2020 Divisional Round Bills Injury Preview- Ravens

Will Daryl Johnson suit up? Or will he sit this one out after not practicing?

Two playoff games in one season after having two playoff games over the last 20 years. That’s a great sentence to type out! This is certainly a nice change of pace following all those years of subpar football in the Western NY region. While we all want the Bills to roll over everyone to the Super Bowl, we know that is not that easy especially after last week’s nailbiter over the Indianapolis Colts

This week’s opponent, the Baltimore Ravens, come to Buffalo looking to show that last year’s early exit in the playoffs was a fluke and that they are one of the supreme teams in the AFC. On top of that, they have a relatively healthy roster to contend with. Below are both Buffalo and Baltimore’s respective injuries heading into Saturday night’s game.

QUESTIONABLE

DE Darryl Johnson (Knee)

Despite not practicing all week, Johnson has been declared questionable for Saturday’s game. He is dealing with a knee injury that isn’t apparent on film and his playing time has not been noticeably different. According to the injury report this year, no one that has been DNP all week has played in the game later that week. 

It is important to note that he also had a knee injury heading into Week 9 which he played through, but details were scarce on the specifics. There is not any more information to come out about his knee and it remains to be seen if he plays. The brief tweet thread was an excellent observation of the previous injury. I have no idea whether there is any correlation, but it is important to reflect back on when details are scarce.

While this is the playoffs, he potentially could suit up, but considering Trent Murphy has been inactive for a significant portion of the season, it would make sense to put Murphy in his place and fill the special team’s slot with someone else. This is the easiest one-for-one swap and if you recall, Murphy shined in last season’s playoff loss to the Texans. He does know how to perform when called upon; this may be his opportunity to shine and potentially find a new home next season. 

ACTIVE

WR Cole Beasley (Left knee)

Beasley has practiced all this week in a limited fashion and he has said that he is doing much better and should be able to play easier than the Wild Card game. Details regarding what he is dealing with still have not divulged but it’s evident that he will do whatever it takes to play and be available. Fortunately, he does not have a game day designation indicating that he is full go for Saturday.

Based on how he played last week, it wouldn’t surprise me if the 2nd half was more taxing on him like it was last week. Between the pain management strategies and adrenaline for the game, he will play and do what he can contribute to a win. 

LB Tremaine Edmunds (Hamstring)

I’m not sure what to make of the hamstring designation Edmunds is dealing with this week. He played in 100% of defensive snaps and 19% of special teams snaps which are usually on defensive field goal attempts or two-point conversions. 

Reviewing the film, he didn’t appear limited during the early portions game; this may have occurred on the final drive to end the game as he was sprinting downfield to defend the Hail Mary pass. There isn’t anything to suggest that he did injure the hamstring then, but nothing else on film earlier shows the injury. I have also found that sometimes there are injuries right at the end that don’t get acknowledged due to the timing of everything.

Considering he has been limited all week but full on Thursday, he may have tweaked things and the team is being cautious to allow healing. He does not have a game designation and should perform close to his full abilities. There is always concern for further aggravation of the injury, but it’s the playoffs and he won’t miss this if he can play. 

There were some people that did reach out and concerned that he didn’t look good in warm ups from this video from WGR’s Sal Capaccio. Looking at the brief clip, it looks as though he is working through warming his calf muscles through dynamic movement. There is purposeful movement with bouncing on the toes and similar movement from one leg to the next. On top of that, Siran Neal appears to be doing a similar activity, though he is lengthening his stride slightly more than Edmunds. Either way, if Edmunds was that limited that he couldn’t do simple warm up drills, he wouldn’t have been practicing.

DT Justin Zimmer (Groin) 

Zimmer appears on the injury report following a groin injury Saturday. His snap counts are in line with what he has done in past games and there was no clear injury available on film. 

Unless the groin injury is severe or noted when it occurred, these are hard to detect without some context. Considering he plays roughly 25-30% of defensive snaps, if he suffers a further injury, his snaps can be absorbed by the defensive line rotation with minimal issues. This could be as simple as, there is soreness, it hurts, but once he gets moving, he can play and perform. 

DT Ed Oliver (Ankle)

Oliver is another surprise addition to the injury report this week with an ankle injury from Saturday. He played in 100% of snaps and did not show anything on film regarding the injury. He did not have a game day designation and won’t miss the game while being limited in practice. 

WR Stefon Diggs (Oblique)

Diggs was questionable for the Wild Card game but had himself a day Saturday indicating that the oblique did not bother him as much as the team led on last week. This is always something to watch but it doesn’t appear that the last game or practice this week aggravated the injury.

K Tyler Bass (Hand)

Bass was a big surprise to the injury report with a hand injury after not having that designation on Tuesday. There was some thought that he injured the hand while performing a tackle late in the 1st quarter. It’s really hard to discern if he did injure the hand while falling to the ground; he led more with his shoulder in taking out the Colts returner. 

Even if he broke his hand or there was any significant injury to the area, he could still kick without issue and wear some type of protective bracing. However, he practiced in full the past two days and does not have a game day designation indicating that this is not an issue. It’s also important to note that he did not have a designation Tuesday but appeared Wednesday could indicate that he injured the hand Tuesday. He will still be able to kick and tackle without hesitation come Saturday.

Ravens Injury Report:

QUESTIONABLE

CB Marcus Peters (Back)

This may be the biggest injury for the Ravens coming into this game. He played in 100% of snaps last week and there are not any reports of the specifics of the injury. He has dealt with several other injuries including calf and thigh injuries ailments earlier. 

He is officially listed as questionable but coach John Harbaugh noted that he expected both him and Matt Judon to play Saturday. Without specifics or video of the back injury, it may be hard to identify where Peters may be limited with his activities. I do expect him to suit up like all the Ravens player’s did last week.

T DJ Fluker (Knee)

Fluker is interesting because he began dealing with this injury in practice prior to Week 17 but played in both the final regular-season game and Wild Card, splitting time with Tyre Phillips. Like the Peters injury, there is little in the way of specifics. He has since been ruled questionable, but considering he’s played the last two weeks and he splits time at the tackle position, I would anticipate that he plays.

ACTIVE

LB Matt Judon (Illness)

Outside of COVID, it would take a significant illness to hold any player out of playing due to illness. Considering how important he is to the defense, his loss could be Buffalo’s gain, but I’d expect Judon to still perform and not miss a step. He might require fluids before the game and even during halftime, but I’d expect he’s tougher than the flu. 

Bills Inactives:

QB Jake Fromm

TE Tyler Kroft

DE Darryl Johnson

LB Tyrel Dodson

OL Jordan Devey

*There could be the possibility of 7 if practice squad players are called up but declared inactive.

This has the potential to be a low scoring game despite the explosive offenses of both teams. This may come down to who has the ball last and who makes fewer mistakes. The Bills are favored at -2.5 according to PointsBet at the moment. If the Bills come out and play how they did against the Colts, I’d expect a loss. However, we have seen this team rise up to the occasion and defeat more talented opponents this season. It’s clear that everyone wants a win from the Bills, but it will be a stressful game to watch until the very end. Enjoy the moment, the Bills are good and they appear to have the ability to sustain this success.

Top Photo Credit: BuffaLowDown

2020 Wild Card Weekend Bills Injury Review- Colts

The Bills lose Zack Moss for the playoffs, how serious is the ankle injury?

The Buffalo Bills have done it!! They have secured a playoff win for the first time since 1995 over the Indianapolis Colts 27-24! While it wasn’t a win that was as dominating as it has been in recent weeks, it’s the playoffs, and blowout wins are far from expected as we saw this weekend. 

Coming into the game, the Bills were fairly healthy with only Cole Beasley and Stefon Diggs being the big concerns. Both ended up playing with varying degrees of effectiveness. Beasley led the team in receptions and moved the chains despite playing through obvious pain, Diggs led in receiving yards and added a touchdown.

Fortunately, the Bills ended the game with only one significant injury as they look to prepare for next week against the Baltimore Ravens. Check out the recap below.

In-game injuries:

T Dion Dawkins (Undisclosed)

Dawkins left the field briefly, going to the locker room early in the 2nd quarter before returning moments later adjusting his equipment. Looking at the video, there doesn’t appear to be anything to note injury-wise on film and he didn’t miss any offensive snaps during the time he was away. 

Unless he shows up on the injury report with a designation, this one’s a mystery. 

RB Zack Moss (Left ankle)

Moss went down with a rough-looking left ankle injury at the beginning of the 4th quarter, requiring the cart to leave the field. Upon review, his left foot gets caught between a lot of bodies and the ground with his foot turned out. This was a clear mechanism for a likely high ankle sprain and he was in obvious pain. The cart was required to get him off the field and does not always equal severity, but the inability to get to the locker room himself required the use of the cart.

Initial reports that came out after the game indicate that Moss’s postseason may be over but the possibility to return if there is a deep playoff run. This further supported the possible high ankle sprain observed on video. Even with a full week off, it would have been incredibly difficult to even attempt to play through this injury. There is considerable instability and swelling in the ankle and he would have a very difficult time generating force from the ankle/foot complex. 

However, reports came out Monday stating that his season was over but that he avoided a major injury according to his agent. There is the possibility that he may require surgery which is indicated for significant high ankle sprains, but no official determination on the intervention has been made yet. 

If Moss avoids surgery, he could take roughly 6-8 weeks to return to full health. If he requires surgery, it could take upwards of 6 months but most likely less than that to fully recover. With either timeline, he would still be fully ready for training camp. Based on the damage, he could realistically participate in most of OTA’s with potentially little to no restrictions.

Credit: ChrisButlerSportsPT.wordpress.com

There is the possibility that he could receive the Tightrope procedure that the Alabama Crimson Tide medical staff has popularized, but that hasn’t been generally accepted as a regular surgery in the NFL as of yet. If he does receive this procedure, there is a chance that he could rehabilitate quicker, but this won’t be known unless it is reported.

It’s a tough pill to swallow for Moss and the Bills, but they do have Devin Singletary as the lead back in the interim. They also have TJ Yeldon, Antonio Williams, and even Taiwan Jones as options, though Jones has exclusively been on special teams. They hypothetically could bring in someone from an eliminated team’s practice squad, but to have 4 days to prepare could be a large task. It’s an unfortunate injury, but something the Bills must deal with. 

Other observations:

WR Cole Beasley (Left knee)

Beasley “toughed it out” to play Saturday with 7 receptions for 57 yards but at times came up clearly limping around. Watching him trying to move the chains posed the question of whether it was worth it for him to suit up to play, but he did. He was mainly a possession receiver, catching the ball and then going down relatively soon after the catch. I did count two plays where he tried to get some extra yardage but he didn’t break any long runs like I suspected that he would have difficulty with. 

Unless he injured the knee further Saturday, I would expect that he doesn’t practice all week or is significantly limited except for Thursday and then do it all over again Saturday. It was also noted that he was wearing a brace under his pants to provide extra stability to the joint.

It’s the playoffs, he was going to gut it out in order to do whatever it took to win. That was my only argument as to whether he would play or not. It was evident that he probably would have not played had it been a regular-season game. 

There didn’t appear to be any other notable injuries from Saturday’s game but there will likely be some surprises on the injury report. Stefon Diggs was highly effective and the oblique injury he was dealing with did not appear to be a factor at all. This will be an incredibly long week as the Bills prepare to host the Ravens in primetime on Saturday for the right to move to the AFC Championship against the winner of the Chiefs-Browns game. I’d assume the Chiefs would be the opponent, but the way the Browns handled the Steelers Sunday, anything can happen. 

We will be watching both the Bills and Ravens injury report this week to identify any possible competitive advantages heading into Saturday. 

Top Photo Credit: Yardbarker.com

2020 Wild Card Weekend Bills Injury Preview- Colts

Will Beasley & Diggs play Saturday?

The playoffs are here! The Buffalo Bills HOST the Indianapolis Colts on Saturday at 1:05 pm. 25 years is a long, long time between playoff football games in Buffalo. While we all can’t be there, the few that can be will represent us well. Regardless of where everyone may be watching the game, it should be an exciting game, and the chance to advance in the playoffs for the first time since 1995 would be surreal. 

On top of all the excitement, the Bills are fairly healthy heading into this game, with only several concerns with the wide receiver corps. Below is all the injury concerns heading into Saturday’s game and additionally, a breakdown of the Colts injuries heading into the game. 

QUESTIONABLE

WR Cole Beasley (left knee)

At least when Sean McDermott says week-to-week, he means it and has been fairly consistent with that phrasing since coming to Buffalo. However, it is unknown whether Beasley will play Saturday after only practicing once in the past two weeks. He was limited during Thursday’s practice and was observed going through light exercise/jogging and stretching, not stressing the knee at all.

There is no video present of running, jumping, or cutting at full speed to indicate how he will perform. While he doesn’t need the practice, it is concerning whether he was available for the offensive game plan installation. I simply don’t know if he plays. On one hand, it’s the playoffs, if you don’t win, you’re done. But does the team want to risk aggravating his injury and losing him for the remainder of the postseason?

If Beasley does play, I would expect he has difficulty running his routes to the right and having to cut on a dime to that direction having to push off the left knee. I would also expect him to have difficulty with jumping and getting yards after the catch to move the chains. In addition, he would be going up against one of the best slot corners in the NFL in Kenny Moore. Going up against a healthy slot corner with Beasley not being 100% makes me question whether it’s worth getting him out there. Can he tough it out and play? Absolutely, but it doesn’t mean it may be the best option.

The team has expressed confidence in Isaiah McKenzie filling in for Beasley if needed. While McKenzie doesn’t do what Beasley can do, he is still healthier which may be more effective in the short term. But it’s the playoffs, Beasley is a competitor, he wants to play, that’s a given. Just whether he is able. I have detailed my thoughts on the possible injuries he is dealing with here. I also went into detail on Locked On Bills with Joe Marino Friday if you’re looking for any more nuggets of information. 

What this will come down to is: Does the team believe they can perform without him like they did last week? Or will a less than 100% Beasley be more effective than McKenzie in the slot? If I had a gun to my head, I believe that the Bills can win without Beasley for this week especially against elite competition in the slot defensively, and get a healthier version of him in the divisional round. If he plays, fantastic, if he doesn’t, it may be the right decision in the long run.

WR Stefon Diggs (Oblique)

There was a lot of concern with Diggs’ oblique that popped up on the injury report Tuesday. He was limited Tuesday, did not practice Wednesday, but did have a limited practice on Thursday. He is questionable, but it doesn’t mean that he won’t be dealing with some discomfort. To understand what he is dealing with, read below.

Credit: Centenoschultz.com

The obliques are a part of the abdominal muscles positioned on the outside portion next to the “six pack” we all know. They are positioned on both sides connecting to the xiphoid process which is the pointed bottom portion of the sternum and connect down to the upper portions of the hip including the iliac crest, the bony portion of where our waists are located and about where most people’s pants sit. All these abdominal muscles make up what is known as the core. These muscles provide protection to the inner organs and function to flex and rotate the trunk. There are internal and external obliques but we would not really be able to identify which obliques he injured nor is it important to this discussion.

Due to not identifying when or which side he suffered this injury on also limits knowing which side is limited. There was a report that he was grabbing at his side during warm-ups but he was still quite effective during the game and only came out after the half. He also did suffer a late hit from Christian Wilkins during the 2nd quarter that resulted in brief worry for a concussion or other injuries such as this oblique injury, but it is not clear that this is when this injury occurred either.

The only other Bills player that has publicly sustained an oblique injury during Sean McDermott’s tenure is former guard John Miller. He suffered an oblique injury against the Jaguars in 2018 and ultimately missed a game. However, Miller did not practice and was ruled out for the game against the Dolphins. Miller was on the offensive line, bending forward, twisting his upper body, and pushing against large humans while staying upright took an immense amount of strength.

Diggs has the ability to avoid taking hits to the area, minimize the need for blocking, and can generally reduce strain on the area due to his position. He may be slightly limited in which way he turns, how he takes a hit, how he fights for extra yards. He does have a lot of pain management interventions available to him from the team and ways to manage this so he can get through the day. He is the main component of the offense and to lose him for Saturday would be a huge loss. However, he has said he’s fine, he’s been limited two out of the three days, I believe he will play and be quite effective.

To gauge an idea of whether Beasley or Diggs plays based on practice reports from this season, check out the tweet below. 

ACTIVE 

G Jon Feliciano (Left knee)

Feliciano appeared on the injury report following his left leg getting rolled up on just prior to the first Bills touchdown of the day Sunday. He came up limping but did not leave the game. The fact that he practiced in full indicated that it was not a big concern and should be ready to go Saturday. 

TE Reggie Gilliam (Knee/hamstring)

After missing the last two weeks with knee and hamstring injuries sustained against the Patriots, Gilliam appears ready to make his playoff debut. He practiced in full all week and doesn’t appear to be a question mark heading into Saturday. 

WR Isaiah McKenzie (Ankle)

Like Diggs’, this ankle injury was not clear on when it occurred or how severe it is. He also does not have a game day designation which is excellent to see considering he may see increased snaps due to Cole Beasley potentially being out. 

His workload may be reduced on special teams with Andre Roberts taking punt and kickoff returns, but McKenzie has clearly shown the ability to be effective when called upon. I doubt that he has any noticeable drop off in play from last week other than a decrease in total touchdowns.

Colts Injury Report:

OUT

T Will Holden (Ankle) 

While Holden is the backup right tackle, the loss of him leaves the Colts very thin at the tackle position in general. They’ve already lost Anthony Constanzo to season-ending ankle surgery and lost his backup La’Raven Clark to a torn Achilles right after. 

They are down to their 3rd string tackle Chaz Green and anyone backing him up will be coming from the practice squad or playing out of position. The Pittsburgh Steelers managed to sack Phillip Rivers 5 times, who is dealing with an injury of his own, so he can be pressured. The Bills could potentially use part of that game plan for success. 

CB Rock Ya-Sin (Concussion) 

He hasn’t practiced all week due to the concussion and anyone that doesn’t practice prior to a game doesn’t play in nearly every instance I’ve seen. TJ Carrie will replace him at CB2.

QUESTIONABLE

DT Deforest Buckner (Ankle)

He originally injured his ankle a few days before Christmas on the 17th, played through it, and has had some great games including a 3-sack performance days after the injury. He either had a high ankle from getting his heel hit or a bad inversion ankle sprain; either or it hasn’t stopped him.

The fact that he is that far out from the original injury and continues to play indicates that he will play Saturday and I would expect that he still gets his numbers.

ACTIVE 

QB Phillip Rivers (Turf toe)

Rivers has been working through a nasty turf toe injury that will require surgery following the season. Despite the injury, he has still been effective in leading the Colts to the postseason as the 7th seed. 

With Rivers continuing to deal with this injury, this could be an opportunity to pressure him in the pocket due to his inability to scramble along with the general immobility he is known for. If the Bills defense can prevent Rivers from hitting his first and second reads, this may allow the Bills to sack and hit Rivers all day. He will already be under pressure due to the left tackle position, his blindside, is manned by Chaz Green, a career journeyman.

CB TJ Carrie (Ankle/shoulder)

Not much is known about Carrie with his respective injuries but he is starting in place of Rock Ya-Sin and according to Joe Marino, he has been a better performer over this season than Ya-Sin. This may only be significant if Carrie goes down with an injury and they lack a backup suitable to keep up with the Bills wide receiver corps. 

RB Jonathan Taylor (Shoulder)

Taylor will be playing and look to build off his performance over the Jaguars last week despite dealing with a shoulder injury. There aren’t any specifics regarding what he did and the fact that he doesn’t have a game day designation indicates that he will be ready to go. 

S Khari Willis (Concussion)

Willis practiced in full coming off a concussion indicating that he has cleared the protocol and will be available Saturday. 

Bills Inactives:

QB Jake Fromm

RB TJ Yeldon

WR Cole Beasley

DE Trent Murphy

TE Tyler Kroft

A Bills playoff game at home where it is supposed to be just above freezing and sunny could work in Buffalo’s favor. They didn’t have to travel, they sleep in their own beds, they are used to the weather here. The Bills are favored at -6.5 which isn’t the biggest line this weekend, but half of the games are expected to be closer in the score.

This will be fun to watch. A talented Buffalo Bills team that is hot entering the playoffs with Pro Bowl and All-Pro talent at multiple positions, a potential MVP at quarterback, and a winning mindset. Despite former Bills quarterback and now Colts head coach Frank Reich returning to town, I don’t believe he brings the magic from “The Comeback” into this game. The Bills should win this one and kicking off a deep playoff run. Enjoy the moment, it’s what we’ve been waiting for the past 25 years!

Top Photo Credit: Buffalo Rumblings

2020 Week 17 Bills Injury Review- Dolphins

Are there any injury concerns from Sunday?

Just start calling the Buffalo Bills “Rawhide”! Rollin’, Rollin’, Rollin’, Rawhide!!! That’s all they seem to do over these past few weeks, Rollin’ over anyone that is in their way, hanging 142 points over the last 3 games on their way to 13-3. This was really a point of emphasis with a 56-26 win over the Miami Dolphins Sunday.

This is simply incredible football that we are watching and it sure is fun! I always had this prevailing thought that they would be good again, but it’s here now and it’s really exciting. To see what this team has done not observed in 30 years and they continue to improve is scary. 

On top of that, they enter the postseason with very few injuries after dealing with many around midseason. In fact, they’ve only lost one starter in Cody Ford to a season-ending injury and have weathered many others with their incredible depth. Below are the injuries from Sunday, though it is important to note that the team only reported one injury for the entire day. 

CB Taron Johnson (right shoulder)

Johnson appeared to injure his right shoulder while trying to tackle Durham Smythe early in the game and unfortunately hit Matt Milano’s upper right thigh. He was down briefly while trainers assessed him before coming off for part of the first quarter.

Johnson briefly went to the medical tent to be examined before later returning. The fact that he returned to the game rather quickly indicates that there isn’t much going on other than recovering from a hard hit. He certainly could have had his neck jarred or had the wind knocked out of him, but there doesn’t appear to be any long term concerns for Saturday. 

LB Matt Milano (upper right thigh)

Milano got hit on the upper right thigh area tackling Durham Smythe before fellow teammate Taron Johnson hit him with his right shoulder. Milano was walking gingerly briefly before returning for the next play. 

He didn’t miss time, he will probably be sore, but there doesn’t appear to be anything limiting him for the playoff game. Just a hard hit that’s part of football. 

G Jon Feliciano (left knee)

Feliciano briefly limped around early in the 2nd quarter following a routine running play in the red zone. He continued his block as Zack Moss passed him and as the play began to end, a Dolphins defender rolled into the outside portion of his left leg, knocking him over.

He did not miss any snaps for the remainder of the drive which resulted in the Bills first touchdown of the day. Like all the other injuries, this doesn’t appear to be much of anything to be concerned about for Saturday. 

S Siran Neal (concussion check)

Neal briefly left the game following a knee to the head while trying to tackle DeVante Parker late in the 3rd quarter. The team assessed him for a concussion due to the hit by using his head to take out Parker’s left leg and initially requiring the training staff to meet him on the field. Fortunately, he returned 5 minutes later and resumed playing without missing a beat. 

The only other concern was when Stefon Diggs got hit from behind after he had already slid down midway through the 2nd quarter. Christian Wilkins came in late and hit Diggs on the back of the head, momentarily causing concern for a concussion. Thankfully, Diggs popped right back up and was also able to draw an unnecessary roughness call on Wilkins to continue the drive. 

The Bills did sit some starters and played others through the half which fortunately did not cause any injuries. This also allowed them to keep focused and in their routine for the playoffs.

Overall, this injury report should look pretty clean heading into Saturday’s matchup against the Colts. I expect Cole Beasley and Reggie Gilliam to be on the report with their respective injuries with a close eye on Beasley’s participation availability. Slight chance that Johnson and Feliciano make an appearance, but I don’t see their injuries being significant. Of course, there’s always surprises too. 

It’s the playoffs, Beasley has a chance to play. His practice participation will likely dictate whether he does. The team has indicated that Isaiah McKenzie can fill in for Beasley in the slot which may allow Beasley to get another week off which would be beneficial if it is indeed a meniscal tear of quadricep strain as I had speculated before. 

This will be a short week practice wise and much more will be known by Thursday. Enjoy the week Bills Mafia, this is what we’ve dreamed of for years.

Top Photo Credit: Vincent Carchietta/BillsWire-USA Today 

2020 Week 17 Bills Injury Preview- Dolphins

Who will sit on Sunday to prevent injury?

To rest the starters or let them play, that appears to be the big question for the Buffalo Bills heading into Week 17 against the Miami Dolphins. With the #2 seed hanging in the balance with a win, the Bills must balance the roster properly to ensure maximum health but to ensure that they can still win the game. If they do lose and so does the Pittsburgh Steelers, then the Bills still secure the #2 seed. But if the Bills lose and Pittsburgh wins over a hungry Cleveland Browns team, then they secure the #3 seed. I don’t believe it is in Sean McDermott’s DNA to not try and win a game, especially if home-field advantage hangs in the balance.

The roster management will be significantly different from past weeks and we will see more inactives due to preserving health rather than true injuries. This doesn’t mean that everyone will sit, only those that don’t have anything to gain by playing. Below are the injuries and inactives.

OUT 

TE Reggie Gilliam (knee/hamstring)

Gilliam misses his second straight game with a likely left knee injury in addition to a hamstring injury. He has not practiced over the past two weeks and quietly left the game against the Broncos without a clear mechanism of injury other than having his knee taken out from behind him on a special teams play from which he returned later in the game.

We will have to watch the injury report to see if he begins practicing and returns for the playoffs or whether he gets sent to IR to activate someone else from the practice squad. This would then let the Bills sign others to the practice squad as insurance in case further injuries occur.

WR Cole Beasley (left knee)

Beasley missed the past week of practice as expected due to a left knee injury that forced him to leave the game early in the 4th quarter Monday. I had detailed the possibilities of his knee injury that you can find in my article from Wednesday. To summarize, he could have suffered a contusion to the lateral knee, a quadriceps strain, or a meniscus injury. 

My thoughts have not changed from Wednesday and it may be possible that he plays in the Wild Card round of the playoffs, but it is far from guaranteed. Looking at recent Bills who have played through meniscus injuries including Kelvin Benjamin and Charles Clay in 2017. Benjamin missed 2 games with his meniscus tear and gutted out the remaining 5 games to the playoffs.

Clay missed 3 total games but 4 weeks total due to having the bye week. His recovery was longer due to requiring surgery to trim the meniscus in order to play and allow his MCL sprain to heal. Both were hot and cold with their production, but let’s face it, Benjamin and Clay are nowhere near the talent level that Beasly possesses. 

The Bills could survive the first round game without Beasley, but if he can play, he will try to perform. Practice next week will be telling as to whether he is trending towards playing or if the team is more cautious.

ACTIVE

G Jon Feliciano (illness)

Feliciano was a surprise addition to the injury report with illness but practiced in full on Friday and had no game day designation. As long as the illness is not COVID, things happen, and as long as he can play, then there are no worries. I am not certain he plays a lot unless Josh Allen plays. This is a game that the Bills can look at backups or find out if any of their pending free agents are worth re-signing. 

Inactives:

TE Reggie Gilliam

WR Cole Beasley

CB Tre’Davious White

C Mitch Morse

WR Stefon Diggs

QB Josh Allen

LB Matt Milano

Outside of Gilliam and Beasley, these inactives are a total guess based on value to the team. To lose Tre’Davious White would be a huge issue and Matt Milano certainly would benefit from being fresh working back from his pectoral injury. While Stefon Diggs did reach his statistical benchmarks for the season for his contract and could rest, Josh Allen is only 40 passing yards from claiming the top spot in Bills history for passing yards. I am sure Allen would want the record, but not if it potentially could mean injury. 

Mitch Morse is a smart bet to not play if Allen does not and with his previous concussion this season, to avoid losing him for the playoffs would not be ideal. I would not be surprised if I am wrong on 5/7 picks because Sean McDermott has been coy on if he would rest starters or not. We will know Sunday at 11:30 am as to their plans. 

The team does have their two standard practice squad call-ups and protected practice squad players which were used on offensive lineman Trey Adams, Jordan Devey, Jonotthan Harrison, and Darron Lee. They also have a COVID emergency callup which could be used on Dane Jackson or Davis Webb. The team has plenty of options in terms of resting players with the use of practice squad guys if they need.

Other injury thoughts:

We do know that John Brown will finally play for the first time since Week 10 to get reps to be ready for the postseason. He would be one that would benefit from time off, but to get even a half of football in would ensure that he is ready for next weekend. His high ankle sprain should be pretty close to if not fully healed up by now and most of the other injuries he was dealing with should be fairly well managed by now. 

The Dolphins are dealing with several injuries for themselves including Jakeem Grant (high ankle), Solomon Kindley (knee/foot), Shaq Lawson (shoulder), and DeVante Parker (hamstring). I would expect all play with the exception of Grant who was reported to miss the game but is currently listed as questionable. Even if he did play, I doubt he would be effective on special teams and offense. 

Either way, this is a must-win game for the Dolphins to control their playoff fate. They could still make the playoffs if the Baltimore Ravens, Indianapolis Colts, or Browns lose which could allow them to enter the postseason, but none of those are guaranteed which forces the Dolphins to play for their lives.

I believe the Bills can still win even with most of the starters resting or seeing minimal playing time. If the Bills do lose this game, this could set up the Dolphins to come back up the next week for the Wild Card game if things fall just right. Either way, this will be enjoyable to watch this game knowing there is little to be concerned for as the team prepares for a home playoff game. The pressure to win will increase following 4:30 pm on Sunday but until then, the fanbase can relax and enjoy the game.

Top Photo Credit: ESPN

2020 Week 16 Bills Injury Review- Patriots

How serious is Cole Beasley’s leg injury?

The Patriots have been vanquished! A season sweep completed, the first since 1999! With a dominating 38-9 win over New England, the Buffalo Bills move to 12-3 as they continue to strive towards the AFC’s 2nd playoff seed. On top of that, the Bills continue to have excellent luck with regards to injuries following a rough stretch earlier this season. Below are Monday’s injuries. 

In-game injuries:

S Jordan Poyer (Concussion evaluation)

Poyer was briefly removed from the game following a thunderous hit on Cam Newton going out of bounds with 3:21 left in the 2nd quarter. He appeared briefly dazed standing up which likely signaled the athletic trainers above to flag the hit for a concussion check. Poyer didn’t appear thrilled that he had to leave the game but left to the locker room.

He came back out later having been cleared from the evaluation and didn’t appear to have issues throughout the game. It’s important to have these protocols in place to avoid further complications if there was truly a head injury. Fortunately, he was not diagnosed with a concussion but I don’t expect him to play a lot in Week 17 due to wanting to rest starters. 

WR Cole Beasley (Left knee/leg)

Beasley got up gingerly favoring his left leg following a missed catch with 10:30 left in the 4th quarter. Upon initial review, he either sustained a hit to the outside of his left knee or he suffered a strain of his left quadriceps muscle trying to slow down. In the Twitter thread below, the first angle shows that he may have gotten the knee hit, but the second angle shows a stutter step. 

Based on how he got up and the trainers later assessing his knee along with focusing on the outside portion, it seems like there could be a contusion rather than a strain. He didn’t return to the game but this may have been more precautionary than the actual injury. 

Unfortunately, Sean McDermott delivered some disappointing news Tuesday during his weekly post game press conference. Beasley has been termed week-to-week with a leg injury which usually isn’t a great sign when it comes to availability for next week. From what I’ve understood with Sean McDermott week-to-week is missing at least 1-2 games. 

The team termed it a leg injury which doesn’t give us much information. It could be a contusion as mentioned above, could be a quadriceps strain, or it could be something else like a meniscus injury.

Why meniscus? Because after watching this enough times and researching more, this is a possibility based on the new information we know. 

Meniscus tears usually occur with more of a rotary or pivoting motion with the foot planted, such as changing direction suddenly. They can occur in other ways such as deceleration which is not something I initially considered when looking at the injury by video. The team was focused on the left knee and in a clip from the sidelines, a trainer even motions to the lateral aspect of the knee, right along the tibial plateau area where the meniscus sits where some pain/tenderness may have been felt.

It’s possible when he stutter-stepped due to slowing down, he created a shearing force on the meniscus with the knee in flexion or bent. That sudden stop with his weight still accelerating forward could have sheared a portion of the meniscus. 

Credit: John Hopkins Medicine

Signs of a meniscus tear include clicking, popping, locking of the knee during movement. There is also joint line tenderness present during palpation of the knee along with intermittent residual pain. He may have had difficulty fully extending the leg with imaging later confirming the physical findings. 

Credit: Liberty Orthopedic

This would explain why he is now week-to-week and fits the information currently available. This is pure speculation as I am processing the newest information. I hope this is not the case but it’s something that has to be considered. There is still a lot of information that we have to see including the body part that the team designates him with on the injury report and his practice availability. 

The best-case scenario is that it’s a lateral knee contusion and the team is being cautious. The next possibility is the quadriceps strain which could be a week-to-week injury that could force him out. This would be the most opportune situation in terms of overall health.

The worst-case would be the meniscus tear and he has to battle through it for the postseason. We saw former Bills wide receiver Kelvin Benjamin deal with this during the 2017 season. I would expect Beasley to do the same. I hope I’m wrong, I want to be wrong, but I am considering all possibilities based on the information at hand.

While it is a shame that he probably won’t get his 1,000 yards, it’s best that he gets the rest he needs in order to perform in the playoffs. I’d expect him to miss Week 17 with a realistic shot at the first playoff game. He will need rest and rehab in order to get the knee well enough for the playoffs and then they can figure out how to address the area afterward. This will be a situation that changes quickly and hopefully 13 days off is enough time to get the knee healthy enough to play. 

T Dion Dawkins (Right elbow)

This wasn’t even noticed during the game until a Twitter follower pointed it out. Dawkins had a brace on his right elbow after the game in a post-game video when Josh Allen and Stefon Diggs were being interviewed. 

Looking back at the film, Dawkins doesn’t appear with a brace until later in the 3rd quarter. He appeared to get hit on the right elbow during a routine run play with 9:21 left in the 3rd. He finished the series and then the next series came out with a brace. This appears to be a general contusion to the area. It did not appear to greatly affect his play, but there may have been pain and swelling the training staff wanted to manage. 

I am not certain if he shows up on the injury report this week. If he does, this appears to be the culprit. If his play is limited next week, it would likely be due to more of the situation than injury. 

Other injury thoughts:

T Ty Nsekhe (groin)

I had thought that Nsekhe would have been ruled out for Monday’s game, but he was active despite barely practicing last week. He only played in 8 offensive snaps towards the end and 6 special teams snaps which is more in line with his overall play from this season. 

He is an older player that appears to understand his role and may have sat last week due to load management. 

WR John Brown (right high ankle sprain/COVID)

Brown was finally activated to the roster after spending time on IR since Week 10 with a high ankle sprain. He appeared on track to play Monday and the general consensus was that he would, but he was deemed a close contact with TJ Yeldon and placed on the COVID/Reserve list.

He must stay on the reserve list for at least 5 days since he last had contact with Yeldon. If he does not test positive during that time frame, then he can come off and play Sunday against the Miami Dolphins. He is one player who needs the reps prior to the playoffs in order to get ready. 

Outside of Beasley’s injury, there is little concern for injuries going into Week 17. There always appears to be an injury or two that is a surprise on the report, but that will have to wait. Otherwise, the Bills are hot and healthy as they wait to find out their Wild Card opponent as hopefully the 2nd seed. The championship window is open, the Bills can pass through and hopefully hoist the Lombardi trophy in February.

Top Photo Credit: Buffalo News

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 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

2020 Week 3 Bills Injury Review- Rams

What are the latest updates on Brown, Edmunds, & Dawkins?

WHAT. A. GAME. 

I’m not sure there’s appropriate words in the English language that explain what happened Sunday. From a near meltdown to bad calls to final play heroics, this game had it all. Fortunately, the Bills ended Week 3 with a win to move to 3-0 as they prepare to face the Raiders at their new stadium. I could write an entire article on the emotions of the game. But you’re not here for that. Below, a recap of the injuries from Sunday. 

WR John Brown (calf)

Brown’s day ended early following halftime with a calf injury. Reviewing the film, there isn’t anything particular that stood out regarding his calf. He didn’t appear to be limited with any of his routes or come up limping even at the very end. 

I’m considering this injury as a wait and see, he could have hurt the calf, been fine and then halftime, everything tightened up. He could have hurt the calf and it just wasn’t on broadcast film and All-22, this could have also been a injury that isn’t spotted on film. He could also have had a previous strain that was not reported that worsened on Sunday. 

I also want to note that the foot soreness that could be plantar fasciitis could have contributed to this. Some of the interventions to address the plantar fasciitis include stretching out the calf/Achilles to reduce stress on the fascia. But I question if it did contribute because I would tend to believe they were stretching out the area already.

HC Sean McDermott wouldn’t go into specifics with the injury nor would he say which side the calf injury was on and if it was the same side as the foot soreness. I don’t have any insight as to which side is which at the present time. 

T Dion Dawkins (right shoulder)

Dawkins took a tumble prior to the 2 minute mark in the 4th quarter and was in obvious pain, requiring trainers to assess his shoulder. He tripped over CB Troy Hill, landing with his right arm extended to brace the fall. However, the heel of his wrist hit, followed by the elbow bending to break the fall and then hitting the shoulder on the ground. 

He did try to come back in immediately after an assessment by the trainers which may indicate that it isn’t serious. I am concerned about the labrum or AC joint, but this could have been simply a contusion. Considering he tried to come back in suggests that it may not be serious because some of the other injuries would have required further evaluation or time away from the field. 

S Micah Hyde (left ankle)

Hyde appeared to suffer a low ankle sprain early in the 4th quarter when he attempted to go in for a blitz and got blocked by the Rams tackle Andrew Whitworth. He attempted a spin move, turning to his left before going down in obvious pain but was able to walk to the sidelines under his own power. 

He had his ankle taped up and returned to play shortly afterward. He did suffer the same injury back in Week 1 against the Jets and it appears he re-injured it. Overall, this isn’t a concerning injury and he can play through it, but I am worried about further instances with him missing time during the games if he tweaks it. Hopefully he can continue to tape it up and avoid re-injury to the area to allow it to heal properly. 

LB Tremaine Edmunds (right shoulder)

Edmunds returned following a week off and clearly was not himself. He struggled to wrap up his tackle, he had difficulty engaging the blocks with his right arm, offensive players got by him on the right side and he just wasn’t himself. He exited the game on the final Rams TD when he hit directly on the shoulder by Rams RB Darrell Henderson. 

He did have a shoulder harness on the right shoulder which usually indicates some type of shoulder instability. I’ve seen these used more for labral tears, similar to what we saw with CB Taron Johnson in 2018.

However, I still do not think he suffered a torn labrum. The mechanism simply isn’t there from Week 1. Either he injured the shoulder another time we didn’t see or this is something else. Based on how he fell in week 1, this is worse than a contusion. This could be a Grade 2-3 AC joint sprain. There is much more instability in the area due to the damage and he would have difficulty engaging the right side due to weakness from the clavicle not providing support with arm movement. These can take anywhere from 4-6 weeks for a Grade 2 and 6-12 for a Grade 3.

I understand I keep flip flopping on the possible injury, but the idea is that my opinion changes based on new information. If this is an AC joint sprain, the hope is that he can avoid further contact to the area and provide stability in order to allow things to fully heal.

Rarely do these require surgery and can be managed, but he will be limited in the short term. I wouldn’t be surprised if Edmunds wants to continue playing and avoid the IR. The team obviously knows more than we do and is managing this as best they can.

The coaching staff is aware of the pain & restrictions he has with his shoulder in playing through it during Monday’s press conference. Hopefully Sunday’s hit did not set him back more in his recovery process.

Injury Roundup:

DE Mario Addison was noted to have cramping that caused him to miss several snaps, but he was able to return shortly after getting fluids. It was a warm day with strenuous physical activity, it’s no surprise that he was dealing with cramping. There’s no concern moving forward, just a reality of playing football.

DT Ed Oliver looked good Sunday and was noted to be wearing the right knee brace mentioned in the previous article. He did not appear to be limited with the use and the injury appeared to be a non-factor.

CB Tre’Davious White & WR Cole Beasley both looked effective despite their respective injuries they were dealing with last week. They may continue to manage these complaints into practice this week, but it does not appear concerning at the moment.

LB Matt Milano & CB Taron Johnson both looked like they didn’t miss a step with their respective soft tissue injuries. Both are still at a higher risk to re-injure, but the hopes that they continue to get the proper rehab and rest in order to reduce those risks are ideal.

G Jon Feliciano, WR Isaiah Hodgins, & WR Josh Norman are all eligible to return from the IR list this week. I could see Feliciano & Norman return to practice but only Norman possibly getting activated after a week or two ramp up. Feliciano could wait longer and they could stretch this out longer than returning immediately.

They all do have a 21 day window to practice without taking up a roster spot before they need to return to IR or go active. I don’t see any need for Hodgins unless Brown misses extended time. 

The big question marks moving forward will continue to be the health of Tremaine Edmunds & Dion Dawkins. We will see how this week’s practice goes, but these will be closely monitored. The Bills continue to avoid the season ending injuries, but this does not mean that they are immune. Hopefully these guys can return and continue to be effective.

Top Photo Credit: BillsWire