2020 Week 7 Bills Injury Review- Jets

Are the Bills finally getting healthy?

A win is a win when at the end of the year no matter how easy or ugly the game may have been. An 18-10 score completes the season sweep of the New York Jets and first sweep since 2015. Behind a strong performance of 6 field goals from K Tyler Bass, the Bills found ways to move the ball down the field and score points despite the offense sputtering. The defense came up strong in the second half, only allowing 4 total yards to the Jets offense, finishing with a game-sealing interception. 

To top it all off, there were no publicly reported injuries. In light of the good news, there are still several topics to discuss below as upcoming decisions based on injuries will take place. Check it out below.

QB Josh Allen (left shoulder)

Allen continues to deal with a left shoulder injury sustained in the Raiders game. Against the Titans and Chiefs, he has struggled for accuracy and has not looked himself while wearing a shoulder brace to protect the area. 

He came out sporting a new brace to protect the shoulder but it appears that this is less restrictive than his previous one. I was able to observe that under the shoulder brace, he did have kinesiotape which likely helped support the shoulder but allowed him change the brace without sacrificing stability. It’s also noted that he ditched the brace last week in the 4th quarter against the Chiefs in order to improve his throwing mechanics. 

I will expect to continue to see him wear the brace to protect the shoulder until the end of the season. 

CB Tre’Davious White (back)

White suited up on Sunday after being ruled questionable following Friday’s practice. White played in 100% of defensive snaps. The fact that he plays but is limited during the week indicates that this back issue he has is the pain centered with the goal of reducing activity through the week to be ready on Sundays. This is something to continue to monitor and I expect that this issue will not go away as the season progresses. 

LB Matt Milano (left pectoral) 

Milano played in 33% of snaps indicating that he was likely on a pitch count. I had thought he would miss two games and that appeared to be the case. He was also in on obvious passing downs which supports the notion that he is healthy enough to play but not quite there with regards to tackling fully. His playing time should ramp up for the Patriots game as he will be needed much more against a far better opponent. 

He was noted to be wearing a shoulder harness that limits shoulder abduction and external rotation with those movements placing stress on the healing tendon/muscle. He will likely not be 100% until after the bye, but healthy enough that his presence is greatly needed over the next 3 weeks in order to keep piling up the wins. 

G Jon Feliciano (pectoral tear)

Feliciano continues to wait to return to play following his pectoral tear back in August. I had originally thought that he would return around midseason in Week 8. While not confirmed, his 21-day practice window is closing on Wednesday with the team to make a decision on whether to activate him. It’s likely that he will be activated, but the team intends to use the full window before they make the decision. 

LB Tyrel Dodson (right hamstring)

Dodson was placed on injured reserve with a hamstring strain which indicates that the injury is possibly a Grade 2 strain which will take 4-8 weeks to fully heal. I would speculate that he is closer to the 4-week variety. It’s hard to say how long he’ll be out, but it’s likely that he will be out the next month as he rehabs. 

CB Cam Lewis (left wrist)

Lewis was active Sunday following being deemed week-to-week with a wrist injury sustained in the Chiefs game. It still isn’t clear what he is dealing with, possibly a fracture due to the club, but it’s serious enough to not play against the Jets. It appears that he was available only in the event of an emergency. With the potential return of CB Levi Wallace from IR potentially this week, this could be a one for one swap if the team goes this route. 

S Jaquan Johnson (back)

Johnson popped up on the injury report Friday with a back injury but played on Sunday, appearing in 57% of special teams indicating that this wasn’t a concerning issue. He doesn’t have any known back injuries, but something to note as he has become an important special teams contributor. 

TE Dawson Knox (calf/COVID)

Knox was ruled out prior to Sunday’s contest but was placed on the COVID/Reserve list Saturday after testing positive, also forcing TE Lee Smith, TE Tommy Sweeney, and PS TE Nate Becker onto the list due to being close contacts. While it’s highly unfortunate that Knox contracted COVID, this may benefit Knox in the long run as he can rest for the next week which may allow him to return fully healthy once cleared. According to protocols, if he was asymptomatic, he can return after 10 days from the initial positive test and have two following negative tests at least 24 hours apart.

If he was symptomatic, he would have to wait 10 days from when the symptoms first appeared and at least 72 hours from when he last experienced symptoms. So it’s possible that Knox could return by next week to play, but we won’t know that unless we know that he was symptomatic. This is a waiting game at the moment. Hopefully, Smith, Sweeney, and Becker test negative and can return to their respective roles quickly. To read more about the COVID testing, check this article out.

The team should be getting a lot of players healthy this week with the possibility of another name or two popping up on the injury report. Despite not having Knox for the foreseeable future along with potentially G Cody Ford, the additions of Feliciano and Wallace should help immensely in order to allow the Bills to take control of the AFC East next Sunday against the Patriots. 

Top Photo Credit: Buffalo News

2020 Week 7 Bills Injury Preview- Jets

The injury list is long, pick your poison.

The Bills 4-0 start seems like ages ago following two straight losses to the two best teams that the AFC had to offer last season. Sitting at 4-2, the Bills are still in a prime position to win the division and host a playoff game for the first time in a quarter-century. Despite being in the driver’s seat, it doesn’t feel like they can field a healthy team in order to keep the march going strong. 

In the time writing these weekly injury reports, this is one of the more taxing ones that have been completed. There are simply a lot of injuries. There have been other weeks within a season that have had a lot of designations, but the list thins out or guys get healthy. We are now feeling the effects of injuries piling on top of injuries with multiple guys already ruled out prior to Sunday’s matchup against the Jets. Fortunately, the depth that the Bills have is still sufficient in the short term to get through this week. Below is the extensive list of injuries.

OUT

G Cody Ford (right knee)

Ford is ruled out for Sunday after sustaining what appears to be an MCL sprain to his right knee as the result of getting rolled upon in the 4th quarter. He was able to walk off under his own power before requiring the cart to head to the locker room. I had thought he would benefit from a short term IR stay but the team has not elected to go that route quite yet. Considering he was playing through a groin, possible left shoulder/elbow, and now knee, he could use the break. Regardless of the IR decision, Ford will be out Sunday.

WR John Brown (left knee)

Brown was ruled out for Sunday due to a left knee injury sustained in the Chiefs game. This occurred in the first series as Brown was trying to catch a cross route when he fell onto the left knee. He was hobbled by it the rest of the game and was largely ineffective.

Based on the latest injury alone, he probably could play through it, but considering all the injuries he’s been dealing with including the previous knee injury along with calf and foot issues, he could use a week off and that’s what appears to be happening following a week of DNP’s. The week off should do him some good in order to get ready next week for the Patriots. 

TE Dawson Knox (calf)

Knox will miss his second straight game with a calf injury originally sustained in the Titans loss. The severity is unknown but considering he will now miss two games, this says that it isn’t minor. The literature does show that these can take some time to heal, on average, 17.4 days which means he’s not quite there yet. At this point, he will need full practices 2 out of the 3 days in order for me to be convinced he plays. The more time Knox misses, his 3rd game total due to a concussion, the less he can be relied upon as a weapon for Josh Allen.

Update: Knox has since been placed on the COVID/Reserve list along with Lee Smith, Nate Becker, and Tommy Sweeney.

CB Josh Norman (left hamstring)

Norman reportedly tweaked the same hamstring from training camp, which according to records, was the left side. He has since been ruled out and we do not know the severity of the hamstring which will make a timeline tough to establish. 

Due to the previous hamstring strain, he was at greater risk of re-injure the area with the literature showing a 33% recurrence rate. Hopefully, the injury was minor and he comes back in time for the Patriots game. If he can’t go, CB Levi Wallace will come off IR, giving the team some options.

LB Tyrel Dodson (right hamstring)

Had Dodson not been injured, we possibly would see Milano sit another week due to the lack of need. However, since Dodson injured his right hamstring on a punt return, Milano may be pressed into service Sunday. Dodson has already been ruled out and may miss the Patriots game as well. Hopefully, Dodson is not out too long to give this team depth and versatility in the second half.

Update: Dodson has since been placed on IR.

QUESTIONABLE

LB Matt Milano (left pectoral)

Milano continues to battle back from a left pectoral strain suffered against the Raiders in Week 4. He appeared to be on track against the Chiefs to play but the research didn’t support a return that quickly with him ultimately missing another week.

He is far more likely to play in the Jets game considering the lack of depth available at the linebacker position. With any injury, he would benefit from additional time off but he is probably healthy enough to play and be effective. I expect him to play with the shoulder harness and give the defense a needed shot to get right for the coming weeks. 

CB Cam Lewis (left wrist)

Lewis continues to practice with a club on his left hand following Sunday’s injury attempting to tackle Chiefs RB Clyde Edwards-Helaire. It’s not clear what he did to the wrist but it’s significant enough that he has to wear a club on his left hand and that he was ruled week-to-week. The one upside to his injury is that he can go out to perform all the duties of the cornerback position with the exception of catching interceptions. Considering the lack of depth, Lewis may be forced to be active but available only in case of an emergency. 

CB Tre’Davious White (back)

White appeared on the injury report again with his back injury that has been bothering him since the lead up to the Titans game. Outside of it being a pain-related issue, we still don’t have details as to what is flaring things up. 

While he is not playing quite at the level he was last year, he is still playing at an above-average level which makes him still one of the best options on the team even not fully healthy. I expect he plays or at worst, is active but only in case of emergency. It’s unfortunate that the team has to resort to suiting up injured players, but such is the case with the Bills this week. 

ACTIVE

QB Josh Allen (left shoulder)

Allen continues to practice in full with the left shoulder injury sustained in the Raiders game. I have thought his throwing mechanics have changed due to the injury which could explain some of the misses over the last two weeks. I expect him to come off the report soon but to linger on the report as long as he has is important to note later on. I still suspect he tore his labrum or injured his rotator cuff, but I will be looking to see if he continues to wear a brace on Sunday for stability. 

S Jaquan Johnson (back)

Johnson popped up on the injury report Friday with a back designation but practiced in full. There is absolutely no idea what he could be dealing with unless we get more information. Due to the issues in the secondary, any nick or bruise draws concerning responses from the fan base.

Other Injuries:

G Jon Feliciano (pectoral tear)

Feliciano has been discussed in the game plan this week for the first time since before his injury occurred. His 21-day window to practice without counting towards the active roster is rapidly closing and the team will have to make a decision by October 28th.

By the time you’re reading this, Feliciano will likely have been activated from IR. I do not expect him to take all the snaps in his first game back but he should see a decent amount to get live game reps to prepare for the second half of the season. A corresponding move to bring Feliciano back will either mean someone is cut or someone is placed on IR, hopefully, Cody Ford.

TE Tommy Sweeney (foot)

Sweeney is mentioned because he is now eligible to return from PUP following a six-week stay. The team has five weeks to activate him to practice and from there, they have a 21-day window to activate him to the roster. I had thought that he suffered a stress fracture and is still working back from the injury. Considering the struggles that Dawson Knox has had, Sweeney could be a nice addition in the coming weeks. I will be interested to see what the plan is moving forward.

Update: Sweeney has since been placed on COVID/Reserve list.

G Quinton Spain (foot soreness/released)

Spain was a surprise release following two games where he was declared inactive due to foot soreness. While he was a good player last year and had recently signed a contract extension, it simply did not appear to work out due to the team wanting to develop Cody Ford at the guard position. Details aren’t exact with regards to the reasoning of the release, but I would expect it was because he wasn’t happy with his playing time.

While it is not a great look to release a former starter, it is better to cut loose a player who does not want to be there rather than let any potentially negative attitudes fester in the locker room. Best of luck to Spain in his NFL journey as he looks to find a new home.

As a result of this move, the Bills elevated DT Justin Zimmer to the active roster and signed LB Ahmad Gooden to the practice squad.

Inactives:

TE Dawson Knox* COVID

CB Josh Norman

G Cody Ford

LB Tyrel Dodson* IR

QB Jake Fromm

WR John Brown

RB TJ Yeldon

Call ups:

CB Dane Jackson

CB Lafayette Pitts

The only upside is that the Bills are playing the Jets this week. Had we been forced to play another team such as the Patriots or Seahawks, this game could have been rough. Along with having a lesser team in the Jets, they are also dealing with their own injuries seen below. 

Those are some key players that are injured that could make an already depleted team even more susceptible to a loss. But according to Tom Pelissero, QB Sam Darnold is expected to play.

While there are questions about whether the Bills are the real deal following two losses, these are the kind of games where a winning team must come in and do their job, beating a lesser opponent. Ideally, the Bills take care of business and move onto the Patriots in addition to getting healthier as the team enters November and the second half of the season.

Top Photo Credit: BillsWire USA Today

2020 Week 6 Bills Injury Preview- Chiefs

Will Milano & White play? What is going on with Edmunds shoulder?

The Bills are getting healthier but are still dealing with injuries to several key players which could affect their availability for Monday. It’s no surprise that they will look to rebound at home after a bad loss that showed just how beat up they were. Below are all the injuries including who will be out & thoughts on who may play, & their effectiveness against the Chiefs.

OUT

TE Dawson Knox (calf)

Knox missed practice all week with a calf injury from Tuesday’s loss. It isn’t clear how he hurt the calf, only when he generally injured the area. This occurred early in the 2nd quarter before he disappeared with a report later saying he was questionable with a calf injury. He possibly strained it and it’s not apparent on film or the calf was hit, causing the injury. He was tackled low in that area just prior to going out of the game. Either way, calf injuries, specifically strains, usually take longer than one week to heal and can linger if he tries to rush back. The hope is that he comes back next week.

QUESTIONABLE:

LB Matt Milano (left pectoral)

To see Matt Milano practicing in full is a real positive sign. It’s good to see him back out there on the field and it’s good to see him hitting with pads. In the video below, you see him hitting the tackling skid with his right shoulder. By video, it appears he’s wearing a shoulder harness that supports the pectoral injury. 

Despite the full designations, I am still reserved about him playing against the Chiefs Monday night. He does great hitting a stationary object, he does great running around with his legs. I am concerned about trying to wrap up players, especially as they run away from him or try to juke him, like in the case of Raiders RB Josh Jacobs, which is how the original injury occurred.

If his target gets outside of him, especially on the left side, I question how effective Milano could be. I had thought he’d miss at least 2 games in my Buffalo Rumblings article and I’m still sticking to that. In the picture below, we do get confirmation that he is wearing a shoulder harness. 

Credit: James P. McCoy/Buffalo News

If he does play, the Bills are the ones making that decision and they have far more information than I ever could have. So if he plays, then that means he’s healthy enough and this would also signify that the injury was truly minor.

CB Tre’Davious White (back)

White continues to battle back from a back injury that flared up in practice last week according to Sean McDermott. Details still aren’t clear regarding what White is dealing with. It appears that it is more pain-related due to the wording “flare-up”. What’s causing that pain isn’t known.

As it is a back injury, there are lots of possibilities that can cause pain but aren’t apparent on film. McDermott also explained that he will let the doctors make the determination of whether he plays or not which also indicates that there could be something more going on. The doctors will educate White and explain the pros and cons of playing. 

We still aren’t even sure which part of the back he is dealing with. My theory is that it’s lumbar because that’s where we typically see more complications and that’s where the weight-bearing portion of the spine that helps keep us upright. 

He does look good on film moving around but I do question how close to full speed he is going. He is still questionable on the injury report which may mean that it could come down to how he feels Monday pain wise. Considering the type of person that Tre’Davious White has shown himself to be over his time in Buffalo, I’d expect that he wants to play. But he’s also an educated adult and may err on the side of caution once he has all the facts in place. I will lean towards him playing because he is a competitor, but will not be alarmed if he missed another game. 

WR John Brown (left knee)

Brown continues to battle through foot, calf, and now knee injuries. This started as the foot injuries which could have been tied to overuse due to the altered ramp-up period from training camp. The calf injury could have been isolated and also as a result of gameplay as we saw him first deal with this during the Rams game. Add in the knee injury from practice and you got a player who needed a week off. 

The knee injury may have been more acute which led to missing Week 5. He has practiced in full the past 2 days and limited Saturday with the possibility that he plays Monday. Having had the week off should make a big difference in the effectiveness of his play if he suits up.

G Quinton Spain (foot)

Still not much is known about Spain. He was a surprise inactive on Tuesday with “foot soreness”. He hasn’t dealt with any publicly known foot injuries since last year in training camp when he had foot soreness as well. I can’t even speculate on what’s going on because there aren’t even any details. 

As he is no longer a starter, it’s possible he sits out again, especially if he injured the foot on Tuesday during warmups. 

ACTIVE:

Josh Allen (left shoulder)

Allen continues to show up on the injury report with the left shoulder & he continues to practice in full. I had noted that he took fewer runs on Tuesday & appeared to avoid hits to the shoulder in general. We still don’t know the official details of the injury; this will become clearer as the season progresses. It will be important to note whether he takes further shots to the shoulder or if he continues to wear the brace. Fortunately, this isn’t something that will drastically affect his play with the exception of reducing the hits he takes to that shoulder.

Tremaine Edmunds (right shoulder)

Edmunds cropped back up on the injury report due to his right shoulder injury. I had stated in previous articles that it appears to be an AC joint sprain based on the timeline that has been established so far. I had speculated several other injuries, but the latest news and observations don’t appear to support them. The severity of the injury just appears greater than originally thought which could explain some of his struggles. Joe Buscaglia of the Athletic pointed this out in practice which sums up the red jersey thoughts, more succinct than I could ever express below.

I did note in the Matt Milano video that Edmunds was hitting with his left shoulder and not his right. This could have been to avoid further contact with the area or it could have simply been a part of the drill. He has continued to play since missing the Dolphins game and barring a setback which further aggravates his injury, he should continue to play with his effectiveness improving.

Zack Moss (toe)

Moss missed his 3rd game in a row with what appears to be a turf toe injury. I had thought he’d only miss one game and then come back to play, but this has stretched out longer than I had anticipated. He continues to fall in the general timeframes we see for turf toe, but stretching towards the more conservative timeline. 

We also have seen the Bills take a more conservative approach towards their rookies, holding them out to ensure they are fully healthy. We saw this last year with RB Devin Singletary who missed 3 games due to a hamstring injury. Moss doesn’t have a designation this week so this means that he is finally reappearing after his hiatus.

S Micah Hyde (unknown, possible ankle/knee)

Hyde went down with some type of injury in the game against the Titans but came back after a brief hiatus. It still isn’t clear if it was an ankle or knee but it’s important to note that he isn’t on the injury report for this week. In this world of constant information, it’s easy to forget things even though they happened just days before. I’m glad to see Hyde not on the report, but it will be interesting to see if he continues to battle through his ankle issues from earlier on.

Other injury news:

G Jon Feliciano (right pectoral injury)

Feliciano continues to work back from his pectoral injury suffered back in July while weightlifting. He was activated last week but he still hasn’t been placed on the 53-man roster. Due to the change in IR rules, he had to stay a minimum of 3 weeks on IR before his window could open. From there, he has 21 days to practice before he has to either go back to IR or go to the active roster. He officially started practicing on October 7th, which makes his final day to practice before they have to make a decision on October 27th.

I don’t anticipate that they will wait that long, though they could. I can see the Bills watch how things play out against the Chiefs with injury or quality of play, then make a decision on who to cut or send to IR in order to clear space for Feliciano. I envision a scenario where he comes back in a limited role for the Jets game & begins to work his way into the lineup that way. He still needs live game reps and all the practice reps in the world won’t prepare him to take 100% of snaps right away. 

Inactives:

TE Dawson Knox

RB TJ Yeldon

QB Jake Fromm

LB Matt Milano

G Quinton Spain

The Bills are getting healthier as they prepare to face one of their toughest opponents in 2020 so far. The Chiefs are also dealing with a number of injuries themselves, though they have more players practicing in full comparatively. They did lose G Kelechi Osemele for the season due to double tendon ruptures in the knees which is a blow to their offensive line.

Former Bills WR Sammy Watkins is dealing with a hamstring strain that will keep him out for Monday night which could be beneficial if Tre’Davious White doesn’t play. LB Anthony Hitchens is dealing with a hand injury & illness which could affect his availability for Sunday. One final surprise, OT Mitchell Schwartz was ruled questionable with a back designation. If he is out, losing 2 out of 5 starting offensive lineman in a week would not bode well for any NFL team.

This game should be close with the Bills being healthier and should serve as a rebound game to get back on track. Even if they lose, I would not expect them to lose in a similar fashion from Tuesday night. It should be an exciting game considering how electric both offenses are. I always want a Bills win, but the Chiefs are coming off a loss themselves and want to prove something. Regardless of the outcome, I expect an entertaining game.

Top Photo Credit: James P. McCoy/Buffalo News

2020 Week 5 Bills Injury Review- Titans

How beat up are the Bills?

We’re Bills fans. We’ve suffered a few losses over the years. I’m not certain that Tuesday’s loss is drastically different, but it does hurt after a 4-0 start. However, what is different is the expectations. To just make the playoffs before 2017 was a pipe dream. Now it’s not only an expectation, it’s not enough. This year needs a playoff win, an AFC title game appearance, hell, Super Bowl or bust! 

Let that sink in. In 2017, that wasn’t even fathomable to consider. Losses hurt, but the bar for success is now higher. This is why we feel this way, we now expect to win. What’s different for this season and a downside of 2020 for the Bills is the effect that injuries have had on this roster after being one of the healthiest teams over the past few years is noticeable. Below is the injury recap including those that were declared inactive & in-game injuries. 

In-game injuries:

G Quinton Spain (foot soreness)

Spain was a surprise inactive with foot soreness just prior to the release of inactives. Besides the designation, nothing is known regarding what led to the foot soreness. He was not on the injury report last week and has not dealt with foot soreness since the preseason from 2019 from my records. I do not believe they are related at this time. Sean McDermott reported Wednesday that he was improving since last night. Despite not starting anymore, to lose him as depth hurt Tuesday night.

TE Dawson Knox (calf)

Knox left early in the 2nd quarter with a calf injury that was not reported until much later in the game. He wasn’t terribly effective on Tuesday but dealing with a calf injury won’t help his availability come next Monday. It is not clear when he suffered the injury as he ran up through the line on his last play with 12:25 left in the 2nd quarter. Following that play, he then exited the field. Several plays before that, he caught a pass on the right side of the field and was tackled low, potentially hitting his calf at 13:49.  Calf injuries like groin injuries are subtle and not always clear on film. 

Credit: WebMD

According to a study from 2017, it looked at a single NFL team’s calf injuries over a 13 year period. The average time to return following a calf strain was 17.4 days. Based on film with Knox, he may have suffered a Grade 1 as he was able to exit the field on his own and the injury wasn’t apparent at the time. So if 17.4 days is the average between Grades 1-3, the standard deviation for the study was 14.6 days. So the recovery time could be as short as 3 days. 

Can’t say for certain how long Knox will take, but we have seen teammate John Brown play through a likely calf strain, its possible Knox can too. He could miss a week with what we know right now, but things can and do change. The team reports that he received imaging on the calf to determine the severity. We will have to see if Knox participates in practice this week at all. 

S Micah Hyde (possible ankle/knee)

Hyde scared the fan base when he went down with a non-contact injury, grabbing at his knee with 11 minutes left in the 3rd quarter. The initial fear was something severe, especially when a player goes down without any contact, but fears were reduced once Hyde came back out later.

In this clip from Cover 1, you can clearly see the moment Hyde went down and it appears that he injures something. I had to watch this clip multiple times before settling on what appears to be an ankle injury. He has battled low ankle sprains frequently this season and the sudden direction could have caused him to roll his ankle. However, it could be his knee; we simply need more information including body part designation.

Other injuries 

CB Tre’Davious White (back)

Prior to the inactives getting announced, CB Dane Jackson was called up from the practice squad. That was a sign that either Tre’Davious would not play or that Jackson was available in the event that he could not finish the game. Unfortunately, Tre’Davious did not suit up indicating that this back injury is real. We still don’t know the specifics of the injury and it’s not certain that the team will release that information. 

Sean McDermott did note that he had an injury that flared up in practice last week which likely indicates that his injury predates the Raiders game. Nothing on film suggests that he suffered an injury. His snap percentages going in order by week for this season: 79%, 96%, 100%, 100%. If this was a worsening injury, I would expect his snap counts to decrease as the season progresses. Hints like what McDermott said today at least help to begin to narrow down the possibilities. This will be something that will be monitored. 

Those believing that White missed the game due to COVID concerns, just think about how crazy that sounds. Many players play hurt, many players strive to give everything they can to be part of an NFL roster. For White to sit, that simply doesn’t appear to be in his DNA. If the team reports he has an injury, then he has an injury. End of story. We will get more details hopefully later. 

WR John Brown (left knee)

Brown was ruled out prior to the game with several nagging injuries already this season, adding in a knee injury sustained in practice on Thursday. While it was possible for him to play, it was best that he sat out a week to give his body a much-needed break. None of these injuries are season-threatening, but the culmination of the foot, calf, and knee injuries led to missing Week 5. Hopefully the night off allowed him to get right and he can come back for Week 6.

RB Zack Moss (toe)

Moss missed yet another game with a toe injury, his third one in a row. He practiced in full this past week towards the end and it appeared he was trending towards playing. Either Moss is being held back as he is a rookie, wanting to get him fully right or he wasn’t needed in the game plans. I still believe that he has turf toe and it does take 2-4 weeks to recover from as noted in my previous articles. I’ve learned that the literature shows the guidelines for recovery and the NFL tends to be more aggressive in returning players to play, hence my aggressive timeline as well. It’s very possible the team is simply protecting their assets.

LB Tremaine Edmunds (right shoulder)

Edmunds does not look as good as he has the past 2 seasons due to the right shoulder injury he suffered in Week 1 against the Jets. The team acknowledges that he’s battling through the injury and he continues to improve. I had been conflicted about the initial injury due to several things I was seeing following the injury, but I have settled on the fact that it is an AC joint sprain looking at the mechanism of injury. Based on what we’ve seen so far, we know this appears to be more of a grade 2-3 sprain as he missed 1 game and hasn’t looked great against the Rams with slowly improving quality of play against the Raiders & Titans.

According to Dr. Colberg at the Andrews Sports Medicine and Orthopedic Center, Grade 2 sprains can take 3-4 weeks to heal and Grade 3’s can take up to 8 weeks. This is with proper rest & rehab under these circumstances. Edmunds continues to play football, potentially re-injuring the area at times, though he has avoided contact to the right sides when tackling. He will continue to play and get better through the season, but things still may not look pretty for several weeks. If he can get right for the second half of the season and it appears he’s trending towards that, then he could be playing his best football come December & January.

LB Matt Milano (left pectoral)

Milano was the only expected injury to miss with the left pectoral injury suffered in the win over the Raiders. He was ruled out prior to the game and I am not expecting that he plays in the Chiefs game either. McDermott notes that Milano is improving, but he will need several full practices before he should even be considered to play. 

QB Josh Allen (left shoulder)

Allen was noted to be playing with the shoulder harness that he was wearing at practice last week and following the initial injury against the Raiders. I had thought that he would run less in the offense to protect the shoulder and it appeared that he did. He only had 4 rushes for 18 yards and from my observations, he was less inclined to take a hit, instead going down to avoid contact. The 4 rushes are not a career low but is something to note. It’s not known if this was game planned or to avoid injury. Allen will still continue to play this season and hopefully improve on his performance from Tuesday.

I expect that there are new injuries added to the report by this afternoon. There seems to always be an injury or two that show up that wasn’t apparent during the game. The Bills will continue battle through injuries as they prepare for Kansas City on Monday night. 

Top Photo Credit: RochesterFirst

2020 Week 4 Bills Injury Preview- Raiders

What is going on with Ed Oliver’s knee? Will Zack Moss play Sunday?

The Bills are getting healthy. Despite the injury list being longer than we would all like, several players are set to return & several more are expected to play despite dealing with injury. While the Bills are not fully healthy, they are in a far better position than the Raiders as seen below who are missing many key contributors which may make the Bills job on Sunday far easier. Below are the Bills injuries heading into Sunday’s matchup.

OUT

LB Del’Shawn Phillips (left quadriceps)

Phillips will miss his 3rd straight game following a quadricep strain in the season opener. Originally, I could not find when this occurred but after further review, I found on the All-22 film that he suffered a quadricep strain with 6:48 left in the 2nd quarter on the kickoff following the Bills 3rd score. He ran down the field and appeared to strain his left quadricep, having difficulty slowing down, occasionally hopping it off.

Since then, he has not practiced with the exception of Thursday & Friday in which he was limited. He likely suffered a Grade 2 quadriceps strain which can take anywhere from 4-6 weeks to recover based on the already established timeline. His status poses the question, why didn’t the Bills place him on IR since it is only 3 weeks now? That’s a good question. It’s possible that he was trending towards coming back sooner and had a setback or simply did not respond to rehab as expected.

While he only has 7 special teams snaps as a Bills to his name, the team clearly likes him and is keeping him around despite the ability to stash him on IR. I would need to see a string of full practices out of him before I could even consider him to play in a game.

QUESTIONABLE

DE Mario Addison (knee)

Nothing is known about Addison & his knee that popped up on Friday with a DNP. His status is officially questionable. There wasn’t anything in particular on film Sunday that suggested a knee injury. He did exit the game for cramping in what appeared to be his right leg, but this should not cause knee problems several days later.

He did have a knee injury back in 2017 that he didn’t miss any time with, but I do not believe this is connected nor do we know which side. It’s possible that he hurt his knee Thursday after practice, but any specifics are non-existent. I have to assume he doesn’t play based on the questionable diagnosis, but that guess is as good as flipping a coin and calling heads.

RB Zack Moss (toe)

Moss appears to be trending up from a toe injury sustained in the win over the Dolphins in Week 2. He likely suffered a turf toe injury which can be played through but does benefit from some time off. Fortunately, he’s not a bell cow back for the Bills and he can split carries with RB Devin Singletary and if needed, use RB TJ Yeldon like they did last week.

Moss will probably have a stiff sole and possibly tape to prevent excess movement at the big toe so that he can have that explosive first step. If he doesn’t play, then I expect him to be full-go for Week 5. Without more knowledge to sway either way, I’m leaning towards him playing.

ACTIVE

WR John Brown (calf/foot)

Brown continues to be limited with foot issues since the beginning of the season, adding in a calf strain from the Rams game that caused him to miss the 2nd half.

The foot is more of a pain issue and a nuisance more than anything. The calf strain can linger but if he took himself out Sunday in the second half as a precaution and was DNP Wednesday, limited Thursday, and full Friday, it’s likely that he is healed enough.

The team may also be conservative in his approach during practice due to the heat expected in Las Vegas. This could exacerbate a strain if he gets dehydrated, however, they are in a climate-controlled stadium which may neutralize that factor.

Brown also has sickle cell trait which could place his body under extra stress and pain if he overworks his body or becomes dehydrated. This is merely a factor the team has to account for but does not limit his abilities. Sean McDermott appeared fairly confident that Brown would be available Sunday which is a ringing endorsement from a coach who says very little.

LB Tremaine Edmunds (right shoulder)

Edmunds finally was able to practice in full following a shoulder injury in Week 1 that caused him to miss Week 2. He did return in Week 3 and was less than effective with a shoulder harness.

Another week of rest & rehab should do him well & he should improve his play. The hope is that he eventually ditches the shoulder harness which would support the AC joint sprain which makes more sense & is less severe than a labral tear. He’s not 100% yet, but I expect him to slowly continue to improve towards a Pro Bowl level. I will also be watching closely how he engages his tackles and if he accepts more hits to the right side.

TE Dawson Knox (concussion)

Knox is slated to play Sunday following a concussion in Week 2 that forced him to miss the Rams game. He has since practiced in full and only has to pass his independent neurological consult if he hasn’t already. He is at a higher risk to suffer another concussion since he has already had one but playing football, he’s at risk regardless.

T Dion Dawkins (right shoulder)

Dawkins took a hard spill on Sunday as the result of trying to avoid Rams CB Troy Hill, somersaulting over him and landing on his right shoulder. The hope is that this is a contusion and is more pain limiting. There is a possibility that he suffered a minor AC joint sprain, but Dawkins was fairly jovial and hanging around following the win Sunday while not appearing to favor the arm.

One benefit of this being his right shoulder is that he plays left tackle. He will have to engage his left arm more, blocking the defensive end around the edge, allowing Dawkins to keep the end in front of him. He will use his right arm, but he can get through the game a lot easier because of this. I really don’t expect much drop off in the quality of play Sunday.

S Micah Hyde (left ankle)

Hyde sprained his ankle going in for a blitz Sunday and rolled it engaging the Rams tackle. Low ankle sprains are painful but easily played through with bracing or tape. My only concern is if he continues to re-injure the area that he misses time. I’m not all that concerned about damage in the short term, it’s easy to manage, but he is an older player and continues to require occasional days off to recover.

DT Quinton Jefferson (foot)

Little is known about Jefferson other than that he’s an older player with a previous Jones fracture from last season. He did have foot soreness in the preseason and is dealing with this again. There are other possibilities such as the plantar fasciitis that John Brown could be dealing with or that Jefferson had his foot stepped on.

This is something that I’m aware of but not concerned about right now, but something to monitor as the season progresses. I will be looking for patterns on the injury report and if he begins to miss snaps/games. For Sunday, he will be good to go.

DT Ed Oliver (right knee)

Oliver’s knee injury appeared pretty innocuous during Week 2 when he attempted to trip the offensive player, getting hit directly at the knee and then hit on the shin.

He was limited Wednesday due to the knee continuing to bother him followed by a DNP Thursday. This sent out a lot of concern to the masses thinking he wouldn’t play, but Ian Rapoport of NFL Network indicated that it was a bruise and that the knee was structurally sound. But considering the DNP’s on Wednesday, this was probably done to stagger all the various players out. He likely hyperextended the knee during the original hit which led to the brace, but overall it does mean that the knee is sound as the knee does have some leeway with extension.

However, this picture above began making the rounds late Friday evening which makes me believe something more is going on. Clicking on the picture below, you can see that there is a bandage of Oliver’s medial right knee. Considering this is the location that he was hit, I got to wonder if he got his knee drained due to excess swelling.

This is a common procedure and the knee would be drained in that area. This picture highlights how severe the bruising may actually be. If you compare the right versus left calf, you can also see less definition on the right calf as compared to the left which would further show overall swelling in the knee and lower leg. I reached out to several Bills fans who have greater expertise in those areas and supported my thoughts. Really appreciate their input!

I wouldn’t be surprised to see both a compression sleeve on the knee and hinge brace for support Sunday. This will be something to monitor in the coming weeks.

CB Josh Norman (left hamstring)

Norman is slated to return to the active roster following a 3-week stay due to a likely Grade 2 left hamstring strain suffered during the first week of real training camp. He appeared on the mend but had a setback at the end of August, forcing him out of practices prior to Week 1.

He has since returned to practice Wednesday and has not been on the injury report. As of publication, he has not been activated, but the Bills waived CB Cam Lewis, later re-signing him to the practice squad. Considering the position and roster move, it appears a foregone conclusion that Norman will make his debut with the team Sunday. I expect him to work into a split role with CB Levi Wallace to keep the Raiders off balance and to help him adjust to game speed.

Ideally, the time off helped reduce his risk to re-injure the hamstring, but it is not completely absolved. Hopefully, he can find the fountain of youth and rekindle some of his stellar play from his days in Carolina.

Inactives:

QB Jake Fromm
DE Mario Addison
OL Ike Boettger
RB TJ Yeldon
TE Lee Smith
LB Del’Shawn Phillips

There doesn’t appear to be any surprises for the inactives, more personnel inactives than injuries besides Phillips & Addison. Based on my thoughts that Addison doesn’t play, that allows both DE Darryl Johnson & DE AJ Epenesa to get out there as they have been inactives in past weeks.

The Bills are far healthier heading into this game than the Raiders and I believe more talented. The injuries that we do have are on the mend which can help continue to develop depth in place until the starters are healthy. This is a game the Bills expect to win as they have much greater competition farther ahead, making each week more important than the last. Despite the early injuries, the rust appears to be shaken off and ideally, the quality of the defense continues to improve in order to support the hot start by the offense.

Top Photo Credit:

Chris Benoit Facebook/Nate Mendelson Twitter

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

2020 Week 2 Bills Injury Review- Dolphins

What is the current status of Knox & Oliver?

Another week, another win! Josh Allen continues to own Miami! With a 31-28 win, the Bills move to 2-0 and into sole possession of first place in the AFC East. While the game was close than most would have liked, the defense held up despite missing Matt Milano & Tremaine Edmunds. Fortunately, Allen and the Bills offense exploded for yardage not seen in the better part of a decade and picked up the slack.

While the Bills were exploding offensively, they were also avoiding the plague of injuries cast over the NFL. McCaffery, Saquon, Sutton, Bosa, Irvin, Mosert, Lock, Hooker & many more all went down with either season ending injuries or severe injuries that will cost them most of the season. While it is impossible to predict injuries, the hope is that the Bills continue to maintain quality depth if misfortune strikes. It was truly a day of carnage not seen recently & certainly altered the course of several franchises in 2020.

Below are the Bills injuries from Week 2.

TE Dawson Knox (concussion)

Knox left the game with just under 9 minutes left in the 3rd quarter with media reporting shortly afterward that he was ruled out with a concussion. His last play before coming out, his helmet did strike a defender, but the play did not appear out of the ordinary.

He was later ruled out with a concussion for the day. Either the injury spotters saw something and pulled him from the game or he self reported symptoms. It is also not known when he suffered the concussion nor will we likely know unless Knox tells us himself.

Some on Twitter thought that he suffered the concussion when he fumbled the ball following a catch. It’s quite possible he did suffer one and then had a delayed onset of symptoms or it could have been any other play. Concussions are impossible to diagnose on film due to the unpredictability of each play.

Knox entered the concussion protocol seen below and it is anyone’s guess when he passes through to be cleared. There is a chance he could clear in time for next week as we saw happen with Josh Allen, or he could miss a game or two. Until we see him practicing symptom free, it is a waiting game.

Credit: NFL Play Smart Program

DT Ed Oliver (right shin contusion)

Oliver suffered a right shin injury while trying to trip the Miami offensive player, resulting in his shin getting struck hard. He walked gingerly off the field with trainers and was out briefly, but was able to return after several plays off.

Besides pain, there is not any structural damage that can take place unless he suffered a fracture or bone bruise. I’m sure there will be some soreness or bruising to the area which won’t be fun to deal with. He might be on the injury report Wednesday, do not be alarmed. Barring new information, there is little chance that there is structural damage. He’s dealing with pain that he can likely play through.

Other thoughts

Sean McDermott noted that Edmunds, Del’Shawn Phillips & Milano continue to work through some things. That’s coach speak for I don’t want to give the Rams anything. We will have to see how they practice this week. I am expecting to see Edmunds practice in full, possibly Phillips in some capacity & hoping for Milano to at least be limited. The former two have a decent shot at playing Sunday based on what we know whereas Milano is still a longshot unless he’s practicing in full. By Friday, the picture will be clear.

To wrap things up, some were concerned about Zack Moss being out late in the game. He limped off the field midway through the 4th after a catch and but fortunately returned at the very end.

During the catch and run, he fell hard onto his buttocks, but there was not any clear mechanism of injury from what we could see. Unless we get new information, I don’t believe there is anything to be concerned about. If he shows up on the injury report, at least we have an idea of where he could have been injured.

Finally, I mentioned the numerous injuries above. The Bills are far from immune in that sense. We will have injuries, we saw this already with Jon Feliciano this season. There’s a good chance others still happen. I can’t predict who or when or what the injury will be, but know that the Bills have the depth and football is a violent game, injuries are expected.

The Bills go back to Orchard Park to host the Rams for Week 3 on Sunday. It’ll be warm and rainy right now as the weather forecast states. Like Week 1, that could impact who plays and who sits out. Continue to check back for the latest news & injury updates on your Buffalo Bills.

TE Dawson Knox Injury Profile

#88 Dawson Knox
Position: TE
Height/Weight: 6’4”/254 lbs.
Age: 23
College: Mississippi
Year joined Bills: 2019
Acquired: 3rd round draft selection

High School:

Dislocated ankle, missed senior season

College Injuries:

2017 Sophomore year:

Foot injury, missed opening 2 games

Stress fracture foot, required surgery

Torn meniscus, required surgery

Pro Injuries:

2019 Bills:

Hamstring strain, Preseason, missed 2 preseason games, missed 0 regular-season games

Knee soreness, Week 11, missed 0 games

2020 Bills:

Concussion, Week 2, missed 1 game.

Calf injury, Week 5, missed 1 game.

General links:

Dislocated ankle

Foot & torn meniscus

2020 Bills Injury Preview- Tight Ends

Bills 2020 Training Camp Injury Preview: Tight End

Will this be Knox’s breakout year?

This is Part 4 of the Buffalo Bills training camp preview revisiting injuries from 2019 & the impact it may have on their performance and availability in 2020. Part 4 consists of the tight end room.

Players Returning

TE Jason Croom

Spent 2019 on IR with a right hamstring injury. 

Croom has been an interesting case. He was too good to cut outright but not good enough to bring back up to the roster. He missed most of training camp due to a nagging hamstring injury. He ended up playing in only the 4th preseason game against the Vikings, grabbing 2 catches for 27 yards.

Surprisingly, he made the 53 man roster and then was immediately placed on IR which gave the team the ability to call him back up later if there were other injuries. Fortunately, the Bills were incredibly healthy last season and his services were not needed. 

Reports later came out that he tore his hamstring during spring practices and just wasn’t able to fully get healthy, immediately re-injuring the hamstring again. It has been a year since Croom injured his hamstring and there haven’t been any reports stating that he isn’t healthy. There is a chance he could reinjure the area again, but the time off from football along with rest and proper rehab should reduce that. The only possibility of this becoming an issue again is if he hasn’t been keeping up with conditioning. Training camp will quickly reveal if Croom is 100% again.

TE Tyler Kroft 

11 games, 3 starts, 14 targets, 6 receptions, 71 yards, 1 TD

Kroft did not have the season anyone envisioned for him coming from Cincinnati in the offseason. His production simply did not meet the contract he signed. He dealt with several injuries that really prevented him from contributing in a meaningful way. 

Below is his injuries:

    • Right foot fracture

In 2018, he missed 11 total games dealing with a broken foot, likely a Jones fracture which required surgery. He managed to get through the offseason before getting to Phase 3 of OTA’s where he broke the same foot again on the first day. He eventually spent all of training camp on the PUP list before getting activated to the 53 man roster on cut down day as he continued to work back into shape.

    • Left ankle sprain

As Kroft was rounding into form and preparing to play against his old team in Week 3, he sprained his left ankle during a routine practice. While the ankle sprain wasn’t much of an issue, it held him out an additional 2 weeks until he made his season debut against Miami in Week 7.

Kroft never got the reps needed with Josh Allen in order to be successful & allow him to become a weapon in the offense. While the foot fracture was a fluky thing, once the screw is removed following a re-fracture in a Jones fracture repair, the injury doesn’t appear to be recurrent. What this means is that he is unlikely to suffer another similar injury to the area. 

TE Dawson Knox

15 games, 11 starts, 1 rushing attempt, 9 yards, 50 targets, 28 receptions, 388 yards, 2 TD’s

Knox quickly became a favored target in the offense despite coming out of Ole Miss with little production. During his rookie season, he nearly eclipsed the entirety of his college production. He managed to put together a solid season despite dealing with several injuries along the way, including one that cost him most of training camp. Knox was overall fairly available, only missing the final regular-season game against the Jets due to resting for the playoffs. 

Knox’s injuries:

    • Hamstring

Knox suffered a hamstring injury early on in training camp during routine drills. This injury cost him the better part of a month, later returning to play in limited amounts against both the Lions and Vikings in the preseason, not getting any catches during this time. While it did appear that the hamstring was a Grade 1 due to some of the progress observed, a rush back to the field was not in the cards for Knox until he was 100% healthy.

    • Knee

He was dealing with some “knee soreness” prior to the second matchup against the Dolphins down in Miami. This injury did not hold him out from playing or appeared to affect him in any way. At the time, I had thought maybe he was hitting the proverbial “wall” due to the increased level of competition along with a longer season when compared to college football. The injury did not show up again later that season & appear to affect his play.

Like Croom, there is concern that Knox could re-injure his hamstring strain. There is reason to believe that Knox has taken extra steps to ensure that he comes to training camp in shape and will be more diligent in preparing his body to reduce his injury risk.

TE Tommy Sweeney

6 games, 1 start, 13 targets, 8 receptions, 114 yards

Sweeney was the less-heralded other tight end selected in the 2019 NFL Draft. He didn’t have the same impact that Knox has in his first year with the Bills, but Sweeney also did not have any known injuries. While he was inactive most weeks, he did appear in a handful of games early on as TE Tyler Kroft worked his way back into the lineup. Once Kroft returned, Sweeney was expendable and was not called upon until the regular-season finale against the Jets. 

TE Lee Smith

16 games 5 starts, 5 targets, 4 receptions, 31 yards, 1 TD

Smith is about as durable as they come. He didn’t miss any games and also did not appear to suffer any known injuries. While he wasn’t very productive in the offense, he continued to excel as a blocking tight end and as a leader in the locker room. As Smith increases in age, he will eventually be phased out, but as long as he continues to be a leader and effective blocker, he will be hard to beat out for a spot on the team.

TE Nate Becker

Becker spent the 2019 training camp with the team after getting cut by Detroit prior to training camp. He did not survive training camp cuts and was later signed to the practice squad where he sat for the remainder of the season. He did not appear to suffer any known injuries. To read more on Becker’s previously known injury history, click here.

2020 Outlook

The tight end room is not an area where major injuries happen. A foot fracture, ankle sprain, and a pair of hamstrings make up the entirety of the injuries to the position. None of the injuries appear to be chronic or likely to recur in 2020. While Knox & Smith are locked to make the team next year, Sweeney still appears to be a strong shot to make the roster again. Croom better produce at a high level & show the team that he has something from 2018 to indicate to the team that he plans on sticking around. 

Unless Becker somehow unseats Smith by dramatically improving his blocking skills, the lineup will likely be Knox, Smith, & Sweeney for 2020. The tight end position for the Buffalo Bills is not a sexy one at all, but it hopefully will become a position that grows in importance as Josh Allen improves his game. 

 

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