2020 Week 13 Bills Injury Review- 49ers

What happened to Jon Feliciano? Updates on Cody Ford and Isaiah Hodgins

The Bills regime and team as a whole continue to break down barriers and set new standards year by year. The first Bills Monday Night Football win in the 21st century, first since 1999, this time over the San Francisco 49ers 34-24. It seems as though every time there is a stat line that the Bills haven’t accomplished something in a while, the Bills set it as a goal and in most cases, win! It almost seems like Sean McDermott has the proverbial carrot in front of the team, always chasing, never satisfied. 

On top of the team stacking wins, the team continues to avoid serious injury with a flurry of activity early in the game before things calmed down later. Below are the injury highlights and updates on several surgeries over the past week.

WR Cole Beasley (concussion check)

Beasley took a hard hit to the head while hauling in a 31-yard pass in the first quarter. He was slightly slow to get up and returned to the sidelines where he was evaluated for a concussion. Thankfully he did not have any symptoms as he quickly passed through the screening and returned to the field to complete a career day in receiving yards. 

The loss of Beasley underneath would have hurt the Bills as they continued to focus on different aspects of the offense to keep the defense guessing. Even with delayed onset of concussion symptoms, it would have been known by now if Beasley suffered one as he would have been announced to be in the concussion protocol during yesterday’s press conference. Thankfully, he appears to be alright.

RB Devin Singletary (Right knee)

Singletary required medical attention shortly after Beasley went in for his concussion check with a run up the left side with 13:08 left in the 1st quarter. It isn’t clear what Singletary did to his knee, but his right knee was directly hit by Jimmie Ward, leading to Singletary missing several plays. 

He was able to return quickly and play the majority of snaps for the remainder of the game signifying that this was not an injury to be concerned about. He was likely pressed into greater service due to Zack Moss’s fumble, but if there was an issue, I believe the team would have played Moss more to ensure Singletary’s health. I’m not certain that Singletary even shows up on the injury report this week though it is possible with how the team has reported several injuries this year.

RB Zack Moss (Right knee)

Right after Singletary went out, Moss followed behind with his fumble that was initially reviewed but eventually overturned. I had initially thought that he suffered a possible concussion as he got a shot to the head while going down. However, he got up and was walking with some discomfort to the sidelines before Singletary returned. Upon review, the outside of Moss’s right knee was hit as he was going down which explains the discomfort walking to the sidelines. 

Moss eventually was able to return to the game though his lack of play was more due to his fumbling issues in the end zone rather than injury. Based on video, the right knee injury appears to be a contusion or at worst a minor MCL sprain. He was able to play through it and did not have any evidence of bracing on the area later in the game. He is also another one that I wouldn’t expect to be on the injury report, but if he is, this instance may be the reason.

G Jon Feliciano (Left leg/knee)

Feliciano went down with a knee injury with 10:12 left in the 3rd quarter. During the play, he fell forward, the left leg appears to disappear into a pile of bodies before he comes out laying on his right side. There was nothing to suggest that he suffered any injury until trainers began tending to his brace. He missed the rest of the series which resulted in the Isaiah McKenzie touchdown before returning.

Feliciano played up until the 4th quarter following the Gabriel Davis touchdown, leaving the field to be replaced by Brian Winters. Looking at the film, there is nothing to suggest that he suffered a further injury after he returned the first time. Going back to look at the original play again in what I’ll refer to as the “Madden view”, his left thigh did get struck by Kevin Givens which could explain why the bracing needed adjusting. To note, this did take me many viewings with many more slowed down to catch this.

It’s possible he could have a contusion that led to the muscle tightening up as the game progressed, but it’s also possible the game began to tilt more in favor of the Bills and they were able to sub Winters in for playing time. Considering Feliciano was mentioned in Tuesday’s press conference, this is something the team acknowledged and it’s possible he appears on the injury report with a quad or knee injury. However, this appears something he can play through and is minor unless he has multiple DNP’s this week indicating a greater severity than originally appears.

Other injury thoughts:

LB Matt Milano (Left pectoral)

Milano finally returned to play against the 49ers after missing the past month of football recovering from his partially torn pectoral muscle from Week 4. While he only played on obvious passing downs, he was more involved in the defense, seeing 19 snaps which is the same from what he saw in Week 7. 

He was able to get a quarterback hit, fully wrapping up Nick Mullens along with two solo tackles in his limited playing time. Hopefully, the team continues to wean him back in as he slowly regains his starting role. The team can take their time with this due to the emergence of AJ Klein, but this just allows the Bills to scheme various plays to keep the opposing offense guessing. Milano still probably isn’t 100% prior to the injury, but he’s obviously close enough to return playing with improved results.

WR Isaiah Hodgins (Left shoulder surgery)

It was announced Tuesday night on Hodgins’s Instagram and Twitter that he had successful shoulder surgery earlier Tuesday. While the exact details are not known what he required surgery on, the team had alluded to the possibility of this back at the beginning of the season when he was placed on injured reserve.

He was observed wearing a shoulder harness during training camp which suggested that he tore his labrum though there wasn’t any past publicly reported medical history to support that. There also wasn’t anything in camp to suggest he further injured his shoulder other than sitting out several practices. However, Sean McDermott did state that Hodgins was being placed on IR to let the shoulder calm down a little bit and get some strength in it. I had interpreted this as a rotator cuff issue which it very well could have been.

Hodgins did return to practice right before Thanksgiving and participated briefly before exiting, not being seen again until this announcement was made public. Once there is more details, a firmer rehab timeline can be established. If it is a rotator cuff repair, he is looking at roughly 6 months; if it is labrum, he is looking at 6-9 months with a more likely return at the 6-month mark due to his positional demands.

G Cody Ford (Right meniscus tear)

It has already been reported that Ford was moving to IR on November 27th with a torn meniscus. This injury was suffered in practice on November 25th according to reports and it was announced he would have season-ending surgery. At the time, it was unknown which knee suffered the injury.

According to Bills Wire reporter Bradley Gelber, Ford had surgery sometime during the first week of December on the right knee as viewed in the picture above. This confirms that he did suffer the right knee meniscal tear which is the same knee injured against the Chiefs. It is possible that he originally tore the meniscus back then, but at the time, the mechanism did not suggest that it was a meniscus, rather, an MCL sprain.

I expect that there are more injuries on the report later Wednesday but hopefully, the list does not grow like it did in past weeks. The Bills are practicing on a short week as they prepare to host the Pittsburgh Steelers on Sunday Night Football with the Steelers coming off a loss to the Washington Football Team Monday night. They are dinged up on the defensive side of the ball, losing linebacker Bud Dupree to a right ACL tear last week and their secondary suffering various injuries as well.

It is too soon to tell who will play Sunday for the Steelers but the Bills health is trending upwards allowing a possible mismatch against one of the AFC’s top teams. Like last year, this will be another opportunity for the Bills to showcase their talents on a national stage and garner further respect as they near the playoffs.

Top Photo Credit: Buffalo Rumblings

2020 Week 10 Bills Injury Review- Cardinals

Is Brown and Jackson alright? What’s going on with Morse?

The football gods giveth, they also taketh. The Hail Mary pass from Kyler Murray to DeAndre Hopkins was truly something else. Those are the kind of plays that demonstrate why the Cardinals traded for him and gave him a big contract extension. I understand he isn’t making those plays week in and week out, but to know you’re never out of a game because a player like him can’t be discounted. Bills fans saw the exact same thing with Josh Allen to Stefon Diggs for the go-ahead touchdown just moments before. 

The loss sucks, but sometimes that’s just how things are. For every loss like the Cardinals, we can get a win as we did against the Rams. The Bills are still 7-3 heading into a much needed and deserved bye week with the ability to get a lot of key players back very soon and others to get healthy. I understand that after years of suffering through the drought, we want every win, we want the ability to leave no doubt in our minds who is the better football team in the NFL. I would also rather take this loss now and have a deep postseason run when compared to the Ravens 14-2 record last year and getting bounced in the divisional round of the playoffs. 

As we head into the bye week, there are several new injuries to monitor that may impact the injury report next week.

DE AJ Epenesa (Concussion)

Epenesa missed the second half of the game due to a concussion possibly sustained with 3:32 left in the 2nd quarter when he took down Kyler Murray from behind to set up 4th down. The play below shows how Epenesa attempted to knock the ball out of Murray’s hand as he took him down, regrettably slamming his head into the turf. He stood up quickly and appeared to be momentarily unsteady before walking off to the sideline motioning to his head. 

He was quickly taken to the locker room for further evaluation of a head injury where he was later ruled out with a concussion. He will enter concussion protocol as does every other NFL player, but time will tell how long it will take him to return. According to what I could find from his injury analysis this summer, this is Epenesa’s first publicly documented concussion. 

There is potential he could move through the protocol quickly, but no guarantees either. Fortunately, he has the bye to work through things to get right for the Chargers game.

CB Dane Jackson (right knee)

Jackson went down with a right knee injury tackling Christian Kirk in the 3rd quarter. He completed the tackle and rolled over, holding his right knee. It’s still not clear what he did to the knee even on the film below. I had initially thought he suffered a hamstring strain as he extended his leg out to grab Kirk, but I’m not certain that is the case. 

It’s very possible he hit the knee on the ground as both he and Kirk were falling. There is also the possibility that Jackson got a cleat to his knee, though slowing down the film, I personally couldn’t see anything. Jackson was observed later on the exercise bike appearing to keep the knee loose to prevent any potential swelling which also dissuades me from considering a hamstring. 

Jackson did return in the final moments of the game as DeAndre Hopkins caught the game-winner. Either Jackson gutted it out because the coaching staff knew he was the best option over Daryl Worley or the injury wasn’t as significant as originally thought. I am going to go with the latter in this case. 

I am also not certain that Jackson will show up on the injury report next week for two reasons. While he is continued to be used as a regular call up or COVID replacement call up, he is not officially on the active roster. Practice squad players are not placed on the regular injury report released through the week. Sometimes they are acknowledged as former Bills offensive lineman Evan Boehm was earlier this season, but I do not believe the team has any obligation to publicly release these details. 

If Jackson gets signed to the open roster spot available due to Del’Shawn Phillips going to IR, then Jackson could be on the injury report. I also don’t believe that the injury is serious enough without more information to determine that he will be on the report.

WR John Brown (right ankle)

Brown suffered yet another lower-body injury, this time on a 24-yard catch midway through the 4th quarter. The play was ultimately negated due to a Brian Winters holding penalty, but Brown made a great catch before coming down hard on his right ankle. Per Sean McDermott, Brown tweaked his ankle.

In the video below, you can clearly see that Brown lands on the right foot, the ankle bows inward before the rest of Brown’s momentum drags him down to the turf, lifting his heel up off the ground before being officially downed.

I had initially thought of an MCL sprain due to how he fell and the valgus angle with the knee pointing inward as he fell, but his medial ankle took the brunt of the injury it appeared. From the video alone, it looks to be a medial eversion ankle sprain, similar to what Tre’Davious White suffered last week. I would say this one was more severe when comparing the two, but Brown may have escaped a worse fate.

When the ankle bows out like that, there isn’t a lot of room for the ankle to move outward, potentially leading to a fracture of the lateral malleolus. However, Brown was able to walk around later under his own power on the sidelines indicating that not to be the case and the fact that the team said he tweaked the ankle. Right now, it seems as though he suffered a medial eversion ankle sprain and may need some time to rehab. 

Thankfully he has the bye next week to allow him at least a full week off to allow for healing. There’s potential that he shows up on the injury report with the ankle injury, but we will have to wait and see. At worst, there is the possibility that he misses 1-2 games which include the Chargers and 49ers games which appear winnable without him. However, there is also a very good chance he suits up against the Chargers and plays if the injury is mild. Next week will tell us much more.

Other injury thoughts:

DT Justin Zimmer (right elbow)

I bring Zimmer up because I noted that he had a hinged brace on his right elbow that I had not noted before Sunday’s game. Looking back at game footage, he has had a brace on the area going back to Week 7 against the Jets. The reason it wasn’t noticeable then was due to the fact that he would wear a sleeve over the area or had a long sleeve shirt on, downplaying the brace.

Prior to the hinged braced, he was wearing a compression sleeve on the area in the Chiefs game. If he had suffered an injury, it’s not publicly known and he still appears to be playing well. I have seen a lot of linemen wearing various bracing on their arms and legs to likely manage general complaints and provide some stability to the area as they play. 

C Mitch Morse (concussion)

Morse did not play despite being active for Sunday’s contest. It was termed as coach’s decision by Sean McDermott. Jon Feliciano played the entire game at center in his place. There are some possible theories that I have behind why Morse ultimately did not play that I will address below.

Due to several other injuries and open roster spots, Morse may not have had the ability to be a healthy scratch. However, they could have scratched Morse and had Cody Ford active and not play. They have had injured players active before and not play.

The Bills may have also wanted Jon Feliciano to get more reps at the center position as he acclimates back to game action. McDermott did state that they are going week-to-week with offensive lineup combinations and wanted to get another look at them. But Feliciano is better suited at the guard position from what we’ve seen.

His risk to sustain another concussion following this most recent one is higher, but I have not found an exact number that says a person is at X% more likely to suffer another concussion within X days/weeks from the last one after full recovery. He’s at greater risk to suffer another concussion, just like he was prior to the latest head injury. I also see this study and say it has some value, but the research is nearly 20 years old, I do question how accurate it is now.

There has been speculation that Morse needed extra rest and to use the bye along with not playing in order to make sure he’s healthy. Looking at the NFL return to play concussion protocol, from my interpretations, once you pass through the NFL concussion protocol, you are cleared for play. There isn’t any gray area when it comes to this decision. Either you are cleared or not. Extra rest would not necessarily reduce his risk even further.

There are concerns for second-impact syndrome and post-concussive symptoms. I can say with some confidence that neither are in play here. If he was to have the second-impact syndrome, that would imply that he was not fully healthy as he tried to return. That would go against how the protocol’s purpose. The same thing goes for the post-concussive syndrome. If he was still having symptoms, he doesn’t pass through the protocol. Even if he suffered another concussion in warmups, they would have reported it, similar to when Quinton Spain had his foot soreness as a surprise inactive.

The only reason I can consider is that Morse is a veteran player, I am sure he is dealing with the effects of a physical season and it’s possible that McDermott wanted to give him the day off to preserve him for the playoff push. Not allowing Morse to play also eliminates a chance to sustain another concussion or injury in general. However, if a player is healthy enough to play, he was per the concussion protocol, then he should have played. I don’t believe Morse was benched either.

Bottom line, he was deemed healthy per the concussion protocol, he should have played based on that logic. If McDermott wanted to give him the game off, then he probably should have made him a healthy scratch, they have done that in other games for other players when it did not matter. If they wanted to avoid Morse suffering a further injury, then you inactivate him. Extra rest from a head injury could make sense, but not when applying it to the NFL concussion protocol.

Overall, the Bills head into a much-deserved bye week with the ability for most of the team to address some of their injuries as they prepare for the final stretch. There are a lot of injuries to fix along with a lot of game strategies including the anemic run game. Hopefully, there is more news that comes out regarding these injuries and more over the next week and the injury report will be something to watch with regards to how many players are on it and who is on it. I hope the Bills enjoy their week off as they prepare for the final stretch of the season.

Top Photo Credit: DraftKings Nation

2020 Week 10 Bills Injury Preview- Cardinals

Will Hyde and Ford suit up with their respective ankle injuries?

Things are finally trending up for the Bills on the injury front! While the list is still long, the players are getting healthier which is incredibly important heading into the bye next week. If you look around the league, many teams have long injury lists, but how those injuries have affected those teams’ records is interesting. Some have kept marching along and others have been decimated as a result.

Fortunately, the Bills are in the former group as they prepare to head out to Arizona to play the 5-3 Cardinals. A win Sunday would put the team as just the 8th team in franchise history to go 8-2 through 10 games according to fellow Bills content creator Circling the Wagons podcast. All those but one reached their respective league championship game. The one that didn’t in 1988 still made the AFC title game.

That’s some great information to look fondly back on. But before we start counting the chickens before they hatch, check out the injuries below. 

OUT:

RB Taiwan Jones (hamstring)

Jones misses his second game of the season with a hamstring strain suffered in the win over the Patriots. With how the team has managed the hamstring strains since Sean McDermott has been coaching, for Jones to miss 2 games is no surprise. 

It’s possible that Jones could have been a candidate for IR, but considering the bye is next week, the team can use that to their advantage and avoid roster moves. Hopefully, he comes off the report following the bye. 

QUESTIONABLE:

G Cody Ford (right ankle)

Ford was limited in practice all week with an ankle injury sustained in the win over Seattle midway through the 1st quarter. He later appeared on the sidelines, potentially able to play but never returned. By video, it appears he suffered a low ankle sprain when he got clipped by Zack Moss during the play. 

The fact that he was limited all week says that he can potentially play Sunday if he needs to. He may still be dealing with swelling and pain in the area, making him more of a true game-time decision. I suspect that he plays and allows the Bills to field the offensive line group that they haven’t been able to produce as originally envisioned for Week 1 (Dawkins, Ford, Morse, Feliciano, Williams). If he doesn’t play, then this may be out of an abundance of caution and using the bye week to get healthy.

S Micah Hyde (ankle)

Hyde suffered an ankle injury during Thursday’s practice that left him limited and he did not practice Friday. While he is questionable, it may truly be a game-time decision whether he plays Sunday. We do not have specifics of the injury, only a timeframe of when it occurred. Frankly, I do not like the DNP designation on Friday. Those typically don’t bode well to play Sunday’s from my past observations of the injury report.

To note, he did have left ankle injuries in Week 1 and Week 3 of which he was able to play through. It’s not known whether he injured the same ankle again or if it is the other side. I’m not certain he plays Sunday, but I would be glad to be wrong. 

INJURED RESERVE:

LB Del’Shawn Phillips (quadricep)

Phillips lands on IR again, this time ending his season with a quadriceps injury. It appears that this is the same injury that he suffered in Week 1 against the Jets, went on IR, and then potentially injured again against the Seahawks. 

It appeared that he had suffered a strain in Week 1, but this seems to be an injury that Phillips cannot get past. His 2020 season consisted of 14 special teams plays over the two games. He goes to IR which ends his season as he has already had one trip to short-term IR. This opens a coveted roster spot for several possible players to be called up for depth.

ACTIVE: 

QB Josh Allen (left shoulder)

Another week, another Josh Allen sighting on the injury report with this shoulder injury. We have seen his play appear to be affected by the shoulder injury with his follow through and ability to throw the deep ball. We have also seen the level of bracing change from a shoulder harness to a brace to kinesotape for stability. This is now 6 weeks he has been on the report. The team obviously won’t tell us the specifics, but we continue to watch and see what’s going on with his play. 

WR John Brown (left knee)

Brown continues to work through the knee injury sustained in practice that caused him to miss the Week 5 matchup against the Titans and re-injured against the Chiefs. Sunday against the Seahawks appeared as though he was finally back on track with a stat line that matched his 2019 levels. He continues to work through these nagging injuries and will hopefully get healthy enough following the bye to become the WR2 that the team envisioned at the beginning of this season. 

G Jon Feliciano (back)

Little is known about Feliciano’s back other than the designation. He has played in 100% of snaps since returning and it’s possible that he has generalized back soreness from getting back into game shape. As he has no designation, this isn’t something I’m concerned about unless he lingers on the report as some of his teammates. 

DE Jerry Hughes (foot)

Hughes has been battling a foot ailment over the past few weeks that hasn’t hampered his abilities to perform. As his snap counts and production have not suffered, it’s hard to identify the actual specifics of the injury. He continues to show up week in and week out since his trade in 2013; I do not expect that to change. 

C Mitch Morse (concussion)

Morse cleared the concussion protocol Wednesday following his 5th documented concussion in the win over the Patriots. The protocol is there for a reason to ensure players return safely at their own pace. He has cleared protocol, then I would have no reservations about him playing. The chance to suffer another concussion is there, but it has been there the entire time. If he for some reason doesn’t play, it would be deemed a healthy scratch and would likely come at the agreement of Morse, training staff, and the team collectively.

CB Josh Norman (left hamstring)

With no designation next to his name, Josh Norman returns to the field. This allows the Bills to showcase their cornerback depth for the first time since Week 4 when Norman returned off IR before Levi Wallace got hurt against the Raiders. Hopefully, Norman stays healthy for this game and then uses the bye to prepare for the final stretch of the season. 

While this season has not been what Bills and Norman envisioned, my hope is that he provides needed depth and veteran leadership at the position once the Bills enter the playoffs. I’m excited to see what he and Levi Wallace can do opposite Tre’Davious White for a full game.

CB Tre’Davious White (left ankle)

It seems anytime Tre’Davious White goes down, there is an audible gasp from fans. White has become the heart and soul of the secondary with his exemplary play as he has ascended to the ranks of the NFL’s best cornerbacks. 

He appeared to suffer a medial eversion ankle sprain late in the 4th quarter against the Seahawks. He was in pain on the field before hopping over to the bench to get it taped up, appearing ready to go back in if needed.

He practiced this week with a limited designation on Thursday and full on Friday indicating that this was not going to be an issue. He had also stated to the media that he would play. Despite the injury, he will likely not see any ill effects as he will probably have the ankle taped up and or braced. Arizona has some talented wide receivers and it will be White’s job to lock down whoever it may be, most likely DeAndre Hopkins

G Brian Winters (knee)

Winters appears on the injury report again with a knee ailment. He did exit the game briefly on Sunday with what appeared to be a knee contusion before returning later in the game. While he may have some acute injuries, this may be more of an acute on chronic issue that he continues to battle as the season progresses. 

RB TJ Yeldon (back)

Still, nothing is known about Yeldon’s back injury but he does not have a game status attached to him. This situation reminds me of several years ago when former Bills OL John Miller was on the injury report with an ankle injury for nearly 6 weeks despite not playing. 

Yeldon doesn’t appear to be in the game plans this Sunday and will likely be inactive. However, knowing he is healthy is good to know in the event that either Devin Singletary or Zack Moss goes down in the future. 

Inactives:

QB Jake Fromm

RB TJ Yeldon

S Micah Hyde

TE Lee Smith* active due to TE Tyler Kroft on COVID list

RB Taiwan Jones 

DT Harrison Phillips 

COVID list: Josh Norman, Dean Marlowe, Tyler Kroft, Levi Wallace

Elevated for COVID and PS call ups include Darron Lee, Daryl Worley, Jake Kumerow, Josh Thomas, Dane Jackson

The Cardinals are a talented team but the Bills match up well with them. Looking at the injury report for Arizona, they have several injuries that could impact their ability to match up as well as they have with other teams in the past weeks. Budda Baker is questionable with a groin injury, Kenyan Drake is still working through an ankle injury that you can read more about at The Game Day. Drake may play but I highly question his effectiveness. He may be best served to sit out one more game.

Dre Kirkpatrick their top corner is also working through a thigh injury and Dionte Thompson addressing a knee injury. On top of that, former Bill Jordan Phillips will miss the game with a hamstring strain. 

Even though the Bills are still working through some injuries, at worst they will not have Micah Hyde, Cody Ford, and they are already without Matt Milano. That is far better than the Cardinals potentially missing most of their secondary along with key offensive weapons. The Bills have shown they can plug up the holes required to get by without them for short durations. 

If the Bills play at all how they did last week, they have a very realistic shot to move to 8-2 heading into the bye. These games are incredibly stressful at times to watch but also insanely fun because this team is competitive and every single play means something now. It’s always been fun to be a part of Bills Mafia, but it’s so fantastic to be a Bills fan when they’re finally winning, it’s been worth the wait!

Top Photo Credit: Buffalo News

2020 Week 9 Bills Injury Review- Seahawks

Looks like the Bills may finally be getting healthier.

The Bills are 7-2 for the first time since 1993 and in control of the AFC East following a convincing win over the Seattle Seahawks on Sunday. To put it into context, I was 5 when this last happened. A lot has changed since then, but the Bills are finally contenders again and it’s a great feeling! On top of the excellent start, there were minimal injuries that have been termed day-to-day from Sunday.

In-game injuries:

G Cody Ford (right ankle)

Ford suffered a right ankle injury on the first TD of the day to TE Tyler Kroft. This was the result of Ford getting knocked backward from his block before tripping over RB Zack Moss as he tumbled backward. It wasn’t clear initially what he had injured, but based on how he fell outward, it appeared that he rolled his ankle. It’s also possible he could have stepped on Moss as he came through, leading to the injury. Here’s the play below.

He made it to the sidelines before getting carted to the locker room for further evaluation. He eventually returned to the sidelines later in the game. He was even observed holding his helmet and jogging, ultimately not returning to the game. Considering he was coming off the right MCL injury and now dealing with a right ankle, it appears the team did not want to risk further injury and kept him out as a precaution.

Unless the practice reports show otherwise, he may be limited with an ankle sprain this week and tape it up for Sunday. Small possibility they have him sit to maximize his healing time with the bye coming up.

G Brian Winters (left knee)

Shortly after Ford went down, Winters suffered a left knee injury with 14:23 left in the 2nd quarter. He fell down in a pile of bodies as the pocket collapsed, leading to him having some difficulty getting off the field.

On broadcast, he was observed rubbing the inner portion of the knee indicating a possible mild MCL sprain or patellar contusion. It’s also not clear if this is the same knee that he has been limited with the past 2 weeks. He eventually returned roughly a half-hour later to finish out the game. He may continue to show up on the injury report this week with a knee ailment, but it doesn’t appear that this is a concerning issue.

T Daryl Williams (leg)

Williams may be the most difficult injury to observe on film similar to Winters, also falling in a pile of bodies with 6:40 left in the 2nd quarter. He landed on his left side and appeared to be favoring the left side slightly walking off.

The injury did not appear to be an issue as he returned several plays later and finished out the game. Based on the pile of bodies and short time missed, it was likely that he suffered a general contusion that required brief attention before returning. Normally, injuries to Williams and Winters are inconsequential, but at one point the Bills were without 3 offensive linemen available to protect QB Josh Allen.

CB Tre’Davious White (left ankle)

White sustained an ankle injury late in the 4th quarter with 3:16 left, quickly getting tended to by trainers before hopping off to get taped. Upon further review, it appears he suffered a medial eversion ankle sprain. There was a possibility that he suffered a mild high ankle sprain, but his foot appeared to be pointed down more towards neutral than upward into dorsiflexion, avoiding the more severe injury observed in the top picture below.

White quickly got taped up and was walking around on the sidelines, possibly waiting to return. He was designated as questionable to return but ultimately was not needed as the team iced the game with the recovery of the onside kick.

It appears that White avoided major injury and he should play next week. It’s possible that if the ankle is worse than originally thought, he could miss the next game considering the bye coming up, but the video and sideline impressions following the injury don’t imply that it was.

Other thoughts:

G/C Jon Feliciano (pectoral)

Feliciano continues to play in 100% of the snaps in the absence of C Mitch Morse following his concussion. For someone 3 months removed from tearing his pectoral muscle, he looks pretty good out there. I had hoped that he would be worked in to not stress the surgically repaired area, but at this point, it doesn’t appear to be an option. The band-aid has been ripped off; there is no point in trying to restrict him now. Hopefully, he continues to work back into shape and round into form for the late-season stretch.

LB Matt Milano (pectoral)

Milano was placed on IR on Saturday to better manage his pectoral injury. He missed the Titans and Chiefs game but returned for the Jets and Patriots game, but was on a pitch count and obviously limited. Based on what he was doing out there, he was able to play and did make a difference in pass coverage, but when asked to tackle or stop the run, he simply could not wrap up his tackles. This was a concern of mine returning from the injury and it appears to be true.

I question whether he had a setback with regards to the timeline the team has taken with this injury. He could have re-injured some of the healing tissue in the pectoral region, leading to putting him on the shelf. It’s more likely that they weren’t satisfied with his play and limited availability, leading to the shutdown.

The team saw an opportunity to put him on IR to maximize his healing time while minimizing games lost. He does have to miss 3 games which means he was out for the Seahawks game and will be out for the Cardinals and Chargers game.

In addition, he will use the bye to get an entire month off to recover. A whole month of no football activities to allow the pectoral muscle to heal in addition to the past month of rehab he’s already performed should work out in his favor. With this timeline, he could potentially come back close to 100% when he returns.

I saw some comments on social media questioning the handling of Milano’s injury. I can say with a moderate level of confidence that they handled it the best they could with the information they had at the moment. That’s all you can do in situations like this. They had the physical testing, the imaging, and they made an informed decision. The research supported his ability to return when he did. Injuries like this, a likely Grade 2 strain, do take upwards of 6 weeks to heal, but in the NFL, these players don’t typically get that time to fully recover, leading to him returning after 2 games.

In rehab, I have had countless patients “fail PT” or not progress as expected. This is due to other circumstances that play into the decision-making process or are considered in the plan of care but overtake the issue at hand, preventing the patient from reaching their goals.

Sometimes, those other issues need to be addressed before therapy can be successful. For example, people with arthritic knees that can’t tolerate progressing exercises secondary to pain, sometimes they need a cortisone injection to help calm things down before they can complete PT.

In other cases, a surgically repaired area needs further healing before therapy can be initiated or progressed. Sometimes a chronic health condition can become problematic and must be addressed to maximize rehab. I have had many cases where this needed to be completed in order for the patient to ultimately be successful at rehab.

In Milano’s case, they let the research and imaging dictate when he returned. They probably realized he wasn’t as effective as he could have been and ran the risk to suffer further injury and shut him down. Medicine is a lot of trial and error at the end of the day based on the research and experience of the providers treating those issues. The providers are allowed to change their minds if something isn’t working or adverse effects occur. The poor decision would have been to be stubborn and continue to play through the injury, potentially leading to a worse outcome.

Fortunately, the team has the short term IR to allow him to rest and not waste a roster spot. In other years, he probably would have continued to try and gut it out like we saw LB Tremaine Edmunds do earlier this season, though it’s important to note that the injuries were different.

As the theme has been this year, there will likely be an injury here or there that shows up on Wednesday that we did not expect. My hope is that some of these injuries do fall off the list because if the list grows anymore, we may need a magnifying glass to look at some of these names. However, the bye is coming up and while it feels much later than usual, it is perfectly timed. I would rather have a late bye with all these injuries to get right for the final push rather than limp into the postseason. The Bills are 7-2, life is good.

2020 Week 9 Bills Injury Preview- Seahawks

Proceed with caution, this is a long one.

The 2020 NFL season is truly something else. Lately, I cringe a little every time the injury report gets released. There’s a lot of names on that list. It’s at times dizzying to look and see that over 25% of the roster is injured to the point that they may not be available to play Sunday.

Over the past few years, there have been bouts where they have dealt with numerous injuries from week to week, but they have not had this level of injuries for this long of duration since HC Sean McDermott took over in 2017. As always here at Banged Up Bills, every injury is detailed out below to give an idea of the specifics and availability for Sunday’s game against Seattle. 

OUT 

RB Taiwan Jones (Hamstring)

Jones is dealing with a hamstring strain that appears to be on the right side. He suffered this during kickoff following the second touchdown that put the Bills up 14-6. He was sprinting full speed and the hamstring just appeared to be overworked and it went. 

With how the team handles hamstrings and his positional demands, I do not anticipate him playing Sunday. He would need at least a week off if not more before he could return. It wouldn’t surprise me if he missed the next two games and then used the bye to get some extra rest. His loss on special teams will certainly be missed, but this isn’t something that he can gut out like he has so many other injuries.

C Mitch Morse (Concussion)

Morse suffered a concussion on the 3rd play of the 1st quarter and had to exit the game, quickly receiving the diagnosis. His long history of concussions dating back to his rookie year is well known and this is now his 5th publicly reported documented concussion. 

He was seen on the sidelines working out with training staff indicating that he is at least in Stage 2 of the protocol Wednesday and Thursday. Friday he was seen in a red non-contact jersey indicating Stage 3, very possible Stage 4.

Considering concussions take on average 10 days to return from and add in the fact that Morse has taken longer to return from a concussion, he was not expected to play Sunday. I see a scenario where he misses the next two games and uses the bye to get fully right before fully returning. He could play against Arizona if he clears the protocol, but only the team and he will know which path he wishes to take.

Morse has said that he can only worry about what he can control. He’s going to do everything in his power to return quickly but safely in order to help the Bills during the second half of the season. 

LB Matt Milano (Pectoral)

Milano did not practice this week after playing the last two games. He hasn’t exactly been playing perfect, but he has had to wear a shoulder harness to prevent stressing the healing area. It’s not clear whether he aggravated the injury on Sunday or if they are just trying to manage the injury efficiently. Friday’s press conference appeared to imply that they are trying to rest him as much as possible while allowing him to play as needed. 

My thoughts originally were that they were trying to preserve him for the week to play on Sunday’s. That now does not appear to be the case. It has been a month since he suffered the injury and while the area is healing, playing in a football game the past two weeks hasn’t exactly accelerated the healing process.

I didn’t get the perception that he did suffer an aggravation on film, but we don’t know what the team knows. I can say with 100% certainty that he did not fully tear the area, otherwise, he would have been sent to have it repaired. You can live with a fully torn pectoral muscle in certain cases but not if you want to play NFL football.

It’s also important to note that the last two games have been against AFC East opponents which are more significant for the playoffs instead of the upcoming NFC games. Since the Bills won both games and the NFC games don’t hold as much weight for playoff seeding as a divisional game, it would make sense to rest Milano for this game. 

As he is not playing Sunday, this is the decision that was likely made with the team, training staff, and Milano together to ensure he’s healthy for later in the season. It will be interesting to see if newly signed LB Darron Lee makes an appearance due to the massive struggles of LB AJ Klein last week.

Update: Milano has been placed on IR.

CB Josh Norman (Hamstring)

Norman’s season continues to be a struggle for the veteran corner to stay healthy. He still continues to work through the same hamstring that he originally suffered in the preseason and then aggravated in practice two weeks ago. At this point, it’s anyone’s guess as to when he returns. My hope is that he takes the time he needs and is healthy for the final stretch. 

RB TJ Yeldon (Back)

I have absolutely no idea what Yeldon could be dealing with. He doesn’t have a publicly known history of back issues and he didn’t play in Sunday’s contest. This ailment either occurred during practice or this is an injury that the public isn’t aware of. As he is rarely active, this is a non-factor for Sunday. 

QUESTIONABLE

TE Dawson Knox (Calf)

Knox has had a rough season this year. He has been dealing with a concussion, a hamstring strain, a calf strain, and now COVID. It’s very possible that Knox’s calf is fully recovered from the original injury sustained against the Titans. On average, it takes about 17.4 days to return to play which is just under 3 weeks. Knox passed that window in terms of recovery time and is questionable to play.

The bigger concern will be how he responds following having COVID. Every day we are still learning the effects the virus has on the body and Knox is not immune to those effects. Right now, I hope that he can come back and just play before we get into considering how much of an offensive threat he can be. Due to the uncertainty of how COVID affected him, I want to say he won’t play, but with the number of injuries all over, he might be forced into being active on game day.

DE Darryl Johnson (Knee)

Johnson continues the trend of mystery injuries from Sunday’s game and it’s difficult to speculate the details. He did practice in full on Friday which was a great sign but was still ruled questionable. Considering DE AJ Epenesa was inactive last week, they could switch these two out. The only reason to play Johnson is his special teams contributions. He is a core special teamer whereas Epenesa has only played any special teams the past two weeks. It may just depend on how Johnson feels Sunday.

DT Vernon Butler (Groin)

Butler is moving in the right direction with a full practice on Thursday and Friday following a limited practice on Wednesday. When he exactly injured the groin against the Jets is not known, but the fact that he is able to return after one game indicates it was not that serious. This may come down to how he feels on game day, but the weather is supposed to be warm and dry, potentially lessening the risk for poor footing, leading to aggravation due to slipping. 

The Seahawks rushing attack will be limited due to the possible absence of RB Chris Carson and RB Carlos Hyde. With the addition of Butler, this will help stymie the run game to limit the weapons available for QB Russell Wilson and give the Bills a chance at slowing the offense. 

G Cody Ford (Right knee)

There is hope that Ford can suit up against the Seahawks on Sunday after missing two games with a likely right MCL injury. He did practice in full on Friday which is typically a good sign to play on Sunday. The team continues to have depth at the offensive line to patch things together, but returning Ford would be huge to help maintain consistency for the run game and pass protection.

He has had his share of injuries this season and the time off may have allowed him to get right in order to return to the left guard position and provide stability on an ever-changing offensive line. 

ACTIVE 

WR John Brown (Knee)

Brown continues to deal with nagging injuries from the beginning of the season with the foot issues progressing into the calf strain, working up to a likely left knee sprain. Wednesday was most likely a veteran rest day but practiced in full on Thursday and Friday. Hopefully, he can get through the next two games before the bye and finally get off the injury report. 

RG Brian Winters (Knee)

Winters appears on the injury report again with a knee injury; the specifics are not known. He is known to wear a knee brace during games on the right side. He did have a left ACL tear several years ago that I had thought he could be dealing with some arthritic changes, but impossible to confirm at this time. This may be an injury that the team continues to manage conservatively throughout the season as he is an older player. 

DE Jerry Hughes (Foot)

Despite the injury designation, Hughes continues to make an impact at the defensive end position while not missing any time. The injury originally occurred in the Jets game and it did not appear to affect him. He played in 62% of the snaps against the Patriots, roughly his normal snap count and there simply isn’t a lot of information regarding the injury. 

The bottom line, it’s going to take more than a foot injury to force Hughes to miss a game. 

QB Josh Allen (Left shoulder)

Allen continues to appear weekly on the injury report with a left shoulder injury originally sustained in the win over the Raiders. He also continues to wear a shoulder brace to address likely instability from that injury. He continues to practice in full but there is continued concern that he will aggravate the injury with an ill-timed hit or fall. 

This is something that we will likely get much more information on after the season. This is an issue that will continue to be monitored as he appears on the injury report and continues to wear a brace. 

S Micah Hyde (Concussion)

Hyde worked through the concussion protocol this week following his massive hit on Jets WR Breshad Perriman. He was limited in practice Wednesday but fortunately, practiced in full on Thursday and Friday. Per reports, he has since cleared concussion protocol and will suit up for Sunday to give the secondary a huge boost in containing the Seahawks offensive weapons.

DT Quinton Jefferson (Knee)

This is Jefferson’s second week on the injury report with a knee ailment that originally occurred in the Jets game. There aren’t any specifics regarding what he’s dealing with, but he, like Winters, did have an ACL tear several years ago. It’s possible the grind of the NFL season is wearing on his joints and he is dealing with some generalized arthritic pain following the ACL tear. He played last week and I expect him to play again this week.

G Jon Feliciano (Pectoral tear)

Felicano played in every snap Sunday after missing the first 7 games of the season due to the pectoral tear suffered in training camp. I highly doubt this was the plan due to C Mitch Morse exiting the game with a concussion, but he was pressed into service. Feliciano did note that playing center allows him to stay more protected against future injury, but it doesn’t eliminate the possibility. 

I personally don’t like the idea of him playing 100% of snaps again, but he appears to be the best option at this time unless G Ryan Bates got up to speed to take snaps at center this week. He should be eased back in, but according to Feliciano, he is at 97% in regards to his recovery, so he may understand the risks involved and decide to play anyway. This will be something I watch for on Sunday with his playing time.

Inactives:

QB Jake Fromm

CB Josh Norman

LB Matt Milano* IR

RB Taiwan Jones

C Mitch Morse

RB TJ Yeldon

DE Daryl Johnson

TE Dawson Knox

The one upside to this game is that the Seahawks are even more injured than the Bills are. The team will be down both RB’s Chris Carson and RB Carlos Hyde. They will also be without their starting cornerback in Shaquill Griffin and starting guard Mike Iupati. They do note on their practice reports the term load management and resting vet, but most are still working through things. 

Looking at this game, I’m biased, I want the Bills to win, but this is a tough offense. Ideally, the defense steps up as it did against Kansas City despite the loss and slows down the Seahawks just enough that the Bills offense can stay ahead. The team also desperately needs this bye week in Week 11 to get right for the final stretch. 

While COVID did mess with our schedule, it did not result in a bye like the Titans and Steelers received in Week 4. That early bye week may come back to haunt those two likely playoff teams come January. The late bye may make the difference for the Bills. I can stomach a loss, but I would rather take a loss and avoid further injuries than win and lose more key pieces. Survive to fight another day and get to the bye week. This should be an entertaining game with the hopes that the Bills move to 7-2.

Top Photo Credit: BillsWire-USA Today

2020 Week 8 Bills Injury Preview- Patriots

The Bills are banged up, but so are the Patriots. Who will win the injury bowl?

It’s Patriots week! The two times during the season where the Bills play the New England Patriots, a team that has spent two decades tormenting the Bills. But the winds have shifted as they do so often in Orchard Park, this time, in favor of the Bills. The Patriots enter this contest 2-4, the Bills 5-2 with a chance for Buffalo to lock down the AFC East at the midway point of the season. One thing that could stop that is the ever growing list of injuries. Despite the Bills avoiding any in game injuries, there were six new injuries to the report which makes determining who will play all that much tougher. Below is the multitude of injuries.

Ok OUT

G Cody Ford (Right knee)

Ford was ruled out Friday morning during Sean McDermott’s press conference. He appears to be dealing with a right MCL sprain suffered in the loss to the Chiefs. I had said this was a 2-3 week injury and thought he would be best served to get a stint on IR.

The team elected to not go that route and he appears to be trending to try and play in Week 9 despite not practicing the past two weeks. We will see what happens following the Patriots game.

CB Josh Norman (Left hamstring)

Norman misses his 5th game now due to his balky left hamstring injury suffered in training camp. The severity of this latest injury is not known but considering this is the same side and a re-injury, the team is making sure he is absolutely 100% before trotting him back out onto the field.

Defensive backs are already at a higher rate to suffer hamstring strains and then add in the previous injury, this makes for a rough season for Norman. Hopefully he can resume practicing next week.

QUESTIONABLE:

G Brian Winters (Knee)

Winters appeared back on the injury report again with a knee injury though it isn’t clear when he suffered the injury. He played in 97% of snaps indicating that this may not be serious. While it’s not know which side is injured, he did show up on the injury report following the Raiders game with a knee complaint then.

He is an older player that plays a very physical position; he may need the rest from time to time and this may be more of a load management issue. While he is questionable, he did practice in full on Friday which is a good indicator that he should play. I would hope that he rotates with G Jon Feliciano or whoever else plays.

DT Vernon Butler (Groin)

Butler was a surprise on the injury report with a groin injury that wasn’t readily noticed on film from Sunday. He was a DNP for 2 straight days after being limited Wednesday.

Credit: wnyurology.com

While he is an interior line player at defensive tackle, I believe it would be hard for him to generate any power to shed blocks or quickly change direction to tackle a back in the running lane. He has already dealt with a hamstring injury this season and would be best served to sit this one out.

S Micah Hyde (Concussion)

Hyde was eventually diagnosed with a concussion following his bone crushing hit on Jets WR Breshard Perriman. It’s not certain he suffered the concussion from this hit, but it’s a very strong guess. He likely developed symptoms later on, sending him into the concussion protocol.

He was out at practice this week but stayed off to the side on the exercise bike, indicating he was in Stage 2-3. He is listed as questionable indicating the team may try to have him pass the protocol in time for the game Sunday.

Credit: NFL

I don’t anticipate he plays based on the fact that concussions take some time to heal. Literature suggests it takes on average 10 days to return but we have seen players return quicker than that and in other cases much longer. I’m also not certain how he goes through live football reps to ensure he doesn’t have any symptom reproduction afterward as part of the protocol as he didn’t practice this week.

There’s always a chance he could pass the evaluation, but it would be a truly impressive to pass through this quickly. I say he misses this contest.

DE Jerry Hughes (Foot)

Hughes made a surprise appearance on the injury report this week with a foot designation. Despite the injury, he was a terror on the field as he garnered AFC Defensive Player of the Week. With the lack of specifics of what he did to the foot, it’s hard to say what he’s dealing with. Looking back, he has played with far worse injuries and still produced. He has yet to miss a game in a Bills uniform; I don’t expect that to change Sunday.

DT Quinton Jefferson (Knee)

Jefferson also made an appearance on the injury report with a knee ailment. Like most of the injuries, it’s not clear when he suffered the injury, making specifics difficult to discuss. Considering he practiced in full on Friday and with the likely inactive coming for Butler, I’m leaning towards Jefferson playing.

CB Cam Lewis (Left wrist)

Lewis is still battling with a wrist injury that saw him active last week but not play. He was limited all again this week and is questionable. He continues to have the club on his hand which has me believe this may be more than a sprain. He may have fractured a bone in his wrist and simply needs time to heal. If he is looking at a fracture, it could be a 4-10 week timeframe for things to fully heal in there. Without further details, hard to elaborate.

For Sunday, he could sit out which I think is the smart move or he could once again be active but play only in the case of emergency. I envision him sitting this one out.

Update: Lewis has since been placed on IR.

LB Matt Milano (Left pectoral)

Milano was limited all week in a red practice jersey which seemed to worry some members of Bills Mafia. He is designated as questionable but I fully expect him to play Sunday. His pectoral tear is still healing up and will not likely be fully healed until after the bye. He only played in 33% of the snaps on obvious passing downs illustrating his restrictions at the moment. I had thought that could be a possibility in my Buffalo Rumblings article.

He was likely limited due to the team not wanting to have him go through full practices and possibly re-injure the area. He doesn’t need to practice tackling, he needs to work in the game plan. I expect his snap count to increase this week but still rotate with LB AJ Klein to prevent further re-injury.

ACTIVE

QB Josh Allen (Left shoulder)

I continue to highlight Allen’s presence on the injury report because he clearly did something to the shoulder as evident with the shoulder brace. He’s going to continue playing through it but we’ve seen him have less scrambles and more designed runs or stay in the pocket. I still believe he injured the labrum or the rotator cuff. He continues to practice and play, but there is concern that he re-injures it at some point with a hard hit.

WR John Brown (Left knee)

Brown continues to battle through numerous injuries from earlier this season, but finally appears back on track to play Sunday. Three full days of practice indicates that he will play and with the Patriots potentially without CB Stephon Gilmore, Brown may have himself a day against a weakened secondary. He is still healing from the numerous injuries, but appears healthy enough to play.

WR Isaiah McKenzie (Ankle)

McKenzie only played in 20% of the offensive plays from Sunday but still managed to walk away with an ankle injury. As you see a theme here, there are no specifics on the exact injury as to what he’s dealing with. He did not have a game day designation meaning he will play and hopefully be effective.

Other injury news:

CB Levi Wallace (Left ankle)

Wallace is eligible to return from IR following his ankle injury in the Raiders game. He has missed the last 3 games and is in his practice window where he does not count against the roster.

Looking at the video, he’s moving around fairly well but still having some trouble going to his left and pushing off that side. As he is in the practice window, the team is not obligated to give an injury report or participation designation to him.

If this were a playoff game, I say he can play. While this is an important game, the Patriots are beat up themselves which means the Bills can afford to let Wallace rehab another week before returning to the field.

Update: Wallace has been activated from IR.

G Jon Feliciano (Right pectoral tear)

Feliciano is making his long awaited debut for the 2020 season after tearing his right pectoral muscle while weightlifting shortly after training camp started. I had speculated that he would return after Week 8, he returns before. He is wearing a shoulder harness as I suspected he would and I do not believe he plays the entire game.

I would expect that he rotates in on the line and gets his feet wet as he works back into game shape. He had told reporters that he wanted to come back sooner but they stopped him to essentially protect him from himself. The team made the right move in this case.

If I were the training staff, I would work him in over the next 3 games and then let him play the full games following the bye. He will be 4 months out at that point and while he can still continue to heal, he will be at a much lower chance to re-tear the area.

Housekeeping:

The Bills have activated TE Lee Smith off the COVID/Reserve list. The team elevated LB Andre Smith to the active roster, cut and re-signed LB Deon Lacey to the practice squad. The team is also in the process of signing former Jets and Chiefs LB Darron Lee to the practice squad.

Inactives:

QB Jake Fromm
CB Cam Lewis* IR
DT Vernon Butler
S Micah Hyde
RB TJ Yeldon
CB Josh Norman
G Cody Ford

While the Bills continue to battle through the numerous injuries, the Patriots are dealing with their own. On top of all the COVID opt outs, they will also be without WR N’Keal Harry and WR Julian Edelman due to a concussion and knee injuries respectively. There is a possibility their top CB Stephon Gilmore missing the game due to a knee injury. DT Carl Davis has also been ruled out with a concussion.

Looking at the questionables besides Gilmore, there are a lot of significant names on that list. They are one team that is quite possibly as beat up as the Bills are.

Despite all the injuries on both teams, the Patriots still have Bill Belichick. He has been at this a very long time and will adapt his game plan to whatever he has available and may very well still be competitive. I will not count out the Patriots until the clock strikes 0:00 in the 4th quarter with the Bills having more points than the Patriots.

I am expecting the Bills to win this game because I believe they are the better team, but if the Bills struggle early like they did the past few games, this could spell trouble in securing the AFC East crown. With the weather expected to be poor, wet and windy conditions may lend itself to reducing injuries. The Bills need to get through this game with minimal injuries and get to the bye in order to make a deep postseason run.

Top Photo Credit: Buffalo Bills

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

2020 Week 4 Bills Injury Review- Raiders

Is Josh Allen going to be ok? What happened to Levi Wallace? How long will Matt Milano be out for?

The Bills are 4-0 for the first time since 2008 and the fanbase is buzzing! That was about the time I began to sink my teeth into what is now my full-fledged Bills fandom & totally embraced it. While the beginning of the season was fun, the later half clearly wasn’t. However, this 2020 team is something else! 4-0 including two wins over division opponents in the Dolphins & Jets and two more wins over playoff contenders in the Rams & Raiders. 

While it’s unrealistic to run the table to a Super Bowl, the Bills are showing they know how to win games that they are expected to win. There are still several games on the schedule that aren’t automatic & realistically, they will suffer some losses. But for now, the Bills are getting stacking wins as they continue to march forward in the season.

In light of the win, there were several injuries to note of varying concern. Below you will find my thoughts and expectations for each injury moving forward.

CB Levi Wallace (left ankle)

Wallace injured his ankle with 8:22 left in the first quarter with what appeared to be a calf/ankle injury. Upon review & just prior to falling to the turf, Wallace changed directions suddenly, going backwards in order to get the tipped ball. As he was going backwards, he rolled his ankle inward. That sudden weight through the rolled ankle likely worsened the severity of the ankle sprain observed on film. He was down on the ground in obvious pain and required assistance to get back up and off the field. Regrettably, he was unable to return.

Noted above, following the game, he was on crutches as Coach McDermott was giving his post game speech. From the video, it isn’t determined whether he had a boot on, but considering the possible severity of the sprain along with the crutches, it’s very likely he did. 

McDermott has since stated that he is week-to-week which translates out to several weeks missed. Grade 1 ankle sprains can usually be played through. Grade 2, which I believe is what Wallace has, is anywhere from 3-6 weeks. Considering they have not put him on IR yet, I believe he can come back after missing 2-3 games, barring setbacks.

They do have Josh Norman available and may be the only option until Wallace is ready to return. 

WR Cole Beasley (left foot)

Beasley suffered what he termed a foot sprain on his TD catch when he got flipped into the air before coming down hard for the score. As he came down, his left foot smashed into the turf.

This appears to be a generalized foot sprain, more specifically to the midfoot. He had it taped up and returned later in the game, at times labored. He’s a guy who could benefit from some time off but he’s a baller and he’s going to play. I expect him to be limited in practice or have a day off this week. Unless the foot gets much worse Tuesday & Wednesday, I expect that he’ll have it taped up for next Sunday.

QB Josh Allen (left shoulder)

Allen scared the entire NFL when he got tackled scrambling out of the pocket before getting taken down from behind, falling with his arm outstretched, hitting at the elbow then rolling onto his left side, grabbing at his non-throwing shoulder. 

There’s a lot to unpack with the injury so stick with me here. It initially appeared that he injured his hand due to shaking it out with noticeable discomfort. Due to the elbow striking the ground, he likely hit the ulnar nerve that runs on the medial portion of the elbow, aka, the funny bone. 

That would explain the hand component. When the elbow struck the ground, he immediately grabbed at the shoulder. There are several things that he could have injured with that fall including an AC joint sprain, rotator cuff, or labrum tear due to subluxation/dislocation.

I would take the above order of injury based on severity. Best case he could have injured his AC joint with the fall. He can wear a brace for a few weeks and have no lasting effects, especially considering this is his non-throwing shoulder. 

The rotator cuff could have been strained due to the elbow hitting the turf, jamming the humerus up into the acromion, causing injury. This injury would also take several weeks to recover from. Think QB Drew Lock of the Broncos from Week 2 below.

However, the worst and I feel is most likely is the labral tear due to a subluxation/dislocation. The elbow hitting the turf and forcing the arm up and into the shoulder socket could have forced the head of the humerus away from the labrum which helps deepen the socket for the shoulder to articulate.

Credit: https://link.springer.com/article/10.1007/s00167-015-3979-8

If this is the case, I see a scenario where he wears the brace the rest of the season as he rehabs in order to keep the shoulder strong and as stable as possible. My hope is that he subluxed the shoulder, it caused a small tear in the labrum that he plays through and then the team can evaluate if he needs to undergo surgery in the offseason. There is concern that he injures the shoulder further if he falls on it.

Check out Bears QB Mitch Trubisky’s shoulder injury from two years ago for similarities.

My biggest worry if he continues to sublux or dislocate the shoulder, leading to missed time. This could cause further damage to the labrum or a significant dislocation could lead to a brachial plexus injury which is the bundle of nerves that supply the arm for sensation and movement. This is less common, but still possible. A non-throwing shoulder injury isn’t as big of a deal, but if he takes further shots, this could take him out of games even temporarily.

As it’s not his throwing shoulder, the team will unlikely give any further information and we will have to read the tea leaves. 

RG Brian Winters (right knee)

Winters suffered what appears to be a right knee contusion on the same play that Josh Allen got injured on. He was engaging his block before getting shoved down way behind the line of scrimmage, falling directly onto his right knee. He was able to get back up & finish the play, but was laboring to get back towards the action. 

He was later ruled questionable with a right knee injury & did not return. This isn’t something that should linger outside of dealing with pain. He could have played through, but considering that the team has depth & still wants to get reps for all their guys, it was a smart move to avoid having him continue to play. This might show up on the injury report but it doesn’t appear to have lasting concerns.

LB Matt Milano (left pectoral)

Milano injured his left shoulder/pectoral area attempting to tackle RB Josh Jacobs near the line of scrimmage. As he went to wrap him up, Milano’s momentum kept him moving upfield as Jacobs began to run downfield. In the process, his left arm was pulled away by Jacobs running. Milano got up, having his left shoulder/pectoral muscle checked out by the team doctor on the sidelines.

This is the exact mechanism of injury for a pectoral tear, maximal eccentric contraction of the muscle, leading to overload and tearing. However, it does not appear that a full tear is the case. This appears to be more of a strain by how Milano responded and how quickly he fell to the ground, allowing the ground to stop some of his momentum. This could be an injury that he does miss some time for, but isn’t something that I expect to hinder him all season. 

He has since been termed as week-to-week, which isn’t promising. Most of the literature I found spoke more of the pectoral tendon rupture, exactly what G Jon Feliciano is recovering from. There are some resources that note that this strain could be a 2-6 week recovery.

Considering they’re not placing him on IR at the moment, this leads me to believe that he’ll be out 2-4 weeks. Not quite enough to be placed on IR but not a quick return. I will say he’ll miss probably 2 games which will put him on track to return for the Jets game. Unfortunately, that second game missed would line up with the Chiefs game which would be vital for him to be available. More information will have to be available in order to change my mind on the timeline.

Already this season we have seen Eagles DT Javon Hargrave miss almost 4 weeks with the injury before returning to play in Week 2. Raiders LB Nick Kwiatkoski missed 2 games with a pectoral injury and returned to play with bracing. So to put him on track to return after 2-3 games should be reasonable. Had he outright ruptured, this wouldn’t even be a discussion. This is highly unfortunate considering he already missed one game with a hamstring strain. This will be another injury he simply has to battle back from. 

S Jaquan Johnson (right lower leg)

Johnson continues to show why he is active every Sunday as a special teams contributor. He successfully recovered the onside kick that the Raiders attempted to try and recover to get one more shot at the end zone. During the recovery, he was kicked hard in the lateral lower leg area during the scramble for the recovery. That kick, along with at least a dozen grown men landing on him would make even the toughest of men hurt.

Like Winters, there will be pain, but outside of that, he should be alright for next week.

Other observations:

G Cody Ford (left shoulder)

Ford was noted wearing a brace on his left shoulder signifying some type of instability. This was first noticed by Erik Turner over at Cover 1.

Looking back at the Miami game, there wasn’t any apparent instance of an AC joint sprain or even a labral tear. You could make the case for some pectoral strain possibilities, but nothing was definitive and I would have expected he would miss some time.

I then also grew concerned for a labral tear. These are highly common in NFL lineman & something that can be played through. Finding that on film would be difficult due to repeated blocking with the arms extended & I’m not certain that he even suffered this during a game. He could have injured the shoulder at practice In between the Rams and Raiders game.

Like all the others, something to monitor. To note, he had surgery on the opposite shoulder last year but details were never made public on whether it was a labrum or rotator cuff. We are once again left to speculate. 

All these injuries, most of them aren’t things that could have been prevented with preseason. These are just unfortunate and the reality of the Bills returning to the mean in regards to injuries. None of these injuries are season ending and most can return to full health. Football is a physical sport, there are injuries, I am glad that we are not seeing season ending ones yet. Looking forward, the Bills move on to play the Titans in Week 5 as they continue to maintain control of the AFC East. 

Top Photo Credit: larrybrownsports.com

G Brian Winters Injury Profile

#61 Brian Winters

Position: G
Height/Weight: 6’4″/320 lbs.
Age: 29
College: Kent State
Year joined Bills: 2020
Acquired: Free Agency via Jets

College Injuries:

TBD

Pro Injuries:

2013 Jets:

Ankle injury, preseason, missed 0 games.

Ankle injury, Week 8, missed 0 games.

2014 Jets:

Left ACL tear, Week 6, missed 10 games, sent to IR.

2015 Jets:

No publicly reported injuries.

2016 Jets:

Concussion, Week 4, missed 1 game.

Shoulder injury, Week 15, missed 2 games. Later found to have rotator cuff repair.

2017 Jets:

Abdominal tear, Week 2, missed 1 game, later went to IR for last 2 games.

2018 Jets:

No publicly reported injuries.

2019 Jets:

Shoulder injury, preseason, went to IR after Week 10, missed 7 games.

2020 Bills:

Leg contusion, preseason

Right knee contusion, Week 4, continued to be limited in practice through Week 8.

Knee injury, Week 9, missed 0 games.

General links:

Buffalo Rumblings Brian Winters Injury History