Bills Injury Review- Quarterbacks

Bills positional injury review- Quarterbacks

The off-season has begun! With a record of 6-10 following the 2018 NFL season, the Bills are slated to pick 9th in the 2019 NFL draft. Fortunately, one position the Bills will not have to worry about is quarterback. The starting job and room for that matter has already been locked down and demonstrates one of the most stable positions on the roster. Today’s post begins a series of articles reviewing the 2018 regular season from an injury standpoint, players that were injured, their outlook, and whether they will come back in 2019. Today’s topic is quarterback.

There were a total of 4 starting quarterbacks to take a snap under center for the Bills in 2018 in the regular season. They were: QB Nathan Peterman, QB Matt Barkley, QB Derek Anderson, and QB Josh Allen. A fifth, QB AJ McCarron was slated to be the starter in preseason before an untimely injury derailed his chances. As a collective whole, the Bills passing game put up stats as follows: 271/499 for 54.3% completion for 2794 yards, 13 TD’s, 23 INT’s, and 41 sacks ranking 31st in the league.

Never making to the regular season for the Bills was QB AJ McCarron. He was signed from Cincinnati as a free agent in the off season, expected to be the starter and before his injury, was trending in that direction. Unfortunately, McCarron suffered an injury to his collarbone during a hard sack that was initially diagnosed as a hairline fracture against the Browns. However, he had a second opinion which reversed the original diagnosis and it was re-diagnosed as a contusion. He was able to return after several days, but as he was healing, this allowed Peterman to move forward and take the season opening job, leading to the trade of McCarron to Oakland for a 5th round pick in 2019.

QB Nathan Peterman began the season as the starter but quickly played himself out a job. The 2nd year player out of Pitt earned a second chance despite his inauspicious start to his career last year. His 2018 season stats were as follows: 44/81 for a 54.3% completion, 296 passing yards with 1 TD, 7 INT’s, and 7 sacks along with 2 starts. Peterman started the forgettable home opener, losing 47-3 to the Ravens followed by a Week 9 start, losing to the Bears 41-9. While Peterman was not injured during this season in Buffalo, he was wholly ineffective which led to his eventual release on November 13th. He eventually did find his way to Oakland Raiders practice squad but his release thankfully ended the Peterman experiment here in Buffalo.

Next is QB Matt Barkley. The veteran journeyman started the year with the Cincinnati Bengals before being released with an injury designation with a Grade 3 MCL sprain in the preseason. On October 31st, the Bills signed Barkley to a one year deal as insurance while Allen was recovering from his injury. Unfortunately, the starting QB at the time, Derek Anderson was unavailable due to injury and Peterman wasn’t trusted to play, leading to Barkley to start. He lit up the Jets defense in a 41-10 win with his stat line as follows: 15/25 for 60% completion, 232 yards, 2 TD’s, 0 INT’s, and 1 sack. With that performance, Barkley earned himself a 2-year contract as the backup to Allen going into next season. Overall, his injury risks appear minimal, his preseason injury will not be a concern moving forward, and he has shown he is a capable back up in spot starts.

QB Derek Anderson was able to come out of semi-retirement to help mentor Josh Allen as he progressed through his rookie season. Unfortunately for him, he was forced into playing several games including against the Colts and Patriots. His stat line was as follows: 42/70 for 60% completion, 465 yards with 0 TD’s, 4 INT’s, and 5 sacks. In addition to the rough stat line, Anderson suffered a back and calf injury against the Colts which appeared to be more bumps and bruises after not starting for several years. Regrettably, Anderson also suffered a concussion at the end of the MNF game against the Patriots after a sack from LB Kyle Van Noy which sidelined Anderson for 5 games.

While concussions are all too common in football, most resolve after a short amount of time. Each concussion is unique and has its own timeline for healing, it is concerning that Anderson took this long to recover from his injury. It is not uncommon to see concussions take that long to fully recover in the normal population, but considering that he was out that long during the NFL season makes me question his availability for the future. We already know that once a player sustains a concussion, that increases the chances that they suffer future concussions. Prior to this, he had one documented concussion during his time with Arizona. Normally, a concussion lasting that long would have forced him to the IR to clear up a roster spot. However, his role has been defined as assisting in developing Josh Allen into a franchise quarterback and that appeared to be the case which is why they avoided placing him on IR which would have prevented him from tutoring Allen. While he can play in spot starts and will be back on next year’ roster having signed a one year deal, he is far from the answer if a long term need is required. He is one player that I hope never sees the field next year. I hope he helps to continue to mentor/coach, and rides off into the sunset next year before another concussion or serious injury forces him to retire.

The big injury of the season was QB Josh Allen. As it has been widely reported, Allen suffered a sprained elbow, more commonly referred to as a UCL injury. He suffered the injury during the loss to the Houston Texans. To recap, this was the result of a bang bang play as Allen got hit from the left by Clowney, followed by Mercilus hit from the right, coming up underneath, hyperextending the rookie’s elbow. As a result, he missed 4 games with the injury but was able to return a more complete player and with bracing to the area to provide protection and support. This injury overall will not be something that will cause problems in the off season, it will not require surgery, and it will almost certainly not affect him as his career progresses.

At this point, the injured tissues in the elbow have mostly healed up and he should be asymptomatic with regards to all his throwing activities. With further rest and strengthening in the off season, he will come back 100% and should not have to wear a brace in the fall. It’s quite possible that this may become an injury that will be forgotten as his career progresses. How he injured his arm was unfortunate, but the recovery and response moving forward is calculated and ensure his long term health. Despite the injury, Allen still put up respectable stats for the season. Allen’s stat line for 2018 was as follows: 169/320 for 52.8% completion, 2074 yards with 10 TD’s, 12 INT’s, and 28 sacks. In addition, he had 89 rushes for 631 yards and 8 TD’s. Expect him to start next season, continue to grow as a quarterback, and eventually lead the Bills back to the playoffs.

Overall it was a very rough season for Bills quarterbacks for injuries. The QB carousel should stop next season with Allen, Anderson, and Barkley all under contract and the established starter in Allen. In addition to the stability at the quarterback position, there is a lot of optimism that the front office that they will shore up the offensive line to provide the protection that is desperately needed in order to help make the offense flourish along with some receiving weapons. This is the first time in a long time that things look good at the quarterback position for the Buffalo Bills.

Continue to follow Banged Up Bills on Facebook, on Twitter at @BangedUpBills, on Reddit u/BangedUpBills, and online at www.bangedupbills.com. Look for off season position injury reviews, additions to the NFL Injury Series, any pressing injury news/surgeries, and anything else that Bills fans need to know. Thank you for reading and GO BILLS!!

Week 15 Bills Injury Preview- Lions

Analyzing the latest Bills injuries prior to the game against the Detroit Lions.

For what it’s worth, after that rough loss to the Jets marred by numerous injuries, the injury report for the upcoming game against the Lions is relatively short. Granted, we are missing several starters over the past 2 weeks with CB Taron Johnson, C Russell Bodine, and LB Matt Milano all going to IR with their respective injuries. These are the kind of injuries that if suffered earlier, could have scuttled a promising season had the Bills had several games go their way. However, these injuries only allow these and other on IR to recover appropriately in time for next season. Today’s post will assess the injuries going into Sunday’s tilt against the Detroit Lions.

Already ruled out is CB Ryan Lewis (concussion). Lewis is still working through the league concussion protocol and as he is DNP, he is still in stage 1-2 of the protocol. However, we typically do not see most concussions clear this quickly and Lewis will miss Sunday as he continues to work through the concussion protocol.

Those questionable are K Stephen Hauschka (hip), RB LeSean McCoy (hamstring), TE Logan Thomas (hamstring), and RB Chris Ivory (shoulder). Hauschka has already been ruled available to play Sunday by coaching staff and has been sitting out all week to rest in order to be ready. Thankfully, his skill set does not require constant practice which allows him to get the treatment he needs in order to be 100%. Why he is questionable may be just how the injury list designates how you rule someone based on practice participation.

Things are looking promising for McCoy as he was reported participating in individual drills which is an excellent sign for his overall recovery. However, he is still limited which indicates that he is not able to participate in the entirety of practice and does not appear to be ready for Sunday. As he is a 30 year old running back with a lot of yardage on his legs along with one of his roughest seasons in his career, it would not make sense to get back out there quickly to play for a lost cause. He may be ready but he would be better served taking a week off and coming back against 2 divisional opponents to leave his mark on the 2018 season going into 2019.

Thomas may have tweaked his hamstring in Thursday’s practice which led him to report the injury but as he practiced in full Thursday but limited Friday doesn’t bode well for his availability Sunday. As there is not video of what exactly happened, it is hard to speculate whether he will play. Hamstrings are tricky and this may truly be up to Thomas on whether he feels he can perform. Considering it will be cold and the injury is relatively fresh, it may not be wise to try and playing unless he had a good warm up and feels loose.

Ivory exited the game this past Sunday and did not return after falling to his left shoulder hard after an 8-yard run. I believed that he suffered a re-aggravation of his AC joint sprain originally sustained against the Bears. As he is practicing in full, this is an excellent sign in the likely event that Shady is unable to play. However, he was still ruled questionable. Frequently, if someone has practiced in full all week, they are always good to go for Sunday. My only theory that I can formulate is that he was able to participate in practice going through plays and drills but still dealing with pain in the shoulder. Whether he plays may be whether he feels he can absorb the pounding that a running back takes during a game. If Ivory is ruled inactive, the Bills still have RB Marcus Murphy and newly signed RB Keith Ford to handle the run game.

Those cleared to play or Sunday are TE Jason Croom (groin) and QB Derek Anderson (concussion). Croom required a week off after tweaking his groin possibly late in the game against the Dolphins. As he practiced in full this week and was not made a game time decision, expect him to participate fully and potentially take Thomas’ snaps if he is unable to play.

Anderson is finally cleared from the concussion protocol after 7 weeks of not playing or fully practicing. He is expected to be the 3rd string QB and continued mentor to QB Josh Allen. Anderson has been an enigma for the Bills this season. He came in halfway through the season, started 2 games, suffered a concussion during Monday Night Football, and then has been out since. Now, having post-concussion symptoms for this long is not abnormal overall. I have personally worked with patients that have had post-concussion symptoms for months after the initial injury. We have also seen other examples of players dealing with post-concussion symptoms for long duration’s of time, most famously Pittsburgh Penguins star Sidney Crosby. So, its possible that he was dealing with recurring symptoms but my concern was why was he still on the active roster? He will not supplant QB Josh Allen as a starter; QB Matt Barkley is the backup, which leaves Anderson as a body taking up a roster spot. The only theory that I could come up with is that Anderson was still dealing with post-concussion symptoms and still on the active roster for the sole purpose to help prepare Allen each week. If he had been placed on IR, then he would have been able to be around the team but not participate in practice in any form according to IR rules. I suppose having Anderson available during practice to critique Allen during practice acting as a psuedo-coach to assist QB coach David Culley. Regardless of reasons behind his recovery, the important thing is that Anderson is finally healthy, can appear in another NFL game if the opportunity arises, and can finish out the season on hopefully his terms.

The Bills had been hovering around the 50% mark with regards to players with questionable designation playing but that number has since increased to 66% playing recently over the course of the season. Based on these numbers, I expect that McCoy and Thomas to be inactive with Ivory truly questionable and Hauschka playing. This fits the numbers but these are simply trends through the season and not a prediction model. We will see what happens Sunday.

The Bills should be able to handle the toothless Lions with effective ball control and clock management. If they minimize mistakes on special teams and prevent turnovers, then they have an excellent shot to move to 5-9 on the season. Hopefully the Bills can continue to stay relatively healthy and avoid more season ending injuries over the coming weeks. While these games are meaningless, the overall health of each player is still important going into the off season.

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

Week 14 Bills Injury Preview- Jets II

Assessing the latest Bills injuries including Taron Johnson’s shoulder surgery and Jason Croom’s groin prior to the Jets game.

This has been one of the more busier weeks of the Bills season as the front office is demonstrating “The Process” with moves preparing the team for 2019. If you’ve been under a rock, the team released WR Kelvin Benjamin & WR Andre Holmes, signing CB Denzel Rice & DE Mike Love from the practice squad, and placing C Russell Bodine on injured reserve as the result of a fibula fracture during last week’s game. With all this upheaval along with several injuries, this leaves many questions going into the Week 14 match up against the Jets. As one may fondly recall, the Bills absolutely destroyed the Jets 41-10 in their Week 11 match up behind an effective performance by QB Matt Barkley. This time around, it will be QB Josh Allen vs QB Sam Darnold with both teams jockeying to avoid the AFC East cellar. Today’s post will identify the injuries going into the game and how things may shake out.

Those already ruled out are QB Derek Anderson (concussion) and CB Taron Johnson (shoulder). Anderson continues to be limited indicating he is in stage 3-4 of the concussion protocol. I’m waiting for the other foot to drop and he gets placed on IR. At this point, he is taking a roster spot for someone else but his tutelage of Allen appears to be the reason he is still active despite not playing.

Johnson suffered a dislocated shoulder resulting in a torn labrum in his right shoulder during Week 1. He has since then re-injured the shoulder several times, missing only one game right after the initial injury along with wearing a shoulder harness to limit recurrence. He had been reportedly been in a non-contact jersey the past several weeks, giving his shoulder the rest and protection it required to get through the season until the Bills were officially eliminated from the playoffs. As a result, Johnson had successful shoulder surgery on Tuesday to repair his labrum and has since announced his season is done. I am not sure why the Bills are hesitating to place him on injured reserve; this may be due to a contract issue which we as fans are not privy to. The shoulder labrum recovery is a ~6-9 month recovery which will allow Johnson to ready for OTA’s in May-June at least in a limited fashion and fully healthy by training camp. To read more about the surgery that Johnson had, make sure to check out my article on WR Zay Jones who had the same procedure last year with great success.

Listed as doubtful is TE Jason Croom (groin). Upon video review, Croom doesn’t appear to have one play in where he injured his groin. He did not have any targets during the game but was involved in 35% of the offensive snaps and was playing until the final offensive series. Based on the knowledge we have, this appears to be a mild strain and the team is being proactive, allowing him to heal completely before rushing him back onto the field. We have seen most of the muscle strains this season result in minimum 1 game missed and this is no exception. I believe that this is a Grade 1 strain with Croom having the ability to return next week fully healthy. As he is listed as doubtful, most players listed as doubtful do not even play. In the event that he is active, he will likely be limited in offensive packages and used more likely as a decoy. Regardless of status, he should not play.

Listed as questionable is WR Isiah McKenzie (toe). Reports indicated that McKenzie injured his toe late in practice Thursday and was limited Friday, making him officially questionable for the game Sunday. Fortunately, publications state that he feels as though he will be able to go on Sunday which is a good thing as the Bills are expected to only have 5 WR’s available. My suspicion is that he sprained his great toe running a route pushing off too hard or pivoting. It is possible to injure the other toes on the foot, but when it comes to running, the great toe is essential for effective push off required for sprinting. He is truly a questionable decision, but considering the personnel available and his thoughts in the article, I expect that he plays.

G John Miller (oblique) is coming off a strained oblique suffered in the win over the Jaguars. He missed last week but is able to return which fits the timeline regarding muscle strains; I had suspected that he would miss 1-2 games based on the location. There is possibility to re-injure the area, but I would not consider the risk to be significantly greater than when he originally sustained the injury.

Those injured earlier during the Miami game that did not appear on the injury report were LB Tremaine Edmunds (knee/ankle) and S Jordan Poyer (finger). While they may be dealing with some soreness, this was not enough to warrant an injury report slot. Expect both to be key players to slow the Jets offense.

While the Bills are slowly losing players to injured reserve as the season winds down, most starters continue to stay healthy or at least available in order to help the team finish strong over these last 4 games. I believe the Bills will be able to finish this season with a 6-10 or 7-9 record. The big question marks I have are this upcoming Jets game and maybe the second Dolphins game. A 7-9 record would be a great finish after such a terrible start to the season. There’s a lot of promise on this team going into next year, we just have to see how the draft and free agency play to our favor. I believe the Bills will complete the season sweep of the Jets to move to 5-8.

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

Week 13 Bills Injury Preview- Dolphins

The latest Bills injuries going into Week 13 agains the Miami Dolphins.

The Bills are on a two game winning streak and getting healthy! As they travel down to balmy Miami for Sunday’s matchup, they do so with nearly their entire roster available and an offense starting to find its groove. Today’s post will review the injuries going into Sunday’s game.

Already ruled out is G John Miller (oblique). The veteran guard suffered an oblique injury late in the 1st half of the win over the Jaguars and did not return. Since Sunday, he has been unable to participate in practice which due to the location of the injury, is not surprising. As obliques are vital to the duties of his position in relation to bending forward, twisting, and pushing, it is already known that he he will not suit up Sunday. Even if the Bills were in the thick of a playoff race, this injury would sideline the big man for at least a week. Expect Miller to miss 1-2 games due to this injury. Starting in his place may be G Jeremiah Sirles who has shown effective play in limited time this year.

QB Derek Anderson (concussion) has also been ruled out due to continued symptoms of a concussion sustained during the Monday Night Football game against the Patriots. The more we know about concussions, the greater understanding we have of its effects. This is why Anderson’s symptoms are not concerning overall because we know that the brain heals at different rates and each concussion is unique. However, I do believe that if Anderson wasn’t mentoring QB Josh Allen, he would have been placed on IR long ago. As he is limited, there is hope that he will be able to practice in full next week and at least be available game day in Week 14.

TE Charles Clay (hamstring) has been ruled questionable, which in the case of Bills players ruled questionable, whether they play is ~50% based on this season statistics. I believe Clay will play as he’s missed several games, he has given his injury ample time to heal, and if this video is any indication of his abilities, then I am fairly confident that he will play against his old team. Add in the fact that he will be playing in 85 degree weather will help the muscles warm up easier and stay warm, reducing the incidence of re-injury during the game. I also believe that he will want to hang some stats on his old team to let them know what they lost.

Others dealing with injury coming off the report this week are CB Lafayette Pitts (concussion) & CB Taron Johnson (shoulder). Pitts suffered a hard hit to his head on a punt return early in last weeks win and was unable to finish playing. He has since been cleared to play in full and will continue to be a key piece in secondary depth and on special teams.

Johnson continues to deal with his injured right shoulder which he will eventually require surgery on the torn labrum. He has been quite effective despite being limited but has a much higher risk to be re-injured during hard hits. Hopefully he can get through these remaining 5 games and then work hard on recovering fully for training camp.

Fortunately, the Bills are in much better shape health wise than the Miami Dolphins who have been hit hard by injuries which may limit their ability to effectively play both sides of the ball despite having home field advantage. The relative lack of injuries for the Bills has been a key reason why the Bills have been able to stay in more games and build for the future effectively as they are not relying on 2nd and 3rd string players starting for significant chunks of the season. I hope this trend continues in a positive direction with next year allowing the Bills to bring in some top end talent they are sorely missing this year.

As an eternal optimist, I believe the Bills will win this one against the Dolphins. However, coming off two straight wins may set the Bills up for a trap game and they could lose a very winnable game. Even though each win represents a worsening draft position, these young Bills must know how to win now to win bigger games later.

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

Week 12 Bills Injury Preview- Jaguars

Read on the latest injuries coming off the bye as the Bills get ready to face the Jaguars.

I hope you all enjoyed your week free of Bills football along with Thanksgiving! As a devoted Bills fan, make sure you are recharged and ready to hunker down to take on the last 6 games of this season. This season has been a dramatic step back from last season’s successes and while it is tough to see that the Bills lose more than they win, they are still building towards something greater than the 2018 season. Regardless of outcomes, I do I enjoy watching the Bills every Sunday and today’s post will review the injuries going into the Jaguars game.

Those coming off injury from the Jets game include LB Matt Milano (concussion) & CB Taron Johnson (shoulder). Milano has cleared the concussion protocol and practiced in full which is an excellent sign and should continue his stellar 2nd season as an integral part of the defense. As for Johnson, unfortunately suffered another injury to his right shoulder in where he continues to sublux/dislocate his shoulder during direct blows to the area. He was observed to not wearing his shoulder harness during the Jets game which reduces the shoulder movement in order to limit dislocation which may have resulted in the most recent re-injury. The direct hits to the shoulder continue to dislodge the humerus from the socket, causing pain, weakness, and limited strength. This in turn has caused him to miss short stretches of the season. This is something that he will continue to play through until he feels he cannot anymore or until the end of the season, whichever comes first. He was limited in practice this week and will continue to play at less than 100% until he gets surgery to correct the problem. To note, we have full confirmation of his shoulder injury based on GM Brandon Beane’s appearance on One Bills Live this afternoon, outlined in this tweet here. I expect that Johnson will still suit up come Sunday.

Others practicing in full include RB Chris Ivory (shoulder) and QB Josh Allen (elbow). Ivory was dealing with a left AC joint sprain that caused him to miss the Jets game after suffering the injury during the loss to the Bears. He should have no limitations on Sunday and relieves RB LeSean McCoy as a change of pace back. Allen has been a big talking point when it comes to injury this season, missing 4 games due to the sprained right UCL suffered in the loss to the Texans. He has progressed as expected; Allen himself has reported that his elbow continues to feel better and news reports are showing him making all his passes without obvious compensation. Interestingly, he is still wearing a brace on his right elbow which does concern me, but he may play with the bracing on the elbow as he may be comfortable with the throwing motion with it on. I would prefer to see him play without it, but the medical staff knows best and will ensure that he will minimize re-injury. The only benefit to the brace would be to provide protection in case of a direct blow to the area. While he could re-injure it throwing, the chances are significantly reduced as he has given himself an appropriate time to heal to where he is able to play at a high level. He may not be 100% healed but enough that the medical staff feels he can perform without causing further injury. 

Others limited in practice include: C Russell Bodine (shoulder), QB Derek Anderson (concussion), and DE Trent Murphy (knee). I am not sure what Bodine did to his shoulder as he did not appear to require medical attention during the Jets game but this could be an injury sustained in a previous game with re-aggravation or could be a new injury. Until we have more information, I cannot even speculate what he is dealing with.

Anderson continues to battle back from the concussion sustained late in the 4th quarter of the Patriots loss on MNF. He has been slowly working his way back into shape with his limited designation, but is clearly not ready yet. Based on being limited, he appears to be in Stage 3-4 of the concussion protocol, allowing him to go through sport specific activities and perform aerobic activities. Unfortunately, he has since been ruled out for Sunday’s game, dealing with concussion symptoms for nearly a month now. While this is atypical from what we usually see during a concussion recovery, this would be considered normal for concussion management outside of the NFL as not all concussions are mild with a quick turnaround time. Hopefully he continues to improve and help Josh Allen develop.

Murphy continues to battle back from injury after injury. The latest injury is a right MCL sprain suffered halfway through the 4th quarter in the loss to the Colts. He has since missed 3 games and is slow to return but the vibe is that he will be ready come Sunday to help contain the rushing attack. The veteran DE has had 4 weeks to fully recover which is within the expected recovery times for an MCL injury. With his recent injury history, the Bills training staff were not in a position to rush him back and cause further complaints.

Those not practicing are TE Charles Clay (hamstring) and DE Shaq Lawson   (elbow). Clay pulled his hamstring running a route early in the Bears game and was unable to return. He since missed the Jets game and right now could potentially miss the Jaguars game. Lawson suffered an elbow injury during practice early in the week which makes it nearly impossible to diagnose. Reports indicate that he tweaked his elbow and is considered day-to-day. Until we get further information, I will not speculate as to what he is dealing with at the moment. 

Overall, while the list does look long, with QB Derek Anderson ruled out, TE Charles Clay is doubtful, and those questionable include: C Russell Bodine, CB Taron Johnson, DE Shaq Lawson, and DE Trent Murphy. Clay will not play and even if he somehow suits up, he will not be effective. Those questionable that I expect to play are Murphy and Johnson. We do not know whether Bodine or Lawson are ready to play based on the fact that we do not know the extent of their injuries. If they do indeed sit out, this fits with the roughly 50% of questionable’s not playing this year. I do have a feeling Lawson will be available.

With injuries beginning to take their toll, this is also the time of year where we begin to see players go on IR quickly if they have an injury that will take longer to heal than the remainder of the season so that the team can roster healthy players or guys they want to take a longer look at in game action. Do not be surprised if we see players such as QB Derek Anderson and CB Taron Johnson go on IR in the near future so they can fully address their medical complaints in order to be healthy next season.

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

Week 10 Bills Injury Preview- Jets & Why Josh Allen Shouldn’t Play

Read the latest Bills injury prior to the Jets game including why Josh Allen shouldn’t play this week despite being listed as questionable.

The bye is rapidly approaching and the Bills are welcoming it with open arms. Over the past month, injuries have been rapidly piling on, the team is on a 4 game losing streak, and analysts openly questioning whether the Bills could even beat Alabama in a theoretical match up. As fans, while we do support our team though thick and thin, we need a break. Having a showdown against a Jets team that is also having a down season could allow the Bills to secure their 3rd win and rest up for the final 6 games to gain some respectability going into 2019. Today’s article will detail the injuries going into the Week 10 showdown, why QB Josh Allen shouldn’t play, and how things may look after the bye.

Those already ruled out of the Jets game include QB Derek Anderson (concussion), TE Charles Clay (right hamstring), and DE Trent Murphy (right knee). The veteran QB Anderson is still working his way back from a concussion suffered in the MNF loss and has been unable to practice since then. As we have no video of his presence in practice, I can only assume that he is still in Stage 1-2 of the concussion protocol. This would mean that he’s still not at baseline cognitive testing or if he is, he would be in stage 2 which would be a light aerobic graded exercise program which is possibly still bringing on symptoms. It has been noted he has been working with trainers off to the side, but that has been the extent of his activity so far. Until he is able to tolerate his exercise program, he will not be able to progress in his protocol. It is too early to tell whether he will end on IR with his concussion but it is not trending in the right direction.

Murphy is missing his 3rd straight game with a right MCL knee sprain suffered late in the loss to the Colts. While he has not practiced since the injury, it is expected that he is rehabbing daily and working hard to return to the field. The team is taking it slow with his recovery as he has dealt with a multitude of injuries since training camp and do not want to experience further serious injury. When healthy, he is effective, but he must rehab properly in order to be available. Barring any setbacks or unknown information, he should be back after the bye for the final stretch of the season.

Clay is ruled out due to suffering a right hamstring injury early in the 1st quarter of the loss to the Bears. He appeared to tweak his hamstring decelerating, then attempting to change direction, eventually limping off the field. While it is difficult to identify the severity of the hamstring strain on video, it appears to be minor as he did have it stretched out and at one point have his helmet on during the game, implying that he may have wanted to return. As a precaution, not practicing all week along with the bye should allow him to return fully healthy.

To note, WR Kelvin Benjamin (knee) appeared on the injury report with a knee injury but was limited only Wednesday, but practiced in full Thursday & Friday. He did suffer a shot to the right knee in the Bears game but only sat out 1-2 plays before returning. This does not appear to be anything more than soreness and should not be a factor in his abilities to play this weekend.

Those ruled questionable are: RB Chris Ivory (left shoulder), WR Andre Holmes (neck), LB Tremaine Edmunds (concussion), and QB Josh Allen (right elbow). Reviewing injuries, Ivory suffered a separated shoulder or AC joint sprain during a failed goal line plunge in the 4th quarter and was ruled out the remainder of the game. While Ivory was limited the past 2 days, it does not appear that he should be ready to take the brutal hits of the NFL. Plus, being limited in practice on Friday is typically not a good sign to play Sunday.

Holmes was dealing with a neck injury that was not apparent in Sunday’s game but it worth noting that he suffered a neck injury that sent him to IR at the end of last season. There was nothing on video that stood out so it is rather difficult to identify specifics of his malady. This may be an injury we have to watch moving forward and see if it limits his reps or abilities on the field. However, the fact that he was able to practice in full the past two days indicates that this may be a minor injury and should suit up come Sunday.

Edmunds is dealing with a concussion suffered at some point in the first half of the MNF game against the Patriots. He did take several shots to the head, most notably against FB James Develin which may have brought on a delayed response in concussion symptoms. As he did not practice last week and was limited this week, he is truly a questionable decision as he will need to be cleared by an independent neurologist before returning to the field. He has been practicing without a red jersey which prohibits contact which is a good sign but no guarantee for clearance. I would estimate that he is in stage 5 of the concussion protocol but has not been cleared yet. We have seen concussions cleared the day before or day of the game such as in the recent case of RB LeSean McCoy. This will truly be a game time decision and whether he clears protocol.

Finally, QB Josh Allen as we all know, injured his right throwing elbow during the Texans game. His absence during the past 3 games along with his rehab has been intensely scrutinized on when he will be ready to return and how he will perform. It was only this week that he began throwing, albeit with a brace and on a limited basis. During the limited video available, he was making a variety of throws around the field which is fantastic to see. However, while he does appear to be ahead of schedule with his rehab, it does not mean that returning to game play ahead of schedule is always recommended. We hear all the time how this player and that player are doing well in their recovery and ahead of schedule. We hear timelines with recovery from injury and always expect to take the under on weeks for them to return. As fans, we then get upset when they’re not back by what could be perceived as unrealistic outcomes for that player as every injury is unique.

Most protocols do state that this particular injury takes 6-10 weeks to heal, much less play at full efficiency. Coming off the bye will be 6 full weeks of recovery. While I have stated he appears ahead of schedule due to his throwing program, this doesn’t mean he is ready to fully play. He does have the advantage of highly skilled doctors, physical therapists, and athletic trainers treating him daily which may explain why is moving faster plus his youthful age does help.

Despite performing the ability to throw and go through all his motions, Allen still has not completed a full practice which means he has not gone game speed consistently. We have also have not seen him throw without a brace which currently provides stability and compression to the affected area. Most players do not want to wear any bracing on game day as it affects their movement. The bracing that he is currently wearing in practice would be limiting the ability to naturally move during throwing and could alter his throwing mechanics if he plays long term with it on. Rushing back into the game with a brace may do more harm than good as he may perceive that he is protected from injury from the brace and do more than he should.

From a therapist perspective, it is important to load the injured area and slowly stress the tissues to build up tolerance towards the activity before going full speed. Going too hard, too fast can and does lead to further injury. At this point in his healing process, he would not severely damage the ligament with his current activities unless he were to sustain similar trauma such as the original injury or a fall onto the elbow or outstretched arm, both of which are uncontrollable at game speed. Unfortunately, he could irritate the still healing ligament in his elbow or injure other areas of his arm attempting to compensate for the elbow if he returns too soon. This could lead to a potentially chronic complaint rather than the acute injury that it is currently.

He would benefit from another two weeks off, his body will be two weeks healthier and stronger to withstand the demands of his position to reduce his injury risk. If this were not his throwing elbow, he would have been back much sooner. As a physical therapist, I would want to see that he can make all his throws, that he can make the throws without bracing, that he has no pain up to several days after throwing, and that he has no compensation patterns as a result of the injury. I would also want to see consistency in all areas over a set timeline. One day things can look great, another day, it can be awful. In the video above, we may have just seen a great day; we’re typically not privy to the bad days during practice. At this point in time, there is just too many questions surrounding his abilities and a full week of participation in practice would prove that he’s ready to come back 100%.

This is already a lost season and rushing the future of the franchise out there in meaningless games does nothing for Allen. This would be a prime way to ruin a young quarterbacks development and set the stage to rush back from future injuries before he really understands how his body recovers from injury at the NFL level. I believe the Bills only listed Allen as questionable was due to the public relations angle plus forcing the Jets to consider game planning for him which may get them to overthink their strategy. Just because he looks good, doesn’t mean he is good yet. I expect the Bills to roll out their 4th starting quarterback of the season in QB Matt Barkley with QB Nathan Peterman as backup with a heavy emphasis on the running attack by RB LeSean McCoy & Co.

To add facts on facts, so far through Week 9, 53% of players listed as questionable on game day have been ruled inactive by the Bills. So based on those listed as questionable this week, theoretically, just over half will be ruled inactive; my bets are Ivory and Allen. Edmunds is a wildcard and could go either way but I’m leaning towards him playing. Based on what we know about everyone’s respective injuries, the extra week of rest during the bye will allow everyone in today’s article to come back to play in the Jaguars contest. As for the game prediction, I believe the Bills will get a much needed win over the Jets, moving to 3-7 which will allow them to regroup for the rest of the season.

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

Week 9 Bills Injury Preview- Bears

Read up on the latest Bills injury news & why Josh Allen is still not ready despite practicing this week.

The Bills enter the 2nd half of the season in the friendly confines of New Era Field with 5 of their next 8 games at home and hopes that the 2nd half is better than the first. We all knew that this season would be a step back, but none of us are ever truly ready for the enormity of the situation when a season goes off the rails. However, with a favorable schedule and home field advantage, this is the opportunity that the Bills can use to regain some respect and build for the future. Today’s post will break down the injuries prior to Sunday’s game.

The past several weeks has been tough dealing with several key injuries which has made this season harder to digest. Ruled out already as a result of Monday’s loss include QB Derek Anderson (concussion) & LB Tremaine Edmunds (concussion). Anderson suffered his late in the 4th quarter with the game essentially over and Edmunds sustained his sometime in the first half. Both were unable to practice during the week which is standard protocol while in the concussion protocol until they have worked their way up to tolerating mild exercise without symptom reproduction. The fact that they haven’t practiced doesn’t always equate to a more severe concussion, but rather that each concussion is unique and is on its own timeline. As it was a short week, both players will have another week to recover. It stands to reason that they could be ready next week against the Jets. Starting in place is QB Nathan Peterman & LB Julian Stanford, respectively.

Others ruled out include DE Trent Murphy (knee) & QB Josh Allen (elbow). Murphy suffered a right MCL sprain in the waning minutes of the Colts loss and has not practiced in two weeks. He may be practicing on a limited basis at best this coming week but I really don’t expect to see him return until after the bye. These types of injuries take 2-6 weeks to heal and considering his previous contralateral ACL injury, the training staff is not rushing him back. Thankfully the defense is playing lights out and can absorb his loss until he is ready to return.

The biggest change in the injury report is by far that QB Josh Allen is practicing on a limited basis. If you are reading my articles, you will have seen that he will not be ready until after the bye. This still stands true at this time. The reason he is limited is due to the fact that he is cleared for conditioning as outlined in rehab protocols for conservative management. He is most likely not having pain at rest or with simple movements which would let him to run with a normal motion, allowing the upper body to move naturally. In between this conditioning, he still continues to perform activities and exercises that encourage strengthening of the wrist and shoulder with healing to the medial elbow.

Within the next two weeks, Allen will ideally begin a throwing program, allowing him to slowly ramp up the speed and distance of his throws. If he begins having pain, training staff would back him off and reduce activity until pain is gone with activity and resume the program when ready. At no point will there be an opportunity for Allen to air it out to “see how it feels”. There is a systematic approach towards his recovery and the training staff will not deviate from this. I expect the rookie signal caller to be practicing on a limited basis into the bye. Pending his progress, he could be ready to play but not be 100% for the Jaguars game. The team may also continue to limit him until they are comfortable that he can perform to his maximum ability potentially causing further missed time. Overall, I believe he will return after the bye and regain his starting job.

It does not appear that there are any other injuries that were not on the injury report but could limit player effectiveness. RB LeSean McCoy is still recovering from his cracked rib cartilage from earlier this season, but his ineffectiveness is more due to the offensive line and play calling rather than his maladies. Many other players are dealing with minor injuries that they continue to play through, minimizing their time missed.

The Bills have to get through the bye, heal up a little bit, and can hopefully attack the rest of the season to end on a high note. Injuries are a part of the game, but thankfully we continue to avoid the ACL’s, Achilles, fractures, and freak accidents that can destroy a season. The Bills will get through this, they always do. As the front office build for the future, these losses now will begin to turn into wins in future seasons as their core players continue to gel and they get players to execute the game plan. This season will come to define “The Process” when we look back years from now, hopefully with a Lombardi trophy in view. I believe the Bills will snap this 3 game losing streak and send the Bears to a 4-4 record. Despite its offensive shortcomings, the Bills still have talent that can produce.

This completes another Bills injury preview. Continue to check back for the latest Bills injury 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!!