matthews.

Finally, OT Cordy Glenn was a full participant while still dealing with a foot/ankle injury. He appears to continue to re-injure it or dealing with a chronic issue which means he may never be fully healthy this season. There was discussions that he would be moved to the Seattle Seahawks, but a trade was unable to be completed. It is also assumed that he would not pass a physical. Add into the mix that he has a hefty contract that not every team can just assume. I expect to see Cordy either get healthy and be traded, or play out his contract and leave a free agent.

While this is a Bills blog, the one big question is how QB Jameis Winston’s AC sprain will affect Sunday. Winston sustained the shoulder injury last Sunday during a tackle by LB Chandler Jones. It was reported that he was well enough to return in an emergency, but QB Ryan Fitzpatrick finished the game. As of today, Winston has participated in a limited fashion with throwing in practice and is listed as starting Sunday. While he is starting, I question the effectiveness of his abilities.

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Credit: saintlukeshealthsystem.org

To understand why this may limit Winston, the AC joint must be understood. The AC joint is important in the shoulder as this is where the top of the shoulder (acromion) articulates with the collarbone (clavicle). The AC joint is vital to the throwing motion due to the fact that as the arm is elevated, the acromion that attaches to the wingbone (scapula) begins to elevate. As the scapula begins to elevate, the articulation between the acromion and clavicle begin to move as the clavicle beings to rotate up and out of the way to allow for overhead movement. If the AC joint is sprained, this limits the ability to elevate the shoulder effectively and cock the arm back in position to throw. There are various grades of AC joint sprains as with any other sprain outlined in my previous article, but this appears to be a Grade 1 sprain.

Winston is going to attempt to play with this injury, but it’s assumed that he will not be effective to throw deep or put any speed on his throws. On average, the shoulder sprain that Winston sustained typically takes 9.8 days to fully recover from according to Dr. David Geier. He will be at day 7 by kickoff Sunday, which may affect his ability. This, and other information regarding AC joint sprains can be found at the previously linked blog. This information provided by both Dr. Geier and found by my friends from The Rockpile Report. If you aren’t already a listener, start listening, Drew and Chris are the best at what they do when it comes to Bills football!

At this point in the season, I still believe we are in a better spot both record wise and injury wise compared to previous seasons. I also believe that this team is better equipped to deal with injuries than in past years. This next month of football will really define our season, determining whether the Bills are for real or the same old Bills. Calling it now, the Bills win a close defensive battle and move to 4-2 on the year. Continue to check back for any breaking updates, new injuries, or further explanation of complex injuries. Thank you and GO BILLS!!

A Hodgepodge of Contusions

Looking at what consists of a contusion, the various types, and severity associated with the injury.

Today’s post will consist of several remaining terms that come up often but aren’t well defined. My goal is to identify the rest of the terms and continue to further the knowledge base. There are many terms for the same problem or based on location, which define how it is described.

First up is the common contusion. A contusion is defined as a blow to an area that damages the small blood vessels and connective tissue in the area. This can be caused by getting hit hard or falling the ground which if severe enough can impact function. While everyone has dealt with a bruise at some point or another, not everyone gets hit by a 250 lb linebacker going at full speed.

When the contusion occurs, the blood vessels do burst and the discoloration is the result of the burst blood vessels releasing blood, rising up to the surface, then slowly reabsorbed by the body. This is why a bruise fades over time. The more severe the contusion, the more impact it can have. While nothing has been torn, the connective tissue of the muscles and other tissues including fat and skin are still impacted. The tissues of the body are quite pliable and if damaged, will respond to pain as any other portion of the body, except brain tissue. Contusions, if severe enough can cause compartment syndrome in the area. This occurs when swelling becomes excessive and pushes on the connective tissues surrounding the muscles. If not managed quickly, the excessive pressure can begin to kill the muscle, leading to permanent damage.

Various types of contusions include hip pointer, nerve contusion, stingers, and bone bruises. Hip pointer injuries are to the bony portion of the hip known as the iliac crest. This is right above the waist line and are common due to the location players fall to the ground or are tackled in the area. This area is also where the abdominal wall attaches to which limits trunk motion and the hip abductors connect right below the area, which allow for a player to run and perform lateral movements.

Nerve contusions, such as what Shaq Lawson dealt with, is when bruising occurs to a nerve. In most cases in the body, the nerve is well insulated and protected from injury. However, in certain cases, these nerves sometimes exit the body temporarily and are exposed. Cases include the ulnar nerve that exits temporarily near the elbow and the peroneal nerve which is on the outside portion of the knee near the fibula. If you’ve ever hit your funny bone, that’s your ulnar nerve screaming at you. In Lawson’s case, he hit the peroneal nerve which causes pain and weakness to the area. These injuries can resolve relatively quickly, but are quite painful and may take some time to rehab from to ensure proper movement.

Stingers are another type of nerve injury that can be incredibly painful, but can quickly resolved if managed correctly. Stingers occur when a player gets tackled violently and the shoulder is pushed in one direction and the head in the opposite, leading to traction on cervical or neck nerves. Compressive forces can also cause similar symptoms, such as a direct head blow during a poor tackle or when driven into the ground. Pain is typically felt in the neck and shoulder region, with pain also produced sometimes all the way down the arm causing pain, weakness, and numbness. Due to how the nerves connect all back to the spinal cord and brain, this is why pain can travel down the arm despite the injury occurring in a different area. These injuries can resolve with rest and proper stretching, but is not something that can be rushed.

Finally, bone bruises complete this article. 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.

This wraps up the breakdown of injuries that are commonly reported, but are not fully known. These injuries happen far too often and are a part of football. While padding, playing surfaces, and proper tackling can reduce incidence of injury; these are the types of injuries that come with playing football. Most of these injuries can be managed conservatively with rest, icing, stretching, and padding. These are injuries that do not keep players out for extended time, but can be injuries that knock out players during key games.

What is most important is that the Bills continue to keep injuries to a minimum. They have suffered injuries just as any other team in the NFL, but have avoided the season ending, season altering injuries thus far. Continue to check back for regular updates and further in depth analysis of the latest Bills injuries. Thank you and GO BILLS!!

Speculating Sprains

Breaking down the latest Bills news and an overview of general sprains and their severity.

As the Bills come off their well deserved bye week, two new pieces of information have arisen since last post. The Bills have signed WR Deonte Thompson and released RB Joe Banyard. Thompson has been with most recently the Chicago Bears before being released last week and had previously spent time with Buffalo the past two off seasons. This will help add depth to the WR corps and give Tyrod Taylor a deep option as WR Kaelin Clay hasn’t made much noise since acquiring him earlier this season from the Panthers.

In other news, it has been reported that WR Jordan Matthews is ahead of schedule in regards to his thumb fracture. He has been seen in practice without padding and with just a bandage over the area, though not cleared to catch balls yet. While not fully recovered, this is a promising sign. I had initially thought that Matthews would not be ready to return until the Jets or Saints game, giving him 4-6 weeks to heal. While healing times do vary person to person, it is still early to state when he will play.

Regarding return to play, I could see Matthews sitting out the Buccaneers game, possibly returning against the Oakland Raiders, giving the passing game a much-needed boost after losing Charles Clay last game. The key thing with his recovery is how quickly the bone has healed, the strength/range of motion in the hand, and his ability to manage pain effectively. I continue to hope that these players exceed expectations with return to play and contribute towards making the team more dynamic.

Today’s post will consist of an overview of general sprains. Sprains are very similar to strains, but differ in function and location. Sprains are an injury to a ligament or multiple ligaments based on location. Ligaments are found all over the body and provide connections between bones to create a joint. When an injury occurs to the area, instability, pain, and swelling occurs based on severity.

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Credit: therapydiadenver.com

Grade 1 sprains are when the ligament is stretched minimally and minor swelling/pain occurs. This can cause some players to miss time based on location and position, but typically can be managed conservatively in order to return to prior level of function. These types of injuries are week-to-week and can be played through if absolutely required, though increased risk of injury occurs. X-rays may be performed to ensure no fractures have occurred but are usually diagnosed through physical examination.

Grade 2 sprains are when the ligament is partially torn and moderate swelling/pain occur. These types of sprains typically keep players out for some time and cause moderate loss of function. A conservative expectation for a Grade 2 sprain could be anywhere from 4-6 weeks, though could vary based on location. At this time, an X-ray is performed to rule out any fractures. An MRI is performed to support physical examination and determine extent of damage.

Grade 3 sprains typically involve near or complete tearing of the ligament leading to significant loss of function and possible season ending surgery based on location of area. At this point, the ligament is classified more of a tear than a sprain which is why you do not see this as a Grade 3 sprain. Typically, ACL, PCL, and severe MCL tears can be categorized as such. Ankles, shoulders, and wrists are also common areas for complex ligament damage to occur. It is common to see other structures become damaged as the result of a severe sprain/tear. MRI’s are performed to determine severity of tear and to assess for any injuries missed by physical examination or initial swelling.

In most cases, a sprain can be due to an overload to the joint as a direct blow, violent twisting/pivoting, or excessive tension on the ligament. As with all other materials in the body and in nature, everything has a breaking point. Injuries such as these can be reduced but not totally prevented. Preventative measures include playing on forgiving surfaces such as grass which reduce the friction and prevent cleats from sticking in the surface. Proper strengthening to the area and proprioceptive exercises which include body awareness activities help keep the body from overloading the joint. Bracing and taping may also give support to an area if there is a high risk for injury or prior instability. Taped wrists, knee braces on lineman, and ankles braces assist in limiting excessive range of motion, reducing the risk.

Thank you for your time today and please continue to check back regarding updates on Bills news and general injuries in the coming days. While it is impossible to review every injury, this is merely a guide to assist you in understanding the severity and expected timeline upon injury. I hope you continue to enjoy and GO BILLS!!

Studying the Strain

Educating and understanding the general muscle strain, grade severity, and complications.

Today’s post will consist of identifying several terms used to describe injuries and educate on how to differentiate on what is being reported. I have used many of these terms before and have done my best to describe them, but I believe they are worthy of their own article. Today’s overviews will consist of the common muscle strain.

A muscle strain can occur in virtually any muscle within the body if the muscle is suddenly overworked, stretched, or fatigued to the point where the muscle becomes injured. A strain is classified as a strain due to an injury to the muscle itself or the muscle bone attachment which is called the tendon. There are varying grades of muscle strains which can progress up to a muscle tear, avulsion fracture, or rupture.

Grade 1 muscle strains are relatively minor and is when a portion of the muscle is torn; function may be limited, but is typically not serious and can heal up relatively quickly with proper management. This usually consists of stretching, icing, anti-inflammatory medications, and light strengthening exercises to restore proper movement. With effective management, this can be a week-to-week injury.

Grade 2 muscle strain is where a moderate portion of the muscle is torn which is typically associated with bruising, swelling, and partial loss of function which is demonstrated as difficulty performing the muscle movement and is typically limited secondary to pain. Rehab management will consist of generally the same procedures as Grade 1, but will take longer to heal up. I can not make a blanket statement and state that a Grade 2 muscle strain will take “X” number of weeks to heal up. It is typically more than week-to-week, but based on location and job duties of the position may dictate how long the player is out.

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Credit: eorthopod.com

With an injury such as this close to the tendon occurs, if not healed up correctly or chronically injured/overused, the muscle or tendon may develop into a tendinitis based on healing. The suffix “-itis” is Latin for inflammation, which indicates that the tendon is irritated and may become painful over time. Most muscle/tendon fibers have consistent, linear striations, such as in a nice cut of beef or in the picture above. When the tendon does not heal correctly, the connective tissue heals in an uneven pattern as seen in the picture below. This does not allow for ideal effectiveness of the tendon, leading to increased pain, weakness, and loss of function. This could lead to tendonosis which is the chronic form of tendinitis and becomes even tougher to treat. Eventually, this can lead to a higher risk of rupture in the tendon later but is not a requirement for a rupture to occur.

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Credit: mendmeshop.com

Grade 3 is where most of the muscle is torn, there is typically significant damage and surgery is possibly required to repair the structural damage. There is significant swelling, bruising, and pain to the area due to the sudden and forceful nature of the injury. The muscle no longer is able to function as intended and pain limits the possibility to attempt. At this point, several other injuries may have occurred including avulsion fracture or ruptures. If an avulsion fracture or rupture has not occurred, surgery still many be indicated to assist the muscle in healing correctly.

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Credit: physicaltherapyct.com

In the case of an avulsion fracture, the tendon that attaches the muscle to the bone and acts as the anchor pulls away from the attachment point and takes a chunk of the bone with it. While this injury is uncommon, it still does happen. Surgery is sometimes indicated to reattach the bone to the original area and requires extended time missed, requiring the body to build up toleration to the muscle pulling on the attachment point without re-injuring the area.

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Credit: tylerfootclinic.com

Finally, a tendon rupture is when the tendon tears away from the attachment point but does not take a piece of bone with it. This is commonly seen in biceps and Achilles’ injuries, among other areas. If this injury occurs, the player may feel a pop with immediate loss of function. The muscle may act like a bungee cord and rebound violently and become balled up, leading to a deformity. These types of injuries also require surgery and cause a player to miss extended time due to the requirements of the muscle contraction and the actions of the muscle.

This is just a brief overview of the muscle strain and how to understand the various nuances of the wording and injury. Sometimes injuries such as calf and hamstring strains can follow a player for their career or never fully heal for sometime. The best thing that a player can do is hydrate well, stretch effectively, strengthen properly, and listen to their bodies. While the NFL is a tough sport, pain is expected, but trying to play through an injury may only worsen it and cause further complications down the line. Continue to check back for posts regarding other general injuries and broaden your knowledge base. GO BILLS!