Week 5 Bills Injury Preview- Titans

Dissecting the latest injuries prior to the AFC matchup against the Tennessee Titans.

The Bills roll into Orchard Park with a 1-3 record and much to play for when they host the Tennessee Titans on Sunday. While it is quickly becoming a reality that this team will not look like last year’s surprise playoff team; the fan base is still hoping that there are some positives that can be squeezed out of this season.

According to Friday’s injury report, no one has been ruled out prior to Sunday’s game. Three players have been ruled questionable including: S Rafael Bush (shoulder), S Micah Hyde (groin), and TE Charles Clay (ankle).

Reviewing video, Hyde’s injury was fairly straight forward, pulling his left groin midway through the 1st quarter attempting go upfield and get involved with the play, coming up lame. He was on the injury report the prior week with a toe injury but this is not something that would have caused compensation patterns leading to the injury. He simply performed a football move and it caught him. While he is questionable, he has not practiced all week which historically is not favorable when predicting whether he will play Sunday. He will realistically need at least one more week before he can even consider playing in a game. Expect him to miss this Sunday.

S Rafael Bush injured his shoulder on the last play of the 1st quarter tackling RB Aaron Jones out of bounds. He injured his left shoulder when he got spun around off Jones, falling directly onto his shoulder without having the ability to brace for the fall. He was able to play the rest of the game but was not really directly involved in many plays regarding physical contact after that. His injury was not immediately apparent until reported on the injury report Tuesday. I believe he suffered an AC joint sprain or possible contusion to the general area. Other possibility of a SC joint sprain, though less likely. Typical mechanisms of injury are similar to what was described above; a direct blow to his shoulder. Considering that he was able to play the rest of the game, but take the entire week of practice off suggests that it is a mild sprain/contusion that may take a week to heal.

From my previous article from the Tampa Bay game last year, edited for relevancy:

“On average, the Grade 1 shoulder sprain that Bush possibly could have 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.”

It’s possible that he could play, but not practicing all week may have allowed him to heal in order to play, but more realistically, he is not quite ready for contact. Like Hyde, he was unable to practice which almost certainly seals his fate.

TE Charles Clay suffered an ankle injury that on film did not appear serious. He had a Packers defender falling to the ground and fell into Clay’s ankle while he was trying to get out of the way. He was able get the ankle taped up, continue playing and finish the game. It appeared that he got his ankle rolled up on or tweaked as a result. While he was limited Wednesday, did not practice Thursday, he was able to practice in full Friday which is a strong indicator that he will play. In addition to the ankle, he is also dealing with previous shoulder and hip issues from the previous game. He is also a veteran and requires more maintenance which is why he is unable to practice during the week yet play Sunday’s. I would expect him to suit up to be QB Josh Allen’s safety valve.

Other injuries on the report include RB Marcus Murphy (rib), and DE Shaq Lawson (hamstring). Murphy appears to have a generalized rib injury that cost him last week but it appears healed enough to perform this week. Hopefully it is a contusion that continues to heal rather than a broken rib. Lawson missed two games with his hamstring strain and while he did play the entire game, he may have developed soreness as a result, requiring conservative maintenance on it so as to not further irritate the healing tissues. While it is possible to re-injure the area, giving it rest through the week gives him the best shot to play at 100% Sunday.

Others dealing with injury but did not make the injury report: RB LeSean McCoy (ribs/hand), CB Taron Johnson (shoulder), and CB Phillip Gaines (elbow). McCoy has been dealing with cracked rib cartilage that is physically impossible to be healed yet which still limits him despite what he says otherwise. However, reports indicated that he injured his left hand with it visibly wrapped up after the game. Film review was inconclusive whether he suffered any particular injury. To note, he was able to demonstrate effective ball safety, gripping the ball in each hand respectively without compensation during his limited playing time.

CB Taron Johnson has been a bright spot in the defense 4 games into his rookie year. However, he continues to deal with a shoulder injury that appears to be a torn labrum in his right shoulder. This is evident with the use of visible bracing on the right side, he continually injures the area on hard hits but is quicker to return in the game, and the original mechanism of injury. He can continue to play on the shoulder but eventually he may require surgery for long term correction. Until then, he has altered his tackling style, he is wearing bracing, and I’m certain he is doing rehab to strengthen the surrounding muscles around the joint in order to get through the season.

Finally, CB Phillip Gaines is coming off a right dislocated elbow that forced him to miss one game. However, he was inactive despite practicing in full the week of the Packers game which indicated that he may have been held out due to personnel needs rather than injury. Regardless of reason, the extra time off allowed him to heal even more and he may not require any bracing given the time frame.

Overall, anticipate Hyde and most likely Bush to miss the Titans game with Clay playing with several nagging injuries. These thoughts are further solidified with the signing of S Dean Marlowe and releasing TE Khari Lee. This indicates that at least one safety is certain to miss and the thinning of the TE depth chart indicates Clay is playing. The others mentioned above are expected to play but have injuries that do not require treatment by training staff but could still limit their effectiveness. This game should allow the Bills to get their first home win of the season and move to 2-3 to maintain some level of respectability in the AFC.

Continue to follow Banged Up Bills for the latest updates and news coming out of One Bills Drive. Follow on Facebook at Banged Up Bills, on Twitter @BangedUpBills, on Reddit at u/BangedUpBills, and online at www.bangedupbills.com. As always thank you for reading and GO BILLS!!

Week 4 Bills Injury Review- Packers

Observing the multitude of injuries suffered by the Buffalo Bills in the loss to the Green Bay Packers.

After such a promising win last week against the Vikings, the Bills returned to their inconsistent ways. They limped out of Green Bay after a 22-0 loss and several injuries that could leave them vulnerable next week at home against the Tennessee Titans. Today’s article will review those injuries and the impact they have on next week.

Those coming off injury were RB LeSean McCoy (ribs), TE Jason Croom (knee), and DE Shaq Lawson (hamstring). All were able to play without limitation, though were not productive. Interestingly, CB Phillip Gaines (elbow) was ruled inactive despite practicing in full this week, indicating that it may have been a personnel decision rather than a medical one.

First up is S Micah Hyde who suffered a groin injury midway through the 1st quarter. He sustained the groin injury during a deep pass despite not being directly involved with the play. Film review shows that he injured his groin backpedaling, keeping up with TE Jimmy Graham. He then began redirecting his focus, turning right to change direction to catch up with the play on the left side and came up hobbling. It appeared that he pulled his left groin performing a move he’s done countless times, a football move, to put it simply. Hyde was able to walk off under his own power but had a noticeable limp, unable to return. It is unknown how severe the injury is; my guess is a Grade 1 groin injury, similar to what DE Trent Murphy sustained during preseason. Hyde could be out 1-3 weeks based on severity, more likely out 1-2 games due to the nature of his position. While stretching, strengthening, and a proper warm up routine can and do reduce the incidence of these injuries, there was nothing he could have done on this play to avoid it, just a hazard of the job.

Following the Hyde injury, CB Taron Johnson went down with a R shoulder injury though was able to return shortly later. He originally suffered the same injury in the season opener against the Ravens but has since re-injured his shoulder every game that he has played. He continues to re-injure by the same means; a direct blow to the shoulder during a textbook tackle.

Originally, my thoughts were a stinger due to the direct blow, but he has since been wearing a shoulder harness which indicates some type of shoulder instability seen in AC joint sprains or labral tears. As he continues to injure his shoulder in the same fashion, I am now suspecting a labral tear in his shoulder. His AC joint would have been improving weekly and would not have required a brace as he healed. He continues to require attention from the trainers after each hard hit but was able to return rather quickly to the game which is not uncommon after an injury such as his. He may have noticed pain and weakness to the area but still be able to play the position. Regrettably, Johnson may eventually require surgery similar to what WR Zay Jones had in the off season. It is possible to play with a torn labrum, but the more that the shoulder gets injured, the more damage occurs. During the hit, he is most likely subluxing his shoulder, or partially dislocating due to the direct blow to the shoulder. The more he subluxes, the more tearing/fraying that can occur to the labrum. He may reach a point where the shoulder becomes too unstable or fully dislocates with a hit which may necessitate surgery. He can play next week but his production may eventually suffer. I did note that he began changing his tackling style, leading with his left shoulder to force a QB Aaron Rodgers fumble, but this may not be the best long term solution to get through the season.

WR Kelvin Benjamin suffered a brutal hit to the head attempting to haul in a pass, instead was intercepted by CB Ha Ha Clinton-Dix. Benjamin was blindsided and went to the ground immediately. He left the game after that hit and was assessed for a head injury but was cleared and returned to the game late in the 4th quarter, though wholly ineffective throughout Sunday, bringing in 1 pass for 35 yards. I don’t anticipate this being an issue this week.

TE Charles Clay suffered a left ankle injury late in the 3rd quarter which required the athletic trainers to tape up his ankle indicating some minor instability following a sprain. He would get the ankle taped up to control for any swelling and provide support so that he could continue playing for the rest of the game. Film review showed that he got his foot caught in bodies rolling on the ground as he tried to get out of the way. Expect him to wind up on the injury report this week with a variety of injuries that may force him into not participating or being limited. However, it is far too early to tell whether these injuries will culminate into missing game time. Prior to the injury, Clay was involved but limited in the passing game, hauling in 4 passes for 40 yards.

Other injuries that did not appear to be that severe included DE Eddie Yarbrough , OT Jordan Mills, and CB Ryan Lewis. During their respective injuries, they appeared to be banged up but were able to return to play indicating that these are injuries not to be concerned with. However, with how this game went, every injury was initially be thought as concerning until ruled otherwise.

Overall, a very tough loss to deal with but one that we should have saw coming. While there will be more bright spots this season, they will also come with bitter tastes left in our mouths in between. As a PT, I want to continue to see these Bills avoid serious injury in order to continue to gel as a unit rather than replacing guys to stop the bleeding from the loss of key starters in the future.

Continue to follow for the latest updates and news coming out of One Bills Drive. Follow Banged Up Bills on Facebook, on Twitter @BangedUpBills, on Reddit at u/BangedUpBills, and http://www.bangedupbills.com. As always, thank you for reading and GO BILLS!!

Week 4 Bills Injury Preview- Packers

Assessing the latest Bills injuries prior to the Week 4 matchup against the Packers.

A lot can change in one week. Last week at this time we were hoping that we could stay competitive in a tough road game against the Vikings. After the major upset that the Bills pulled off in Minnesota, this has everyone thinking that they may be able to do it again in Green Bay. As I said last week, Any Given Sunday! Today’s post will look at the injury report and what this means going forward for player availability.

The biggest question going into Sunday’s matchup is whether RB LeSean McCoy (ribs) will be able to play. He has been limited all week due to the cracked rib cartilage sustained against the Chargers which forced him to miss last game. However, Shady has emphatically stated that he will play Sunday. He could reinjure the area leading to more pain and slowing down the already slow healing process. He could also cause additional damage to surrounding areas as the cracked cartilage does provide support to the area and instability within the area could lead to further injury. However, a veteran with as much time in the league as he has knows his body and whether he can be effective. He would probably benefit from additional time off, but he knows his remaining time in the NFL is fleeting and must make every opportunity count. Expect him to play this week.

RB Marcus Murphy (ribs) is also dealing with his injury that has had much less attention devoted to it than McCoy. He may be dealing with a rib contusion which could be expected to heal quicker than McCoy’s injury or even a fractured rib. As McCoy will play, RB Chris Ivory is healthy, this may allow Murphy to rest. I do not anticipate that Murphy will play considering he has been limited all week and that typically does not bode well for playing Sunday.

Others that are questionable are TE Jason Croom (knee) and TE Charles Clay (shoulder/hip). Both injuries are intriguing in that they were not reported during the game, it did not appear that they missed any time besides the plays/packages specifically designed for them, and it puts into question regarding whether they will be available for Sunday. Croom was able to practice in full on Wednesday with limitations Thursday & Friday makes me think he suffered an injury Wednesday which in turn will make it nearly impossible to identify the particular injury. As for Clay, he has a long documented history of knee troubles, however he now has shoulder and hip injuries. Looking at film, there is nothing that appears out of the ordinary with his play nor does he exit for long periods of time indicating that he is injured. While I consider myself an expert on injuries, I cannot state that I was able to determine what happened to either player. There were several instances where Clay was taken to the ground hard and it appeared that he was slow off the snap the next play but he was still able to block and run his routes without any noticeable compensation. This makes it difficult whether both him and Croom will play Sunday. Reports indicated that Clay sat out of practice this week in order to maximize the chances he could play Sunday. However, since this team is TE heavy, they could either roll with two tight ends and add some receivers or Clay could suit up and play.

Others returning to practice is CB Phillip Gaines (elbow). Recapping, he dislocated his elbow in the loss to the Chargers and missed last week’s game. I do not believe he is 100% healed, however, he must be feeling better enough that he can play. I see no reason why he shouldn’t play if he feels he is ready. He may have some protective bracing or compression to the area to prevent it from getting hit and swelling up again.

Also returning to the fold are DE Shaq Lawson and DE Trent Murphy. Lawson suffered a hamstring injury that cost him 2 games and Murphy suffered an ankle injury in the waning minutes of the Vikings win. Lawson appears healthy but may still be limited with situational play or snap count to not re-injure his hamstring and restart the process. Murphy on the other hand appears 100% and should not be limited getting into the backfield.

Overall, expect RB Marcus Murphy and TE Jason Croom to be inactive. While TE Charles Clay is limited, I expect that he will be more ready to play allowing the team to play TE Logan Thomas and TE Khari Lee. Despite the growing injury report, these are still relatively minor compared to some of the other injuries around the league.

Continue to follow for the latest updates and news coming out of One Bills Drive! Follow Banged Up Bills on Facebook, on Twitter @BangedUpBills, on Reddit at u/BangedUpBills and www.bangedupbills.com. As always, thank you for reading and GO BILLS!!!

Buffalo Bills Training Camp Injury Primer

Reviewing last season’s major injuries and how they will impact the 2018 season.

Training camp is upon us! Thursday is the first full day for the Buffalo Bills to begin training camp at St. John Fisher in suburban Rochester, NY. This training camp, as many others, will shape the 2018 roster. We will see new players rise up to the challenge and find themselves on an NFL roster. Others will experience the heartbreak of falling short of their dreams. Finally, we will see many players whose seasons will end before they even really began due to injury. Today’s post will review some of the high profile Bills players and their previous injuries and what this means going forward. If you would like to listen to the audio version of this article, I appeared on the Cover 1 podcast last night and discussed these injuries, check it out!!

First up is RB Travaris Cadet. The 6th year back was an effective backup behind RB LeSean McCoy and allowed the offense to keep defenses on their toes. Regrettably, Cadet fractured his ankle in a gruesome manner late in the season and was placed on IR. After an injury such as that, there are natural concerns for his ability to recover and rejoin the team. According to what we know regarding the timeline for his recovery, he is fully healed and videos such as this indicate that he is at full health. I do not believe his injury will hold him back; rather his skill may be the biggest detriment as the Bills have loaded themselves up on running back. Look for a full contribution from Cadet and time will tell whether he finds himself on the 53.

Next man up is WR Kelvin Benjamin. The gigantic wideout comes back to the Bills for the final year of his contract and his production this season will determine his future home. Fortunately, Benjamin comes into this season healthy after being limited with a partially torn meniscus sustained in the dumpster fire that was the Chargers game. The 4th year wideout had surgery in the offseason and while he may have issues well after his playing career, he should not have any setbacks in camp as the offending tissue has been excised and rehab fully complete. Hopefully he will have a QB that is more likely to throw, leading to a big season for Benjamin.

Continuing our trend of injured Bills, TE Charles Clay. The 7th year tight end suffered a partially torn meniscus and MCL tear in the loss to Cincinnati but was able to return down the stretch to push the Bills into the playoffs. Clay should not have any limitations following that injury going into training camp. However, he may continue to have issues with his chronic knee condition he has dealt with in previous seasons. I believe this will slow him down but as he has shown in previous seasons, it really does not stop his ability as he has been able to appear in at least 13 games every year over his career. He will need veteran rest days but should be fully healthy in training camp.

DE Trent Murphy enters his first training camp with the Bills after spending the first 4 years with the Redskins. Up until last year, Murphy had shown the ability to provide pressure on the end and get to the quarterback, racking up 9 sacks in the process in 2016. His 2017 season ended quickly with a torn ACL in the preseason opener and was lost for the season and released afterward. Typical ACL recoveries take roughly a year to return to full form and this is evident with Murphy starting the season on the active roster after being limited in OTA’s. He should not be limited due to his previous injury, but he still carries a higher risk to re-tear his graft or tear the other ACL for up to 2 years.

LB Ramon Humber is another veteran returning to camp this season. The 9th year linebacker had a hot start to his season before suffering a broken thumb in the win over the Falcons last season which cost him 3 games. He was able to return and still contribute, but rookie Matt Milano got some game time experience which allowed him to excel in McDermott’s defense and hold onto the starting job. Humber will continue to provide a veteran presence and leadership on this team going into 2018.

Newly acquired CB Vontae Davis comes from the Colts after an injury shortened season in where he suffered a sports hernia, limiting him to 5 games. Davis elected to take the surgery which led to his release from the Colts, but I believe that he made the right choice in order to extend his career. As indicated in the hyperlinked article, 90% of NFL players who suffer a sports hernia are able to return to the NFL after surgery. While talent may differ due to each player, the ability to come back at all is the most important thing. I believe Davis will not miss a step and will actually be an upgrade to former Bill CB E. J. Gaines.

Our final defensive player on this list today is LB Matt Milano. The rookie linebacker out of Boston College outplayed where he was drafted in the 5th round and provided a bright spot at what was a weak linebacker corps. Milano had issues with his hamstrings last season and continued to be limited during OTA’s. He should be at full health coming into training camp but should be eased in slowly, avoiding game speed reps until he is confident that he is ready. I do not expect him to fully avoid re-injury, but limit the severity of the strain if it does occur again. Look for another solid contribution this year barring major injury.

Rounding out this article is WR Zay Jones. The NFL has not been kind to the rookie WR so far in his young career, suffering what appeared to be the yips early in the season. We now know that this was attributed to a labral tear which limited his ability to catch effectively. He had surgery in late January and should be cleared medically. In addition, Jones also had surgery on his knee in mid May. As he was recently placed on the active/non-football injury list, this indicates this injury occurred in the off-season. Whether this is tied to the well publicized hotel incident is in question, we may never know. Once Jones is cleared medically for his knee, he should not have any further complications moving forward. He will need a big season to right the ship and maintain a long career in a Bills uniform.

This wraps up the the major injuries heading into training camp. We will begin to see a host of new injuries, some minor, some major, but Banged Up Bills will be here to report all of those! As a fan, I am looking forward to this upcoming season after such a memorable 2017. Continue to follow on Twitter @BangedUpBills and at www.bangedupbills.com. As always, thank you for reading and GO BILLS!!

Buffalo Bills Season Injury Review- TE

Season injury review of the tight end position.

Today’s off season analysis focuses on the tight end position for the Buffalo Bills. This season, 4 tight ends suited up for the Bills with varying levels of success. Today’s post will break down the injuries sustained to the TE corps and impact for next season.

First assessment starts with TE Khari Lee. The 3rd year pro found his footing with the Bills for the last 8 games of the season primarily used as a blocking tight end with some occasional work on special teams. He did not see any time on the injury report and saw no targets on offense. As he was only active for half the season and has one year left on his contract, he may be an attractive option to return as he can provide depth.

Next is TE Logan Thomas. The QB turned TE turned some heads this season with his conversion to TE which appears to be working in his favor as he appeared in 12 games for the Bills. While he did not accumulate head turning stats, 7 receptions for 67 yards and 1 TD, he fit into the offense nicely and showed that he is able to play tight end at the highest levels. Thomas recently did have knee surgery which knocked him out of spring practices for the foreseeable future. It did not appear that there was any prior injury as he did not appear on the injury report for any part of the season. Thomas has one year left on his contract and is an exclusive restricted free agent which I expected the Bills to bring back to develop further as a tight end.

TE Nick O’Leary became a increased focal point in the offense and appeared to finally show flashes of what got him drafted out of Florida State. Stats for O’Leary are: 22 receptions for 322 yards and 2 TD’s which are all career high’s for him. Injury wise, the 3rd year pro dealt with late season back pain which was possibly back spasms or pulled muscles which forced him to miss only one game. As O’Leary has improved every season in Buffalo, he is an exclusive restricted free agent, and continues to grow into the offense, it would be a no-brainer to bring him back for next season.

Finally, TE Charles Clay leads the pack with his major knee injury early in the season. If you recall, he partially tore both his MCL and meniscus during the Cincinnati game during a late tackle out of bounds. Clay did have surgery to trim down the meniscus and 3 games, returning for the contest against New Orleans. While his return was remarkable, he continued to appear on the injury report for the rest of the year. His stats overall for the year: 49 receptions for 558 yards and 2 TD’s. While he was a safety valve for Tyrod Taylor, the amount of money paid to him for that production doesn’t equate.

His initial injury from a return to play perspective is unremarkable, but long term concerns remain. I had previously written on his previous knee complaints and my thoughts on how he will fare. Having knee injuries such as this add to the overall damage and may continue to cause problems. While the body has the remarkable capacity to heal and remodel based on injury, sports such as football impede the ability to heal as quickly, leading to greater difficulty to maintain a high level of play. Clay is only 28 years old and while he should have several productive years of football left, this may be limited if he continues to deal with the chronic knee complaints from earlier. I envision a scenario where the Bills let him play out his contract and move on from him as they have several younger, healthier players in the wings and will allow the team to get the salary cap under control.

Overall, the TE position is relatively healthy with the exception of Clay who can still be productive with the proper medical treatment. There are several other players that the Bills have on their radar with the previously mentioned Lee and Thomas. They also have TE Keith Towbridge who spent the year on IR with a foot injury sustained in training camp. The Bills have also recently signed TE Jason Croom to a futures/reserve deal. There will be some players that will be odd man out come training camp but many things can and will happen in the off season.

Continue to check back with me at Banged Up Bills for the latest injury news and analysis. Thank you for reading and GO BILLS!!

Bills Injury Recap- Jaguars

Detailing the injuries sustained following the Bills playoff loss and thoughts on this special season.

Well, it was fun while it lasted! The Buffalo Bills ended their 2017 season with a 10-3 loss to the Jacksonville Jaguars in the Wild Card Playoffs. While the game left the fan base expecting more than 3 points, it was still a fantastic season. This unexpected campaign has created stability within the franchise, allowing for the entire front office to mold the team in their vision and find the pieces they need to take that next step.

Even though the season is done, my job is not. Today’s post will outline the injuries sustained in Sunday’s loss and determine the level of severity and identify any possible long term side effects. Starting off, G Richie Incognitio suffered a shoulder injury in the 1st quarter with 5:20 left that removed him from the game for a short duration. Video observation shows that he injures his left shoulder while being spun around to the ground, colliding with DT Marcell Dareus. He was able to walk off the field under his own power and required some time to rest on the bench. There does not appear to be any specific mechanism of injury; just two big men that collided and Incognitio took more of the force.

Next up is TE Charles Clay who suffered a right hamstring injury running a route with 3 minutes left in the 1st quarter. The injury did not appear to be anything more routine than a minor Grade 1 strain. Clay was able to return later in the game and it appeared that most of the players injured tried to return in order to give the Bills the best chance at winning.

The Bills were relatively injury free for over a quarter of the game until the 3rd quarter when S Micah Hyde suffered a head injury with 13:25 in the 3rd quarter when he collided with DT Kyle Williams during a tackle. Hyde was forced to leave the game for a short time, eventually returning before hitting his head during a low tackle on Marcedes Lewis with 6:30 left in 3rd quarter which ended his day. Neither hit appeared to severely injure him, but as he appeared to be having some symptoms of a concussion as trainers tended to him; he was entered into the concussion protocol which ended his day. I question whether he should have left after the first hit, but he was tested and cleared to return by training staff.

As the game progressed, S Colt Anderson sustained an injury attempting to catch an interception. It was reported that he injured his hand while diving but was observed to be placing weight through both hands while trainers tended to him. Upon further review, it appears that he hit his right shoulder or forearm. He did have a compression sleeve on his right forearm indicating his broken forearm from earlier in the season and may have hit it in such a way that sent significant pain through his body. Either way, there has not been any updates and his presence all season has been irrelevant at best.

Finally, QB Tyrod Taylor suffered a hard hit to the head during a tackle by Dante Fowler late in the 4th quarter and then suffered another lesser hit from Fowler falling into him while attempting to get up. He initially appeared to be unconscious while medical staff assessed him. Taylor presented as dazed coming off the field and as he went into the tunnel to be evaluated for a concussion. However, the effects of the hit appeared to have little impact on him as he was observed attending a Toronto Raptors game with RB LeSean McCoy on Tuesday. This indicates two things; either the hit was not as severe as initially thought and has since recovered, or he is not following doctor’s protocols. If he did sustain a concussion, flashing lights, loud noises, lots of activity would exasperate his symptoms and he wouldn’t be there. Either way, it is irrelevant as the season is over and he can take time to recover on his own schedule.

I believe there were other injuries that the players played through, giving their all in order to win the game. RB LeSean McCoy played through a sprained ankle and did not appear to miss a step. He allegedly declined a cortisone shot prior to the game to prevent him from not feeling whether he injured the ankle worse. The entire team played incredibly tough and gave everything they had until the very end. Thankfully, none of the observable injuries appear to be foreshadowing problems going into the off-season.

As disappointed as I am in the final score, I am overall incredibly happy with how this season ended. The Bills ended the playoff drought, they began to build a culture that players want to be a part of, and they brought hope and excitement to a city starved for a winner. I am thrilled to note that the front office realizes that while they took a step in the right direction, they still have a lot of work to do and will not rest on the successes of this season. I cannot wait to see the changes the Bills make in the off-season and how they continue to mold this franchise back into a winner.

With the season ending, this does not mean that my blog will take a hiatus. While there may not be Bills football to watch, there are still many topics to discuss. Some topics I will look to cover in no particular order, but not limited to: my thoughts on the Bills finally making the playoffs, surgeries Bills players are scheduled for and impact for next season, reviewing position specific injuries from this season, and evaluating players injury histories that the Bills may draft.

Thank you for reading this season, this has been an incredibly special season that I was glad to provide my thoughts and assist in giving a new perspective that has been found in limited spaces. As I continue to grow as a Physical Therapist, I intend to broaden my knowledge base to evaluate injuries via video, provide a greater in depth understanding of the injury to the reader, and improve my writing skills to share my knowledge with everyone.

Please continue to follow me on Twitter @kyletrimble88 for the latest Bills news, playoff thoughts, and feel free to ask any injury related questions. While I cannot diagnose and offer treatment interventions without evaluating someone, I can still answer general questions, discuss injuries and assist in providing resources for further education. Thank you for your support and GO BILLS!!

Bills Injury Recap- Dolphins & Playoffs

Detailing LeSean McCoy’s ankle injury and impact it has on Sunday’s playoff game.

THE BILLS ARE IN THE PLAYOFFS! No this is not a typo, they finally ended The Drought; it is over, dead, gone, finished! This is a wonderful feeling that I’m trying to describe in the written word and it just isn’t quite coming to fruition at this moment. I suppose that my thoughts on The Drought finally ending could be summed up in another article for another time. As for today and every previous article, today’s post will identify injuries sustained in Sunday’s game and impact that they have on Sunday’s playoff game in Jacksonville.

It has been heavily documented and discussed RB LeSean McCoy’s ankle injury sustained in the 3rd quarter of Sunday’s game. It has since been revealed that McCoy sprained his ankle and there may be a possibility that he can play next Sunday. Looking at video, a lateral ankle sprain is pretty consistent with reports. It is difficult to see due to video angles, but as McCoy steps with his right ankle, he is being tackled to the turf. While tackled, his toes are planted in the ground, he is tackled with his body going left. This puts extra torque through the ankle joint, the ankle snapped up off of the turf as a result and he suffers a sprained ankle.

I had some initial thoughts that he fell directly onto the toe/midfoot leading to a sprain of the big toe or turf toe or a Lisfranc sprain of the midfoot. Thankfully, the lateral ankle took the brunt of the injury. This is beneficial because if McCoy is unable to push off his toe or midfoot during running, he would be even more ineffective. McCoy will be limited in lateral movements but with the proper rehab he can play in some fashion Sunday. This rehab includes range of motion stretching, pain/swelling management, light strengthening, and bracing to the area to limit further damage. Based on video, the ankle was injured, but the injury to the ankle appears to be less severe than what it could have been. As I am not the evaluating therapist, I am unable to determine severity so mechanism of injury, video, and knowledge of the area will have to do.

I believe McCoy will play in his biggest game in a Buffalo Bills uniform. I do not anticipate that he will miss the game, but may require a decreased work load to decrease injury and ensure effectiveness during each run. It does help that the field conditions will be ideal for footing and assist in reduction for re-aggravation of his injury. If McCoy is limited, both FB Patrick DiMarco and FB Mike Tolbert are available along with RB Marcus Murphy are able carry the workload. The Bills also recently signed RB Aaron Green to the practice squad to be called up in the event that McCoy does not play.

OT Jordan Mills injured his ankle late in the 2nd quarter during a block where he was forced to backpedal while blocking Cameron Wake. On video replay, he has to take several hard steps backwards and steps awkwardly on his left ankle. There did not appear to be any rolling of the foot inward which rules out a lateral ankle sprain but his foot was planted and his knee buckled in which could result in a inversion sprain or midfoot sprain due to the sudden jarring motion during the forced planting. Mills was unable to return but may also be limited for Sunday’s game. If Mills is unable to go, OT Seantrel Henderson will get the start.

As for other injuries, there does not appear to be any other injuries that should impact the roster ahead of Sunday’s game. I expect to see McCoy and Mills on the injury report along with WR Kelvin Benjamin (knee), TE Charles Clay (knee), DT Kyle Williams (groin), WR Deonte Thompson (shoulder/back). All should play without question but no one is close to 100% at this point in the season. With how this season has progressed and the injuries sustained, it will take some serious injuries to keep any of the players out from attempting to play. I do not anticipate any surprises on the injury report tomorrow, but anything can happen.

Look for articles regarding changes in the injury report later this week, my thoughts on ending The Drought, and anything else that I believe is warranted to write about. For the latest updates and game time updates, follow me on Twitter @kyletrimble88. As always, thank you for reading, the Bills have finally made the playoffs, and GO BILLS!!