2020 Week 3 Bills Injury Preview- Rams

Make sure to scroll down to the players you’re interested in. It’s a long one.

Heading into Week 3, we got a long injury report here folks. But the Bills have been through this before. They have quality depth and the ability to call up practice squad players that have been in the system before rather than street free agents who don’t know the system. 

While there are a lot of players in today’s report, everyone is still adjusting to the regular season with hitting, conditioning, and getting back into game shape. This is where some preseason games are beneficial to prime their bodies rather than going from 0-100. Ideally we see this drop off as the season progresses. But until then, this week’s injuries are below. 

OUT

RB Zack Moss (toe)

Moss was ruled out of Sunday’s matchup due to a toe ailment suffered in Sunday’s win. This was likely the result of the catch & run midway through the 4th quarter. He eventually returned to the game later, albeit briefly before the game finished. 

Based on the designation of a toe, it sounds like it could be turf toe. There are other possibilities such as a fracture, but he was observed off to the side on the exercise bike and doing individual activities.

PTEducator.com

Turf toe is an injury where the big toe is suddenly hyperextended due to a fall or some other force such as a tackle when the foot is planted into the ground that pushes it past its normal range of motion. Like any other joint in the body, this too can be sprained. The risk for this can be increased with flexible shoes which reduce support around the area of the foot.

Any other toe injury can be conservatively managed and isn’t a problem even in day to day life. But the big toe is vital to walk a heel toe gait pattern; strike with the heel, push off on the toe. The toe is even more vital during running as sprinting is done up on the balls of the feet, placing further stress on the toe. 

The timeline for a turf toe injury can be 2-4 weeks or even more based on severity. Look back at Packers WR DaVante Adams last year for reference. Due to the demands of the big toe, especially with high end athletics, it can be easily re-injured if not managed properly. This is something that can linger for weeks and limit production. 

He is obviously missing this week and potentially next week. Once he returns after the area has had a chance to heal, he can use a stiff sole to help reduce toe extension during push off and taping/bracing to support the area. He may lose some explosiveness after coming back, but if he gives it proper time to heal, then he may be fine. It will be important not to rush back because then he will lose that first step explosiveness and top end speed if he cant push off his toe effectively.

It’s important to note that he had a toe injury back in 2016 during his freshman year at Utah. It’s not certain that it was a turf toe injury, but he missed 2 games as a result. The injuries are not directly related as we don’t know specifics or even side l along with the time span in between. But if this is another bout of turf toe, he may be able to understand his body better and rehab more effectively. I expect TJ Yeldon to get a rare crack at the game day roster. Remember, he’s a 3 down back according to Brandon Beane.

TE Dawson Knox (concussion)

Knox is out with a concussion following Sunday’s win. He has since had 3 straight DNP’s at practice and right now appears to be at about Stage 3 due to participating on the exercise bike and drills. He will now have to go through football specific drills and a full practice without symptom reproduction before he can be cleared by the neurologist. 

It’s rare that a guy is able to return from a concussion in a week’s time and hopefully he can return for Week 4. There were a lot of people who sent video of hits he sustained to the head that game. I do appreciate every one of you for doing that, but it is nearly impossible to diagnose a concussion on video alone unless the individual has been knocked unconscious. Let’s hope he’s back for Week 4.

LB Del’Shawn Phillips (quadriceps)

Phillips continues to be out with a quad injury sustained in the season opener over the Jets. He has not practiced since then and video does not exist of the injury that he sustained on special teams. 

This is appearing to be more of a quadriceps strain and literature for quadriceps strains is more limited than hamstrings, but from what I found, timelines are similar to that of hamstrings. There’s a possibility that this could be a tendonitis as well, but that is something that can be played through more than a strain.

It’s important to note that WR Andre Roberts missed the first two games of the season last year with a quadriceps injury. This may be the same course of action that the Bills take with Phillips or this could be an injury that we don’t have all the facts on yet. We continue to wait and see. 

QUESTIONABLE

LB Matt Milano (hamstring)

Milano has been able to practice in a limited fashion all week after missing Week 2 with a hamstring strain. Hamstrings can take 13-18 days on average to return to play, but his injury may have been truly minor; a term that I’ve come across is “niggle”. I believe Milano had a niggle. 

Could he benefit from another week off? Sure. But if he’s feeling good and he can play, then I can live with that. He is questionable, but a hamstring is not an automatic out for 2-3 games. Some guys can come back the next week, others take much longer. We are seeing that with the setback with CB Josh Norman & this shows that each hamstring is unique. With how practice has been this week, he is still 50/50, but I’m leaning towards him playing Sunday. 

LB Tremaine Edmunds (right shoulder)

Edmunds has been tricky for me these past 2 weeks. I initially had him as a contusion, possible AC joint sprain. Then he missed the last game which leads me to believe he may have had more of a SC joint sprain or bruised rotator cuff. I’ve studied the film, watched his practice and without a physical examination, I am stumped.

This could be Occam’s razor and I’m overthinking this. The fact that he has had a red non-contact jersey for the last two weeks is concerning, but that may be more to prevent further injury. He may have benefitted from the week off and be ready for Sunday. 

From what I’ve seen, it’s very possible he plays. Especially with the benefit of his skill set against the Rams, it’s an important game to get up for. He’s also 50/50, leaning towards seeing him playing. 

CB Taron Johnson (groin)

Not much is known about Johnson. He has a long history of injuries dating back to his rookie year with the shoulder labral tear followed by a hamstring strain last year. Now he has the groin strain which isn’t great for a defensive back with all the cutting & pivoting he has to do as part of his position. 

He did not exit the game and was a full participant on Friday which is a good sign. However, groin strains, like many other soft tissue injuries can linger and cause problems later. We do have depth at the position, he will probably play, but considering Johnson’s penchant for injury, he may be best served to sit this one out. 

ACTIVE

WR Cole Beasley (hip/right thumb)

Beasley is active despite dealing with two separate injuries. The hip is not all that concerning, it could be more of generalized hip soreness or bruising due to the fact that he had several hard falls during his catches on Sunday. 

However, the injury I am more concerned with is his right thumb injury. He had it heavily taped in practice on Thursday and was in visible pain when catching the ball. 

He may have suffered a mild/moderate thumb sprain, also known as skier’s thumb. He could have fell on the thumb during one of his catches, forcing it into extension and abduction. He could also have gotten it tangled up with a defender, it wasn’t clear on film. He’ll be able to play & still be effective, but with how hard Josh Allen throws and the injury, I hope we don’t see a drop or two due to the pain and resulting weakness in the thumb region. This will be something to monitor on Sunday. 

DT Ed Oliver (right knee)

Oliver suffered his knee injury as the result of a leg block that fortunately was not flagged on Sunday. During replay, his knee gets struck by the Dolphins offensive player and then his shin strikes the player again once the leg kicks forward.

It initially appeared that he suffered a shin contusion which would have been more pain related. But since he struck the knee, it forced the knee into hyperextension. What’s beneficial is that the leg was swinging freely and not in a fixed position. There was some stretching of the knee capsule and overall pain, but structural damage to the area appears non-existent save for maybe bruising due to the hit itself. Fortunately, the knee does have several degrees of hyperextension available in the human body, giving the knee some pliability to reduce the risk of injury. 

He was spotted by The Athletic’s Joe Buscaglia wearing a knee brace at practice. I asked Joe for clarification on the type of brace and he said that it appeared to be more hinge like. This would support that his knee was hyperextended and that he is wearing the brace for support. These braces don’t outright prevent injury, but the idea is that the side supports do lock out in full extension and if he were to get hit directly over the knee, the brace would take the forces of the hit and lessen the impact on the knee itself. In addition, the side supports limit medial/lateral movements so if they get hit from the side, the entire leg goes down rather than the valgus force that we see in ACL and MCL tears.

It will be interesting to see if he plays Sunday with the brace on or if this brace was simply used to help give him some confidence with the knee during practice. If you look closely, fellow DT Harrison Phillips wears one as well when he plays following his ACL tear last year. Overall, I don’t believe Oliver’s quality of play will be affected by the knee injury nor is he at a higher risk to suffer further injury due to Sunday’s hit.

CB Tre’Davious White (shoulder)

Virtually nothing is known about White’s shoulder ailment that had him limited at Wednesday’s practice. He is getting older, he’s a highly paid player who knows he’s valuable to the team, this may have been more of a maintenance day than anything. I could not find anything specific on film to support a shoulder injury and he was able to practice in full Thursday & Friday. I can’t even speculate what he could be dealing with because there is no mechanism of injury. Right now, this is a wait and see approach. 

He did deal with a neck injury last year that caused him to wear the red non-contact jersey for about 2 weeks last year but he did not miss any games or appear to have his play suffer as a result.

WR John Brown (foot, possible plantar fasciitis)

Brown popped back up on the injury report this week with what the team described as “foot soreness”. He was on the injury report last week briefly with the same issue. The fact that he is able to practice in full certain days and then has to be limited others indicates that this may be more of a chronic issue which I believe is plantar fasciitis.

The plantar fascia is a tough band of fascia that connects from the heel to the balls of the feet. This acts as a shock absorber and helps keep the structural integrity of the foot intact during walking and running. This effect is known as the windlass mechanism. This allows the foot to stay rigid as the foot goes into push off moving from stance to swing phase. If we did not have the plantar fascia to help keep the foot rigid, then the big toe would not have the leverage to push off as effectively and drive the entire foot forward.

ChoosePT.com

The area of the irritation of the plantar fascia is at the base of the heel, where the fascia originates. Microtears occur due to overuse or excessive running which appears to be in the case of Brown. This appears to be more of a problem this year than other years because of the change in training camp with less ramp up time. If he wears shoes that are not supportive, this could cause the foot to excessively pronate which means the foot rolls inward when walking versus maintaining support during heel toe walking. The overpronation would pull on the plantar fascia during push off using the windlass mechanism and the excessive running could cause microtears, causing inflammation.

Functionally, he will not be greatly affected by this, but it is a painful condition to deal with. He likely wakes up in the morning and has difficulty bearing weight through his foot due to the tissue tightening up throughout the night, making those first few steps during the morning painful. He can rehab to stretch the calf, Achilles, overall improve the range of motion in the ankle and big toe mobility to take stress off the area. He can also get injections to help manage the pain, but this is not something the doctors like to do often because too many injections can increase the incidence for rupture of the affected tissue. These rates are fairly low, but injecting and numbing pain is not an effective solution to manage a condition. It can be an intervention that assists with taking care of a problem, but not the only solution. 

It’s possible that Brown battles with this off and on throughout the season, using rest days and rehab to address the matter. As a treating Physical Therapist, I have found plantar fasciitis to be a stubborn diagnosis, but this does not mean that Brown will not be able to overcome this. The team does have a lot of interventions with the possibility of cupping, laser therapy, acupuncture, injections, iontophoresis with medication, stretching, using night splints, strengthening, taping, footwear modifications, among others. There are far worse injuries that can be played through, but plantar fasciitis is still a troublesome injury. This sounds all doom and gloom, but he will be alright.

Final thoughts:

The team is banged up. This is why I believe some preseason games are good to get the live reps out of the way rather than going from practice and limited contact to full blown games. Even if the starters were playing for two series a game in the preseason, it helps them acclimate slowly to game speed versus full speed right away. The Bills have been through this before with the lengthy injury report. The tweet below shows how things looked last year prior to the Titans game and how things look going into Week 3. 

You’ll also notice that the team does a fairly good job of dealing with injuries in that they don’t become a chronic issue. The training staff likes to address the injury, give it time to heal if possible, and then return to play. We are not seeing the walking wounded out there like some other teams around the league. 

I did note last year that injured players may have been active, but their snap counts significantly reduced in that particular game to prevent further injury. Two instances I can think of were WR Isaiah McKenzie during Weeks 4 & 5 last year and G Cody Ford during Week 8. This team has a plan to get guys healthy and have them available if needed, but not to rely on the walking wounded to play a full game. 

It’s also important to note that CB Josh Norman was observed on the exercise bike this week as he prepares to hopefully get activated from IR following Sunday. He may still not be 100%, but he can begin practicing with the team as they have a 21 day window where he doesn’t count against the roster. If he’s ready, they can activate him, if he’s not, he can be shut down and go back to IR. He can also just stay on there longer and activate his window later, so it’s not certain that he will begin practicing next week.

The same can be said for G Jon Feliciano. Coach McDermott even came out and said that he didn’t want to put guys out there that weren’t ready. Feliciano had said he wanted to come back by Week 4, but I have maintained that he would benefit coming back closer to Week 7 or 8 where he could be more effective. This will be something to continue to monitor.

Inactives:

QB Jake Fromm

RB Zack Moss

TE Dawson Knox

LB Del’Shawn Phillips

OL Ike Boettger

DE AJ Epenesa

The team will get through this. Years past, injuries would have decimated a promising season, see the 2011 Bills. But the team has quality depth and lots of experience to withstand some of these bumps and bruises. I would grow more concerned if we get a rash of season-ending injuries like in 2011. This is still a talented roster despite the Rams coming to town. Hopefully next week, this report will be a little shorter.

Top Photo Credit: WKBW

WR Cole Beasley Injury Profile

#11 Cole Beasley
Position: WR
Height/Weight: 5’8”/174 lbs.
Age: 31
College: SMU
Year joined Bills: 2019
Acquired: Free Agency via Cowboys

College Injuries:

TBD

Pro Injuries:

2012 Cowboys:

No publicly reported injuries

2013 Cowboys:

No publicly reported injuries

2014 Cowboys:

No publicly reported injuries

2015 Cowboys:

Knee injury, Week 16, missed 0 games

2016 Cowboys:

No publicly reported injuries

2017 Cowboys:

Concussion, Week 8, missed 0 games

2018 Cowboys:

Ankle injury, Week 2, missed 0 games

Ankle injury, Wild Card game, missed 0 games

2019 Bills:

Right knee contusion, Week 3, missed 0 games

Ankle injury, Week 4, missed 0 games

Left ankle contusion, Week 12, missed 0 games

2020 Bills:

Upper back injury, preseason, added to NFI list.

Hip/Thumb injuries, possible thumb sprain, Week 2, missed 0 games.

Foot sprain, left side, Week 4, missed 0 games.

General links:

2020 Bills Injury Preview- Wide Receivers

Cole Beasley Upper Back Injury Speculation

Cole Beasley Upper Back Injury Speculation

Is there a true concern?

Cole Beasley suffered an upper back injury that sent him to the Non-Football Injury (NFI) list on Wednesday July 30th just after training camp started. Any injury that suffered outside of football-related activities warrants placement on the list at the beginning of training camp. 

As there are not many details out yet, there is only speculation as to what he could be dealing with. There are some clues that could indicate when he suffered the injury which could narrow down when he suffered the injury and his timeline.

Clue #1 is that he was working out as recently as July 18th signaling that he likely suffered this injury between then and July 29th. 

Clue #2 which isn’t really much of a clue but more of a statement from NFL Network Mike Garafolo as seen below.

Based on that wording, this suggests that he may be dealing with some type of trapezius strain caused by an unknown reason. This could have been as the result of a car accident, a fall at home, some freak accident, we simply do not know. There could be other reasons or possible issues that he could be dealing with that will be released at a later time.

Once Beasley is medically cleared, he can be removed from the NFI list but cannot return to the list. It’s also important to note that he counts toward the overall roster but not the 53 man roster if this lingers into the regular season. 

Bills 2020 Training Camp Injury Preview: Wide Receiver

Some concerns going into 2020.

This is Part 3 of the Buffalo Bills training camp preview revisiting injuries from 2019 & the impact it may have on their performance and availability in 2020. Part 3 consists of the wide receiver room.

Not Returning

WR Zay Jones

5 games, 2 starts, 18 targets, 7 receptions, 69 yards

Jones had an uneventful 2019 season with Buffalo, quickly losing his place as the top receiver from 2018. Unfortunately, 7 receptions for 69 yards in 5 games won’t cut it on most teams in the NFL. He was quickly traded to Oakland for a 2021 5th round pick to salvage his career. Injury wise, Jones battled several injuries this past season with a hamstring that kept him out of minicamp followed by some back soreness early in training camp. During the regular season, he dealt with a shoulder injury that limited him prior to the Patriots game but did not appear to affect his play. As he moved on from the Bills, he is just another player to have graced the halls of One Bills Drive.

Returning

WR Robert Foster 

13 games, 2 rushing attempts, 29 yards, 18 targets, 3 receptions, 64 yards 

Robert Foster is incredibly perplexing. Here is this UDFA that made the team out of training camp in 2018, was cut, resigned to the practice squad, and then resigned to the active roster. From there, he tore it up down the stretch and appeared to show his value to the team. Come 2019, he was merely an afterthought in the offense as seen in the stats above.

In addition, Foster suffered several injuries that didn’t help his cause which made 2019 an overall down year for him. Below is his injuries:

    • Left Turf Toe

The season did not start well for Foster, suffering a left turf toe injury during spring practices that he appeared to re-aggravate shortly into training camp. He battled through this injury for much of the preseason and was never quite 100% heading into the regular season. He battled with the turf toe into Week 1 before it apparently got well enough that it was no longer listed on the injury report. Without the big toe to push off of during running, he would not have had the ability to get a strong push off at the line of scrimmage or get up to speed.

    • Right shoulder

Also during training camp, he suffered a right shoulder injury that didn’t appear to hamper him but is something to note. It was later described as shoulder soreness, but considering the physicality of the game, any injury can certainly make even the routine tasks more difficult.

    • Groin

During practice prior to the Week 4 matchup against the Patriots, Foster injured his groin during a routine practice which led to him missing both the Patriots & Titans game heading into the bye week before he was cleared to play against Miami. It’s not certain that his previous turf toe issues would have led to the groin, but it’s a possibility and didn’t help his case playing in the offense down the stretch.

He will have to improve his worth on offense and continue to impress as a gunner on special teams. He will have to maximize his health along with anything else the team asks of him in order to make the roster in 2020. 

WR Cole Beasley 

15 games, 10 starts, 106 targets, 67 receptions, 778 yards, 6 TD’s

Beasley really made the most of his first season in Buffalo, quickly becoming a great option for Allen in the slot in order to move the chains. In addition, he stayed relatively healthy, the benefactor of his time in the league, knowing how to take care of his body. 

Injury wise, Beasley didn’t deal with much and the injuries he did had are listed below:

    • Right knee

He suffered a right knee injury during the Bengals game, getting tangled up with his defensive counterpart and falling to the ground. He missed several plays but quickly returned indicating it wasn’t serious, likely a contusion.

    • Ankle

Beasley showed up on the injury report for the week following the loss to the Patriots but did not miss the Titans game. There wasn’t any real information regarding the ankle injury or even which side it was on. Looking back even now, it’s hard to say what he was really dealing with.

    • Left ankle

He ended up hurting the other ankle in the win over the Broncos when he got his ankle kicked out from under him while attempting to block for RB Devin Singletary. He was in obvious pain and was tended to by trainers, but was able to walk off briefly before returning later in the game to score a touchdown.

Overall, Beasley continues to stay healthy and a valuable contributor to the offense. He gets dinged up here and there but there are not any long term concerns moving forward in 2020.

WR Isaiah McKenzie 

15 games, 8 starts, 8 rushing attempts, 49 yards, 39 targets, 27 receptions, 254 yards, 1 TD

McKenzie is in a unique situation in which he was at times productive as an offensive threat, but never at times consistent to be a game-changer. He appeared in 15 games, inactive for the Eagles game, and suffering minimal injuries. 

Below is McKenzie’s injuries from 2019:

    • Ankle

He showed up on the injury report just prior to the first Patriots game with an ankle injury that was not apparent on film. He was questionable for the Week 4 matchup but ended up playing in only 1 offensive snap.

    • Left knee

McKenzie appeared to hyperextend his knee hauling in a pass when he had a defender fall on his leg. He was able to get up under his own power and limp off the field before the half but was able to return to finish the game.

McKenzie better hope for a perfect training camp plus several injuries in order to make this roster. He may be a better candidate to get traded as the likelihood that injuries occur around the league due to the shortened offseason due to the pandemic. 

WR Duke Williams 

4 games, 3 starts, 19 targets, 12 receptions, 166 yards, 1 TD

Fan-favorite Duke Williams came down from the CFL and the fan base became enamored by the long shot to make the roster. He eventually did make the roster and caught the game-winning touchdown against the Titans but was quickly relegated to the inactive list after 3 total games. He played in the regular-season finale and the playoff game with mixed results, leading to questions regarding his future.

Williams’ injuries below:

    • Right shoulder

Williams injured his right shoulder while catching a pass going out of bounds playing against the Dolphins during the first meeting. According to video, it appeared as though he suffered an AC joint sprain which had him limited in practice the following week and highly unproductive against the Eagles.

    • Left low ankle sprain

He hurt his ankle in the playoff loss to the Texans in which he stepped awkwardly out of bounds, appearing to hyperextend his knee. Upon further review, he suffered a lateral low ankle sprain which took the brunt of the forces through his body rather than a more dreaded knee injury.

Williams still has the talent to play in the NFL. The big question will be whether he will be with the Bills or another team. He is talented, but it’s not known if he’s talented to stick with arguably the best top 3 wide receiver group in the league. His injuries overall aren’t ones that carry over into the regular season, but he will need to stay healthy in order to have a shot.

WR John Brown 

15 games, 15 starts, 2 rushing attempts, 7 yards, 115 targets, 72 receptions, 1060 yards, 6 TD’s, 1 pass, 1 completion, 28 yards, 1 TD

John Brown can really do it all. After spurning the Bills in 2018 for the Ravens, he came to Buffalo on a one year deal and quickly became a favorite of Josh Allen’s. Brown’s versatility to stretch the field, get involved in both the running and passing games made him invaluable in offensive game planning. He appeared in all regular-season games besides the meaningless season finale. 

On top of that, Brown was healthy as seen below. 

    • Groin

Brown suffered a minor groin injury that appeared following the Titans win that wasn’t apparent on film. He showed up on the injury report but did not miss any games as a result. He did have the benefit of having the bye week to recover from any issues he was having but it didn’t appear to be an issue down the stretch as he continued to be highly productive.

Brown is a lock for the team in 2020 and the groin injury he suffered likely healed up on its own. There is a chance he could suffer another groin injury in the future, but that would be more on the nature of his positional demands rather than a chronic injury. 

WR Ray-Ray McCloud

McCloud is a familiar face that returns to Buffalo for the 2020 season after spending 2019 with the Carolina Panthers for 6 games after getting claimed off waivers following training camp. He got most of his work on special teams before getting waived and picked back by Buffalo for the practice squad. 

Considering McCloud was a draft pick of this regime, they like to hold onto their own, but he may have a lot of men to fight against for a roster spot, more likely a practice squad position. He didn’t suffer any known injuries and his availability & experience may be the reason he finds a job in 2020.

WR Nick Easley

Easley spent the entirety of the 2019 season on the practice squad and did not appear to suffer any known injuries during weekly practices. While he continues to be a developmental player, his path to the roster continues to be limited due to the depth

New to the roster

WR Stefon Diggs

In March, the Bills shocked the football world and traded for the disgruntled Minnesota wideout in a deal that some called overpayment and others stating it was the right move. As the 2020 NFL draft played out, it appeared to be the right move as Diggs comes with far more experience and a readiness to contribute compared to rookies having to get up to speed. 

In addition, Diggs also comes to Buffalo with minimal injury history which is detailed out in the article at Buffalo Rumblings

WR Gabriel Davis

The 4th round pick out of UCF followed the trend of the Bills drafting players with no injury concerns or that would require rehab during the pandemic. As a mid-round pick, Davis has virtually assured a roster spot and will greatly benefit from learning under some of the veteran receivers in the room, not forced into playing often early on. To read up on Davis’ injury history, check out the article at Buffalo Rumblings

WR Isaiah Hodges

A 6th round pick out of Oregon State, Hodges also comes to the Bills with little injury concerns and a legitimate chance to earn a roster spot, if not a practice squad spot. To read up on Hodges injury analysis, check out the article at Buffalo Rumblings.

2020 Outlook

This is a deep position on the roster. Brown, Beasley, Diggs, Davis, & Hodges all should make the team out of training camp. McKenzie and Williams have a shot at unseating one of the players listed above with a stellar training camp. McCloud & Easley also are capable of making the roster but are more suited for the practice squad as they have become projects of this team. As for Foster, he could make this team if he finds his 2018 form, and if he stays healthy. Both are big ifs. The best part about this is that if anyone does go down with an injury, there is another guy to step up that at least knows the system. 

Ed Oliver’s Core Muscle Surgery

Will Oliver be ready in time for OTA’s?

A surprise tweet from DT Ed Oliver hit Twitter Tuesday afternoon showing two pictures that he had successful surgery following his rookie year. This created several questions as Oliver did not appear on the injury report all season & only appeared to suffer one known injury following the Titans game in which he sustained a left foot/ankle injury when he tackled RB Derrick Henry. He was able to return following the bye & did not miss any games during this season.

However, Tuesday’s tweet changed things with Oliver in a hospital gown. The Bills had recently performed their end of season exit physicals & issues are found once a full assessment has been performed. We have already observed this with the tweets last week from DE Jerry Hughes & his torn wrist ligaments. Oliver likely had his exit physical & found this issue which required corrective surgery.

Originally, I had thought that he had a routine joint cleanout from general debris such as bone chips, articular cartilage, or frayed tissue due to not appearing on the injury report. But news came out later that he had successful core muscle surgery, commonly known as a sports hernia, announced by Buffalo News reporter Vic Carucci. 

Looking back at the Oliver tweet, there were two clues that indicated that he had core muscle surgery. First, the location was in Philadelphia, PA. Oliver could have had arthroscopic surgery in Buffalo or back in his hometown Houston, or wherever he wanted, indicating that Philadelphia was a specific location. Second, the 2nd picture shows the phrase “Vincera Institute” above his head. This was not readily observed unless you were able to zoom in on the picture but this was a dead giveaway in retrospect to what he had done. Frankly, I missed it the first time around.

The Vincera Institute in Philadelphia is run by Dr. William Meyers, a nationally renowned orthopedic doctor specializing in core muscle repair. From what I’ve read, he is THE guy when it comes to core muscle repair. Meyers is also big against identifying the injury as a sports hernia, hence my use of the term core muscle. We don’t know when Oliver suffered his injury, how long he was dealing with it, & how severe it was.

With regard to the injury itself, there is a multitude of variations according to the Vincera Institute website that frankly, even as a licensed Physical Therapist, were new to me. As there are no specifics to which injury he sustained, below is a general description of a core muscle injury.

groin_injuries
Credit: https://physioworks.com.au/Injuries-Conditions/Regions/groin_pain

Core-muscles-abdominal
Credit: plankpose.com

The adductor muscles in the groin are most commonly injured pictured above, but can also affect the abdominal muscles in the 2nd picture. These injuries can occur with planting the feet & twisting maximally, causing the lower-body injury. They can also occur with violent twisting, kicking, and turning along with blows to the back, anything that overstretches or strains the muscle at its attachment.

These injuries can present as groin strains, oblique strains, or other general injuries around the hip or core region that don’t resolve with proper rest & rehab. A core muscle injury is when the tissue tears & does not heal like a normal strain, commonly with the muscle pulling away from the pubic bone attachment observed in the first picture.

This can present as sharp or stabbing pains with specific movements such as sprinting, kicking, cutting, etc. This can also be tender to touch, little to no pain during rest, and typically isolated to one side. These injuries aren’t always apparent at the time; often minor injuries are able to be played through. The severity of the injury is found later such as during a physical or if the pain becomes too intense to perform an activity.

Fortunately, surgical outcomes are great with at least 90% of repairs in the NFL have shown to resume their normal activities prior to the injury with the control group playing slightly more games and slightly longer careers than those having the surgery. However, the control group in that study were players who had similar careers in relation to experience, statistics, & position played, not indicating that the groin injury itself led to a shorter career. Another study showed 89% of repairs were able to return to the pre-injury level of play with minimal to no pain during a 4-year follow up study. 

Rehab for this surgery can be between 6-12 weeks based on the specific type of core muscle surgery & location. Rehab protocols can be found here & here with most protocols skewing towards a lengthened recovery timeline for a conservative approach.

If Oliver has any concerns regarding his recovery, he can ask fellow Bills players C Mitch Morse & WR Cole Beasley who both suffered similar injuries at the end of the 2018 season which required surgery, causing them to miss some of OTA’s last spring. As of writing, both have not had any known issues regarding re-injury to the area & should continue to stay productive. According to the 2020 NFL offseason schedule, the Bills will start OTA’s April 20th. By then, Oliver will be fully healthy without any limitations.

It’s unfortunate that Oliver suffered this injury, but injuries are a part of football. It is great that he got this addressed now so that he may be fully healthy to attack this first offseason as a professional in order to grow into the next great Bills defensive tackle. I have no concerns regarding this injury & his recovery as he was treated by one of the best in the United States & has an excellent facility to rehab at in Buffalo if he so chooses.

I expect there to be more surprise injuries & surgeries as the offseason progresses, but this is just another one that is being addressed properly & maximizing Oliver’s growth as a professional football player.

Top Photo Credit:

HoustonChronicle.com

Week 17 Bills Injury Review- Jets

How bad are Wallace & Nsekhe’s ankle injuries?

Good thing that the game didn’t count for anything as the Bills finished 10-6. That 13-6 loss to the Jets was a rough one to watch, bringing shades of the past decade back with backups & fresh players off the street merely competing because there was no one else healthy. On Sunday, that wasn’t the case as Sean McDermott did his best to rest as many starters as he could in order to prepare for the playoffs. Unfortunately, there were a number of injuries varying in severity that will put some player’s availability in question for Saturday. 

CB Levi Wallace (right ankle)

Wallace scared a lot of people when he went down while catching an interception early in the 1st quarter without being touched. He was able to secure the ball before requiring assistance from training staff to get off the field. As with any non-contact injury, the knee is quickly assessed for any ligamentous instability before further evaluation is necessary in other areas. 

It was determined that Wallace suffered an ankle sprain, specifically a medial eversion ankle sprain. I had originally thought that he suffered a mild high ankle sprain as the mechanisms are similar, but he suffered the medial ankle sprain due to the foot being more in a neutral to plantarflexed position pushing off on the toe rather than the dorsiflexed, everted position seen with a high ankle. It is hard to decipher on film & I’m only confident in the medial ankle due to the recent reports. 

Wallace was observed leaving the locker room in a walking boot which is pretty standard following injuries such as this. He is considered day-to-day which usually translates out to missing a week or two. Medial ankle sprains have an incredibly strong ligament known as the deltoid ligament that prevents movement inward which helped reduce the severity of the injury.

We will have to see how he performs in practice this week. If he can’t go, capable CB Kevin Johnson gets the start against his former team. 

S Siran Neal (right side stinger)

Neal suffered a stinger during a tackle during the 2nd quarter where he hit directly over the top of his shoulder on a routine tackle. He was visibly uncomfortable, shaking his right arm out & moving around, trying to shake things out. 

That direct hit caused the stinger due to the sudden shoulder depression pulling on the cervical nerves just enough that he felt it down the arm to need a few plays off. Like Tre’Davious White against them Steelers game, the actual hit wore off & he was able to return. As long as Neal doesn’t continue to suffer these, then this shouldn’t be an issue moving forward. 

OT Ty Nsekhe (right ankle)

Nsekhe made his triumphant return after missing 5 weeks with a severe ankle injury in the win over Miami. Nsekhe was slowly reintroduced into the game plan & was rather unremarkable during his play. 

In a stroke of bad luck, Nsekhe went down again in the 3rd quarter with a Jets defender falling on the back of his foot as he went down. Nsekhe was immediately down on the ground rolling around in obvious pain. Trainers quickly came out to assess the ankle & got him off the field for further assessment. 

It was difficult to see what Nsekhe exactly injures as the bodies were in the way, but it’s clear that his ankle was rolled upon. He may have avoided serious injury due to his shoe getting knocked off during the play, preventing his foot from being planted. Nsekhe was also observed wearing an ankle support to limit medial/lateral movement which redistributes the forces away from the ankle. 

The hope that is he suffered a contusion to the area & can work through this injury to be available for Saturday. Some detractors may be out there saying he should have not been playing after coming off an ankle injury. I fully support the coaching & medical staff to allow him to get out there in order to get live reps and allow him to play if he’s healthy. Nsekhe is a veteran, he knows his body & the risks he would take in return to play. It comes down to simply horrible luck & there isn’t much else to be said.

OT Cody Ford (right trapezius/neck)

Ford suffered his own injury later in the 3rd quarter where he appeared to injure his right trapezius or neck. There wasn’t much of a mechanism of injury but Ford came off grabbing at his right trapezius muscle. This muscle connects up to the back of the head, out to the shoulder, and down to the middle of the back. This assists with head extension & shrugging the shoulders.

Trapezius
Credit: Youtube.com

The only possible place that I see where he could have injured this area would be when he took on the Jets defender, lost his block and had his head turned inward to the left & hit the back of G Spencer Long

Ford kept motioning to the area & even pointed to the training staff where his pain was at. He may have overstretched the muscle getting his head forced to the left & hitting Long. He may have also suffered a minor stinger due to the head stopping suddenly. 

Either way, he was able to return and outside of some stiffness & soreness, this shouldn’t limit him for Saturday.

CB Taron Johnson (right ankle)

Johnson was the last injury of the day when he got bowled over by Jets running back Le’Veon Bell. Johnson attempted to square up with Bell & plant his feet, getting knocked backward & injuring the right ankle. The injury occurred when Johnson was trying to keep his foot planted & got pushed, over pronating his foot & placing stress through the medial ankle. 

Johnson was able to walk off with a noticeable limp but was quickly able to begin running on it, even able to return at the very end to ensure that WR Isaiah McKenzie did not have to fill in at cornerback. This is similar to what Wallace dealt with earlier in the game but obviously less severe & less eversion noted at the ankle. This isn’t something that I expect will keep him out for the playoffs. 

Other observations 

Out of the inactives, the only known ones prior to the game were WR Andre Roberts & DE Shaq Lawson with their respective injuries. Having RB Devin Singletary, TE Dawson Knox, WR John Brown, WR Cole Beasley, & CB Tre’Davious White made the most sense being inactive due to how vital they are at their respective positions. 

McDermott & the medical staff did the best with what they could. There are injuries the public isn’t aware of despite my best efforts. There are also strategies in getting other players snaps in case the top players do go down. 

It wasn’t an ideal situation, but the other option was to play the starters & suffer injuries prior to the playoffs. The injuries suffered Sunday are absorbable especially at CB & OT as the team has managed without so far. 

There’s a lot going on this week prior to the game Saturday & it’ll be exciting to see how the Bills stack up against the Texans. This is a winnable game, especially with the defense that has performed all season when asked. If the Bills get beat, it will be because of talent & not because the Bills beat themselves or were too injured.

Top Photo Credit:

DemocratandChronicle.com

Week 12 Bills Injury Review- Broncos

Are Morse & Beasley going to play Thursday?

No one circles the wagons like the Buffalo Bills! Circle the wagons they did with a convincing win over the Denver Broncos 20-3 on Sunday at New Era Field! From my observations, I did not see a play, series, or point in time where the Broncos were ever in control. It was not a blowout but a rather convincing win to move the Bills to 8-3, the best mark through 12 games since 1996. Think about where you were at that time; I was 8 & still watched Power Rangers. The original ones, with Jason the Green Power Ranger. Yea, that takes you back. 

download
Credit: https://powerrangers.fandom.com/

Anyway, it’s a great feeling to be 8-3 with a march towards the playoffs despite a tough schedule in the coming weeks. However, to make matters difficult, the Bills have to turn around and play Thursday in prime-time against the Dallas Cowboys. Thankfully, the Bills did not suffer a major injury which gives them a better shot to compete. Below are the injuries from Sunday.

C Mitch Morse (right 5th digit)

Morse suffered a right 5th digit or pinky finger injury with 1:56 left in the 1st quarter when Broncos DE Von Miller sacked QB Josh Allen for a 5-yard loss. Morse was engaged with his blocker before falling down, landing with his right hand. He came up grabbing it & did not return for the rest of the day. He was later observed on the sideline practicing snapping to QB Matt Barkley, then going to the locker room before halftime.

I did manage to see that his 4th & 5th digits on his right hand were buddy taped indicating that he possibly jammed his finger when he fell down. To note, this is the hand that he snaps with. He did not return to play in the game but appeared to be available in case of injury. Suffering an injury to the 5th digit or pinky is crucial to Morse’s ability to play. Having pain or weakness in the hypothenar eminence which is the intrinsic hand muscles that account for 40% of grip strength really affects his ability to snap the ball. Think how painful it is when you can’t fully use your hand after it’s been hit. Now try to fully grip & squeeze an NFL football. 

It’s not to say that he couldn’t come back, but with OG Jon Feliciano as a very capable backup, there wasn’t a need for him to return. Morse stated after the game that he would take it day-to-day and that he should be fine. All he will need is some brief rehab to make sure he has full motion & strength return, possibly buddy tape the area for support & be able to play Thursday.

WR Cole Beasley (left ankle)

Beasley scared everyone when he went down late in the 2nd quarter on a designed run play by RB Devin Singletary. Beasley was blocking his assigned man when Broncos LB Todd Davis kicked his left ankle out from under him while diving trying to tackle Singletary. Beasley was in obvious pain & quickly attended to by trainers on the field. He was able to walk off under his own power & eventually return, scoring a TD in the 3rd quarter.

He finished the day 6-76-1, signaling that his ankle contusion was not going to be a problem. Like Morse, he may require brief rehab, more for pain & possible swelling in preparation for Thursday. He could possibly wear a compression sleeve under his sock but I see no scenario in where he doesn’t play against his former team Thursday.

WR Robert Foster (right hamstring)

Foster finally broke out with by far his best game in an overall disappointing season with a 22-yard run followed by a 24-yard catch in the 3rd quarter in where he was injured. He managed to catch the ball with 14:17 left in the 3rd quarter, streaking down the sideline before getting pushed out by Broncos S Justin Simmons. Foster was forced to load up his right leg to account for the sudden hit & attempted to slow down. Unfortunately, as he decelerated, he suffered what appeared to be pulled hamstring, requiring assistance from the training staff to get off the field. 

This is a common way to suffer a hamstring injury & his return was questionable, but he did not return the rest of the game. It’s possible that he was dealing with cramping in the area, but considering how he suffered the injury, it appears to be more of a strain. Barring a miraculous recovery, I do not see him suiting up Thursday against the Cowboys. Fortunately, the Bills have WR Duke Williams who is healthy & quite eager to play, having been inactive the past 4 games. 

Foster may miss the Baltimore game based on past hamstring management by the team, but considering he will have extra time to rest & rehab, there’s an outside chance he returns. We will have to see how available he is in practice following the Cowboys game.

Other notes:

As expected, OT Ty Nsekhe (right ankle) & S Siran Neal (concussion) were ruled out before Sunday. Nsekhe is nowhere near being ready to play & had shown on Instagram that he was getting rehab daily, seen below. Neal is in Stage 2 of the concussion protocol & it is unknown if he will progress fast enough to be ready to play Thursday. 

DE Jerry Hughes was held off the stat sheet Sunday by Broncos OT Garett Bolles & dealing with a groin injury. Hughes was able to provide some pressure today but overall didn’t have the impact that he typically has in the game. It’s possible that his groin may be slowing him, it’s not something I can clearly see on film. Either way, I still expect him to play Thursday because he’s playing already, why not play Thursday & then he will get 9 days off.

On a special note, congratulations to RB Frank Gore who ran into 3rd place on the NFL all-time rushing yards list. He passed the immortal Barry Sanders & continues to show everyone how the job gets done. The career he has had despite all the early injuries including ACL tears to both knees in college before entering the NFL. From a fan perspective, it’s incredible watching historic events such as that.

The Bills will have practice this week like usual but it will obviously be condensed. I expect most practices to be walkthroughs as they heal their bodies up. Besides Foster, there shouldn’t be any big losses unless someone developed concussion symptoms after the game. It will be a quick 3-day turnaround before the Bills play on Thanksgiving. By Wednesday, there will be a much clearer injury picture heading to Dallas.

Top Photo Credit:

Rochesterfirst.com

Week 5 Bills Injury Preview- Titans

Will Allen be cleared to play in time?

While the Bills are still banged up, they are far from out of contention after the quarter pole of the season. They sit at 3-1 with the 3rd best record in the AFC and still very much in control of their own destiny. While there is a lot of uncertainty heading into Week 5 against the Titans, most of the players are starting to turn the corner injury-wise. Today’s article outlines the injuries heading into Week 5 and who is expected to play.

RULED OUT:

LB Corey Thompson (ankle) & TE Tyler Kroft (ankle)

Thompson is still dealing with surgery that was likely the result of a cleanout from a previously unknown injury. His timeline is fluid and is not expected to be back for another 2-3 weeks at best guess. Kroft is still working back from his low ankle sprain in his left ankle & I would not expect him to be back until after the bye. Until he gets 3 consecutive full days of practice in, consider him benched until further notice. 

 

QUESTIONABLE:

QB Josh Allen (concussion)

As it’s widely known, Allen is coming off a concussion sustained Sunday at the result of Patriots CB Jonathan Jones. There has been a lot of optimism that he can return to play Sunday but historically, most players who sustain a concussion miss the next week. There have been instances where last season QB Phillip Rivers cleared concussion protocol before clobbering the Bills in the 2017 season in the infamous Nathan Peterman game. Former Bill RB LeSean McCoy suffered a concussion last year in the loss to the Colts & returned in time for MNF against the Patriots. 

Concussions are unique in that no one is ever the same and timelines for recovery vary. Considering Allen was in Stage 4 of the protocol all this week & practiced in full, this still isn’t a guarantee. He still has to be cleared by the independent neurologist. The reports look promising and I’m leaning towards him playing, but until we get word that he’s cleared, there isn’t a guarantee he plays. 

S Dean Marlowe (concussion)

Marlowe suffered his concussion after the first Bills scoring drive in which he wrapped up the kick returner before getting hit in the head as he required assistance to complete the tackle. This was with about 10 minutes left in the 3rd quarter. He appeared wobbly on the field before reportedly was assessed for a head injury. Like Allen, Marlowe is in protocol & appeared to be in Stage 4 as well. If Marlowe is able to clear the protocol, he will be a key special teams player & necessary depth. If he isn’t cleared, expect S JaQuan Johnson to go.

FB Patrick DiMarco (concussion)

DiMarco was a surprise addition to the injury report this week with the 3rd concussion from Sunday. While we generally know when Marlowe’s occurred & certainly when Allen’s happened, DiMarco’s was less apparent. DiMarco was in the game with 3:19 left in the 4th quarter on punt coverage indicating he wasn’t knocked out of the game like several others. He did suffer a hard hit several times including on 2nd & 9 on the flea-flicker to RB TJ Yeldon while performing a chop block. He does get a knee to the head but doesn’t appear to be initially fazed. He also takes a hard hit on 4th & 10 with 8:44 left in the 4th quarter, but this wasn’t out of the ordinary for physical football hits. 

During Wednesday’s practice, he was able to be on the sidelines working on the stationary bike indicating that he is in Stage 2-3, working through increasing the heart rate & tolerating sustained physical activity. Thursday improved his status to Stage 4 with him participating in non-contact activities. Friday indicated that he practiced in full. It’s likely but uncertain if he will play Sunday, but considering how important he is in special teams, it would be beneficial.

Author’s Note:

I try to keep these articles as objective as possible with a little bit of opinion because, well, it’s my website. But I’ve noticed that a lot of people on Twitter are on the bandwagon that if Allen sits for an extra week, then he’ll be extra healthy, especially after the bye. Some people have commented that how do we know if the brain is fully healthy? How can he heal so quickly?

Frankly, we don’t know the brain is fully healthy. We don’t have the technology at this point to look further. But what we do have is objective measure testing. What this encompasses is testing his memory and processing through cognitive testing, his coordination & how his eyes are responding/interacting with input from the outside world with vestibular testing, his physical symptoms such as headaches, nausea, dizziness which can be measured by heart rate & blood pressure. 

We’re looking at baseline testing from the beginning of the season & compared to how he re-tests to measure where he is at. The hope is that he excels and outperforms the baseline. The baseline acts as a control in the scientific method. The experiment is objective testing. The idea is that does this objective testing correctly measure whether he is healthy & able to return? So far, we have seen this utilized successfully & with great results. 

So what does this boil down to? Once the testing shows that a player has been tested & passes protocol, then he is cleared. Simple as that. Until there are methods that further identify whether the brain is fully healthy, we go with what we know best. Remember, doctors used to use leeches for bloodletting, cocaine/heroin for nearly every remedy, & lobotomies for mental illness. We learn from these mistakes. The hope is that we work with what we know at the time & look to improve the process. 

WR Robert Foster (groin)

Foster suffered a groin injury late last week, missing Week 4 due to the acute nature of the injury. He was able to practice in full Wednesday & Thursday which was an excellent sign & may be ready to contribute in both the offense & special teams. We do not know the specifics of the injury, there is a higher risk to re-injure the area, but practicing in full is always a good sign. However, he was limited Friday and is now officially questionable for Sunday. Considering he is still dealing with the turf toe from training camp & in addition to the groin, it’s reasonable he’s questionable, but certainly more likely to play this week than last.

CB Taron Johnson (hamstring)

Johnson has missed the past 3 games with a hamstring injury dating back to the season opener. He has looked excellent in practice the past 2 weeks performing agility & football-specific drills, but was, in my opinion, a surprising inactive for Sunday. Either he felt he was not ready or had some type of setback with tweaking the area prior to the game. He has been limited the past 2 weeks in practice. 

However, looking back through the past 3 years of Bills injury reports on pro-football-reference.com, historically, with this medical staff, players have missed 2-3 games before returning to play. To go down the rabbit hole further, none of the players that suffered a hamstring strain appeared on the injury report later in the season with the same injury. I believe that the team would rather have the player miss more time to recover then rather than suffer re-injury later. I still believe he can play Sunday, but it may be truly his decision on whether he plays. 

RB Devin Singletary (hamstring)

Like Johnson, Singletary has been dealing with a hamstring strain suffered in the win over the Giants. He missed the Bengals game as expected, but was nearly able to play against the Patriots. His hamstring injury appears to be milder than Johnson’s based on games missed and reports indicating that he was almost better to play last week. He is still questionable going into Sunday from the injury report. I believe he has a better shot to play Sunday than Johnson, but it may come down how he feels & whether the weather will play a factor with a chance of rain. Along with Johnson, the slick grass could potentially aggravate any injuries if they were to slip or attempt to stop.

OT Ty Nsekhe (ankle)

Nsekhe was dealing with an ankle injury from Sunday but has been on a constant rotation with rookie Cody Ford. It’s not apparent when he suffered this ankle injury, but he was working through what appeared to be a right ankle injury last week in the Bengals game. He did leave briefly & returned to the game, but it is possible that he could have re-injured the area. We do not know what ankle he is dealing with, but I bet it’s the same ankle again. He did not participate in practice on Wednesday, Thursday, or Friday which normally indicates that a player won’t play Sunday.

 

CLEARED

OG Spencer Long (ankle)

Long suffered an ankle injury late in practice last Friday for which he was limited. As the team has several reserve linemen, they likely did not feel that it was appropriate for Long to try and play through a fresh ankle injury, whatever it may be. He has since practiced in full on Wednesday indicating that he is moving past the issues from last week. 

CB Tre’Davious White (ankle)

White is coming off an obvious low right ankle sprain suffered midway through the 2nd quarter. He was able to leave briefly before returning to finish playing. At times, he appeared to be a step slower with his coverage assignments due to the inability to pivot & push off the foot. From what is available in practice, he does not appear to be wearing any bracing & not wearing a red contact jersey as well. Barring setbacks, he should play in full Sunday & then have an extra week to rest & recover.

WR Cole Beasley (ankle)

Beasley was a new addition to the injury report with an ankle injury. Looking at the film, he played in 85% of the plays & there wasn’t any clear instance where he would have suffered an ankle injury. Without more information, it’s hard to speculate the exact injury, but considering it’s an ankle & he practiced in full, he should play Sunday. To note, he does require veteran rest days throughout the week which explains the DNP on Friday.

 

OTHER’S TO NOTE

OG Jon Feliciano (neck)

The reason I bring up Feliciano is due to a play that was tweeted from @Cover_1. It shows that Feliciano blocks effectively, but gets hit in the mouth before dropping to his knees, becoming rigid like a board, and falling to his right side, lying for a moment before getting back up. It’s unknown if this was related to the neck injury, but he hasn’t appeared on the injury report indicating he is healthy enough to play football.

WR Zay Jones (shoulder)

Jones continues to be an enigma to Bills fans this season. After having a regrettable rookie year due to a torn labrum in the shoulder, he was able to return in 2019 and produce some solid statistics. The hope was that he was able to continue building off the promising 2018 campaign, but so far, he has missed the mark. He did not appear on the injury report this week, but I still question if this shoulder injury isn’t somehow contributing to his decline in production this season. Looking back on his rookie year, the torn labrum was clearly a factor. 

WR Isaiah McKenzie (ankle)

As you can see the theme with the injury report, McKenzie is also dealing with an ankle injury. This occurred sometime late during practice last week but he was active on gameday. He only played in 1 offensive snap, indicating he probably needs to rest & recover, but the Bills required certain depth and to fill out the 46 man gameday roster. He wasn’t on the injury report this week indicating that he is getting better with & should be able to play in full if another receiver can’t go.

OT Conor McDermott- waived

McDermott was waived Thursday afternoon leaving the Bills at 52 players. While there hasn’t been a corresponding move yet, the team can go in several options. There is an outside chance that Allen can play Sunday, which means someone like WR Duke Williams could come up to show what he is able to do. If Allen can’t play Sunday, then practice squad QB Davis Webb could be called up to back up QB Matt Barkley. Another option could be if RB Devin Singletary can’t go again, then they could call up RB Byron Marshall due to DiMarco unlikely to play. 

Possible Inactives:

TE Tyler Kroft

LB Corey Thompson

S Dean Marlowe

CB Taron Johnson

WR Robert Foster

OG Ike Boettger

OT Ty Nsekhe

Overall, this bye week is coming at an opportune time. Last time this year, the Bills were incredibly healthy, dealing with little to no injuries according to records. Most of the players should be able to come back after the bye & contribute barring any new injuries Sunday. 

Top Photo Credit: CBS Sports

Week 3 Bills Injury Review- Bengals

What are Feliciano & Harrison Phillips dealing with following Sunday’s win?

The Bills once again found a way to get it done to move to 3-0 Sunday. A close fought game was won in the dying minutes of the 4th quarter with a final score of 21-17. They appeared to dominate early in the game with a 14-0 lead going into the half, but allowed the Bengals to hang around and score 17 unanswered points. Fortunately, RB Frank Gore plowed into the end zone with 1:50 left in the 4th quarter. While Bills Mafia can savor this win, several injuries dampen the excitement.

Prior to the game, it was already known that RB Devin Singletary (left hamstring), CB Taron Johnson (right hamstring), & TE Tyler Kroft (left ankle) all would not be suiting up. All appear to be tracking to return for possibly next week. However, Kroft was observed in a walking boot following the game on his left ankle. Singletary hasn’t had any updates but hamstrings are finicky with the recovery. They all would have been fine options for this week, but having them 100% for the Patriots will be key.

It appeared that CB Tre’Davious White (neck) suffered no ill effects from the last week in a red no-contact jersey as he was able to snag 2 key interceptions, the final which sealed the victory. LB Corey Thompson (ankle) appeared only on special teams due to a low ankle sprain, but was able to contribute in some fashion after being listed as questionable heading into Sunday.

Unfortunately, there was a slew of injuries that varied in severity & will be addressed below.

OG Jon Feliciano (neck)

The offensive mauler suffered a neck injury during the first scoring play late in the 1st quarter. Reviewing film, he got blocked down to the left and appeared to get hit on the right side of the head. He was able to get up and participate in the 2 point conversion before getting to the sidelines where he was initially questionable before being downgraded to out.

Afterward, he was observed walking around the locker room in a neck brace by The Athletic’s Joe Buscaglia. Considering the limited video and follow up bracing, this would indicate that he may be dealing with a whiplash injury. This type of injury is more commonly seen in motor vehicle accidents, but can occur with any rapid change in motion in relation to the head. There is always the possibility for a fracture but until the team releases more info, I am leaning towards whiplash.

The neck brace would assist with supporting the cervical region to prevent unnecessary movement. He would likely not wear a neck brace for long, possibly 1-3 days, but hopes that he would be able to begin rehab to restore motion and strength to the area is ideal.

This may be an injury he could miss a few games if my thoughts are correct. Once further information is released, a more definitive timeline can be established.

OT Ty Nsekhe (right ankle)

Nsekhe briefly left the game late in the 3rd quarter due to getting bull rushed backwards, possibly jamming his ankle. He thankfully was able to return & continue playing without any apparent drop off in play. I would categorize this more of a contusion & this is something that really should have no impact on practice or the upcoming game this week. It’s also possible that he may have suffered an Achilles strain due to getting pushed back how he did, but he fell down easily and if there was concern for that, he probably wouldn’t have returned. At worst, he may have a wrap or sleeve on the ankle, but this should not affect his availability barring any new information.

WR Cole Beasley (right knee)

The shifty receiver left the game for several plays while dealing with an injury to his right knee. Video replay shows that he got tangled up with his defensive counterpart and he appears to have fallen directly onto the area. Like Nsekhe, he could have a contusion for which he is able to play through. I also do not anticipate this being a factor this week.

DT Harrison Phillips (left knee)

With just under 2 minutes left in the game & the Bills protecting a 4 point lead, Phillips went down with what appears to be a left knee injury. He was pushing forward moving inward/outward before his left knee buckled from under him and he fell down. There did not appear to be any direct contact to the area but an injury clearly occurred. He was briefly assessed before being able to get up and jogged/walked off the field.

Later it was reported that he was going to get X-rays once he was in the locker room. Imaging may be checking to determine if he suffered an MCL sprain with associated damage such as a meniscus or a bone bruise. Considering how he fell, they may have also been checking out his tibial plateau or the kneecap which could have been injured as a result. Reports indicate that he is getting an MRI on the knee today.

UPDATE: Phillips has since been diagnosed with a torn ACL, ending his season.

He tore the same side back in 2015 while in college at Stanford.

Until we get more information on Feliciano, it is difficult to determine timelines at this time. While injuries do occur, the Bills continue to mostly avoid the season ending variety. There may be other injuries to be released later, but this is what is known at this time. If Feliciano is unable to go, rookie OT Cody Ford can slide over or OG Spencer Long can man the spot.

The team does have recent Dolphins cut DT Vincent Taylor or DT Kyle Peko they can bring up now that Phillips is out. The Bills are banged up right now heading into Week 4, but with a good practice this week, what was lost Sunday may be balanced out by with what returns.

Phase 3 OTA Week 1 Recap

Assessing the latest injuries following the first week of Phase 3 of OTA’s.

In an offseason that appeared to be going well for the Bills with lots of new faces, a promising outlook, and possible long lasting stability, a jarring reality set in on Day 2. Tuesday brought a wide variety of injury news, some good, mostly bad that puts worry into every Bills fan even though it is May.

The most serious injury of OTA’s came in newly signed TE Tyler Kroft (foot). Unfortunately, he suffered a foot fracture on the first day which will require surgery. Regrettably, this is the same foot that he fractured last year that cost him 11 games. According to Ian Rapaport, this will sideline him for up to 3-4 months. While this is bad news, it’s not totally awful. The 3-4 months recovery timeline tells us several things. This tells us that this injury wasn’t as serious as it could have been. This rules out a Lisfranc as a conservative recovery would be 6 months.

We know that it’s not trauma or a stress fracture as trauma most likely would have been reported and a stress fracture wouldn’t require immediate surgery. This leads us to several possibilities. He could have had an avulsion fracture in where a portion of the bone is pulled away from the bone. He could have a metatarsal fracture in any of the long toe bones of the foot. Or he could have a Jones fracture.

Considering he injured the same foot last year, had surgery, and then fractured again, I am leaning towards the Jones fracture. It’s a surgery that requires stabilization with a screw, it has a known failure rate after the first surgery, and the timeline fits with the reported recovery time. The mechanism of injury is similar to an ankle sprain which can be rather innocent when dealing with positional drills, someone tweaks their ankle, steps funny, pushes off differently. Kroft most likely woke up the next day having issues, had imaging, and found out the bad news.

While he is still a near lock to make the roster, losing him for 3-4 months will allow some of the younger tight ends to get more reps and make the roster. Kroft will likely start the preseason on the PUP list, possibly paving the way to allow someone to get some playing time in place during the preseason. If he is on PUP at the start of the regular season, he wouldn’t be able to return until Week 6 when he is eligible. By then, there could be corresponding roster moves such as injury or insufficient play from other players which may prevent having to cut another TE before the regular season. This designation would also not count against an IR-to-return spot.

Others coming off injury are RB Frank Gore (foot/ankle) and RB TJ Yeldon (groin). There has been a documented injury for Gore at the end of last season which sent him to IR. There has been no known surgeries, but considering that Gore is ancient in NFL terms and these practices are voluntary, it’s an easy out to not participate in drills.

As for Yeldon, he may have tweaked something early on and decided to avoid making things worse rather than trying to go through meaningless drills. For both backs, there is no concern moving forward unless new information comes to light.

Many became worried with the revelation that both newly signed C Mitch Morse and WR Cole Beasley required core stabilization surgery, better known as a sports hernia repair. This is the same type of injury that infamous Bills CB Vontae Davis suffered 2 seasons ago. I detailed his injury when he originally signed with the team, make sure to click the link above for more information. While there is concern that they may not be ready for Week 1, it was revealed that they had their surgery several weeks ago with a general recovery timeline of roughly 12 weeks.

Both could certainly come back sooner than that based on the amount of damage in the region, but having surgery in April gives them a return to full ability in July. These injuries do unfortunately happen considering the positional requirements throughout the season but are able to play through. While there is always concerns for complications, the return to play rate is ~90% for NFL players, I do not expect anything less for Morse and Beasley.

Others nicked up include S Rafael Bush (groin/shoulder) and CB Taron Johnson (shoulder). Bush was seen wearing a red non-contact jersey alongside Johnson, but considering these workouts are voluntary, he may be just be cautious as he was dealing with a groin injury last season, according to research by Nick Wojton. Bush also did suffer a shoulder injury last season that may have lingered to the point where he didn’t want to risk anything and could be the true cause of why he was sitting out OTA’s.

Johnson is coming off his labral repair and has made excellent progress to this point. Considering he is 5.5 months out from surgery, he is able to participate in drills but contact is not advised yet, he’ll be ready come training camp. To read more, please check out the article here from Buffalo Rumblings.

Rookie WR David Sills V (hamstring) suffered a hamstring strain in rookie mini camp, these injuries occur despite the best preventative methods out there. He just needs rest and rehab. TE Jason Croom (undisclosed) was seen walking with a trainer, dealing with something, but no further information has come out regarding what he injured.

Finally, C Russell Bodine (shoulder) did not participate in OTA’s as he recovers from offseason shoulder surgery. I had noted last year that he was wearing a compression sleeve later in the season. He most likely had a shoulder debridement, possible subacromial decompression. This would be similar to what Panthers QB Cam Newton had recently. The procedure would smooth down any arthritic changes in the shoulder or trim back the acromion which could cause impingement leading to weakness, pain, and possible further complications with the rotator cuff if left untreated. He is also coming off a broken fibula requiring surgery that appears to fully healed. Regarding both injuries, he will be fine for camp and this is not worth any further words.

Players that suffered injuries last season that practiced in full were LB Matt Milano (ankle), P Corey Bojorquez (shoulder), and P Cory Carter (knee). Milano is coming off his gruesome fibula fracture with dislocation practicing in full. He appears to be on schedule and working back into football shape as expected.

Bojorquez suffered a torn labrum last season on his bonehead fake FG attempt, he was practicing in full and his shoulder won’t give any issues as he likely had surgery in October and he doesn’t take the regular contact or use the shoulder in a way that Taron Johnson would.

Carter is coming off his ACL tear that cost him all of 2018 due to a direct blow to the knee. He is roughly 9 months out from surgery and should be cleared to resume full activities. There is less concern for him returning from the injury than we saw last year with DE Trent Murphy.

Despite all the doom and gloom of Tuesday, there are still positives to take away as they still have 3 months before a meaningful snap is taken. All will be fine. We will also get to see more action on the 28th which will give us some glimpses into what the mandatory minicamp participation will be like. I believe most of these injuries will not be mentioned in June.

Continue to check back 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 online at www.bangedupbills.com. As always, thank you for reading and GO BILLS!!