Week 17 Bills Injury Review- Jets

How bad are Wallace & Nsekhe’s ankle injuries?

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

CB Levi Wallace (right ankle)

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

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

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

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

S Siran Neal (right side stinger)

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

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

OT Ty Nsekhe (right ankle)

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

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

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

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

OT Cody Ford (right trapezius/neck)

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

Trapezius
Credit: Youtube.com

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

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

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

CB Taron Johnson (right ankle)

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

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

Other observations 

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

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

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

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

Top Photo Credit:

DemocratandChronicle.com

Week 12 Bills Injury Review- Broncos

Are Morse & Beasley going to play Thursday?

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

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

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

C Mitch Morse (right 5th digit)

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

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

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

WR Cole Beasley (left ankle)

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

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

WR Robert Foster (right hamstring)

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

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

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

Other notes:

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

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

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

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

Top Photo Credit:

Rochesterfirst.com

Week 7 Bills Injury Review- Dolphins

Breaking down the severity of Williams, Coleman, & Johnson’s injuries.

I love the Buffalo Bills, I really do. But that was one hard game to watch on Sunday. The Bills, coming off a 4-1 start & a bye week, hosted the 0-5 Miami Dolphins at New Era Field. While the final score of 31-21 was not as close the game really was, the Bills nearly gave Miami a win which would have dealt a blow to their playoff chances. Fortunately, the Bills moved to 5-1 with fewer injuries than they had following the Titans win. 

Prior to the game, it was announced that both LB Corey Thompson (ankle sx) & Matt Milano (hamstring) were ruled out indicating that the Bills would be short at the position Sunday. While Milano’s presence was missed, it was still the right move to not rush him back as there is still much more football to be played.

Others coming back from injury included WR John Brown (groin), TE Tyler Kroft (ankle), RB Devin Singletary (hamstring), & CB Taron Johnson (hamstring) were all able to return and did not appear to demonstrate any restrictions, though their production in play greatly varied. Moving to the Dolphins game, reviewing the injuries below:

 

CB Kurt Coleman (hamstring)

Going in chronological order, Coleman suffered a hamstring strain late in the 2nd quarter with 2:15 left on a punt return. It was difficult to see on the broadcast, but this occurred as he ran down the field as a gunner before coming up lame before the ball was even caught. 

Like all the other hamstring injuries this season, expect the Bills to be conservative in slowly bringing Coleman back into the special teams fold. Look for a minimum of 2 games before he is able to return. Observing the hamstring injuries so far this season, most have come on full out sprinting with some change of direction or deceleration incorporated into the injury. This doesn’t mean that the Bills are doing anything wrong in preventing these injuries, it just shows that going all out on every play, even the best, most conditioned athletes can get hurt. 

 

WR Duke Williams (right shoulder)

Williams suffered a right shoulder injury on a 23-yard completion late in the 3rd quarter. After hauling in the catch, Williams fell hard onto his right shoulder before rolling out of bounds in obvious pain. Miraculously, he was able to return late in the 4th quarter in a red zone package on the WR Cole Beasley touchdown. Later, it was reported that he went in for x-rays following the game.

Looking at the actual injury itself, it appears as though Williams suffered either a contusion or AC joint sprain, also known as a separated shoulder. The mechanism of injury for this is falling directly onto a shoulder without the ability to brace against the fall. Considering that he fell more on the top of the shoulder, I believe he may have sustained an AC joint sprain. This is the area that the acromion connects with the collarbone. This allows the collarbone to connect to the scapula and create a framework for the shoulder muscles to connect in order to move freely during arm motion and overhead movement.

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Credit: http://www.dovemed.com

There is a slight chance he could have suffered a glenoid labrum tear, but that is relatively unlikely considering the shoulder was slammed into the ground versus falling on an outstretched arm. If he sustained this, then I expect to see bracing on the area which will be a dead giveaway. There was also a chance he could have sustained some type of clavicle fracture due to the hit, but if he had sustained that, he would not have been cleared to return & a public report would have been made.

The fact that he was able to return to the game even in a limited fashion indicates that this may be more of the AC sprain/contusion variety. He may be limited in practice this week as he recovers, but his availability in practice will further dictate the specifics of the injury. Looking back at past research from other articles, the average time for a player to miss is 9.8 days according to data obtained from the NFL injury surveillance system. The fact that he doesn’t have to throw a football may accelerate his return. It’s very possible he plays next week. If he does miss any time, it should be minimal one game as a precaution.

 

LB Maurice Alexander (left hip)

Alexander, filling in for the injured Matt Milano, suffered a left hip injury while tackling Dolphins TE Mike Gesicki going out of bounds. The tackle itself was clean; the injury occurred when Alexander’s left hip fell on Gesicki’s foot while going down. He attempted to walk back to the field but quickly went down for medical attention, motioning to his left hip/back region.

Thankfully, he was able to return as the Bills were only carrying four linebackers Sunday. This injury may have been a hip pointer which is a deep bruise to the iliac crest. This is the portion of the hip where the core muscles attach and give that distinctive flair out seen in the hips. Considering the muscles attach there; twisting, side-bending, & engaging the core muscles further aggravate the injury with pain being the major limitation.

This may be an injury that Alexander doesn’t miss anytime with or even show up on the injury report. If he does miss anytime, I wouldn’t expect any more than one game. But noting these minor injuries here explain why the player went down & the possibilities of the injury.

 

CB Kevin Johnson (stinger)

Johnson suffered what has now been termed a stinger following evaluation for a head injury Sunday. These injuries are subtle on film and may not be apparent, but Johnson’s last play during the game came with 3:27 left in the 4th quarter. Johnson managed to tackle Dolphins WR DeVante Parker with assistance from Bills LB Tremaine Edmunds. 

While we are not certain that this play caused the stinger injury, it’s likely due to the fact that his head bent awkwardly & was rolled over as he hit the turf. He initially appeared dazed for a moment following the play & did not return. 

A stinger occurs as the result of the neck getting forcefully sideways and down, putting pressure on the cervical nerve roots coming from the spinal cord. These can be pinched by the vertebrae stacked above & below the nerve or can be the result of a disc protruding out & pushing on the nerve root. The nerve roots can also be overstretched due to traction from the neck getting hit in the opposite direction. A direct blow is yet another way for this to occur.  The pain associated with this is what gives it the name burner or stinger. The nerve root that is compressed sends a pain signal down that nerve & gives the unwelcome sensation. 

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Credit: http://www.aafp.org

This pain would only be produced in the affected nerve roots which means if someone sustains a stinger, they could feel it down in the specific parts of the arm/hand based on which nerve has impinged. This could be felt in places such as the 4th and 5th digits on the hand with resulting grip weakness or difficulty lifting the arm up overhead, indicating the specific nerve root affected. The effects of the stinger may linger for several days or the symptoms could resolve quickly.

Most of the time, these injuries are minor & don’t cause further issues. Return to sport would be indicated when the player is pain-free, full strength and range of motion have returned, and no flare-up of symptoms occurs. If this becomes recurring or linger, then further examination is warranted. This could involve getting an MRI or nerve conduction studies to further identify the specifics of the injury. It could lead to surgical consults if there was a need for cervical fusion due to instability or if the injury was high enough in the cervical region, potentially career-ending as in the case of former Bills C Eric Wood

I do not believe this to be the case. I merely lay out the possibility of the severity of the injury & what this means regarding stingers. It is still too early to determine if he misses any games or will be limited in practice.

Fortunately, the Bills walked away from Sunday with far fewer injuries than in previous contests. The injury report will be far smaller than in past weeks & indicates that the Bills are getting healthy as a critical stretch in their season approaches. While the quality of the opponent’s vary, they still all pose a threat to the Bills playoff chances. This team is built for depth but there is a clear difference between starter & replacement level players, evident over the past few games. This week’s practice will hopefully show progress for Thompson, Milano, and Johnson as the Bills prepare to host the Eagles next Sunday. 

Top Image Credit:

http://www.predictem.com

Week 7 Bills Injury Preview- Dolphins

Will Kroft, Johnson, & Singletary finally make their home debuts?

The Bills are back into the swing of things following a well deserved & well-timed bye week. The team has been preparing all week getting ready for a tire fire that is the Miami Dolphins franchise, looking to move to 5-1. While most fans are overlooking this game as a win, nothing is guaranteed in the NFL & this is no exception. Regardless of the opponent, the Bills are getting healthier for the next 11 games. The injury concerns are as follows:

QUESTIONABLE:

LB Matt Milano (left hamstring)

Milano resumed practice Monday performing ladder drills off to the side while everyone else ran through regular drills. Considering that Milano plays such a vital role in the defense & has to react to what he’s seeing in front of him, forcing him to keep up with the play. He will have to backpedal, change directions suddenly, and sprint. These activities will require a full recovery before attempting to return to play.

Milano was limited in practice Wednesday but was running and performing drills, indicating that he may be further along than originally anticipated. He was running a straight line, albeit, not full speed. He was performing tackling drills without much compensation. He is moving well considering he had a hamstring injury, but doesn’t appear to be fully healthy. He has been ruled questionable & I don’t expect him to play. 

LB Corey Thompson (ankle surgery)

As it’s well known now, Thompson has been working back from ankle surgery that has kept him out the past 2 games.

The video showed that Thompson returned to practice in a limited fashion Wednesday indicating that he is approaching his return. He may be nearly healthy & just working to get back into game shape. It is still unknown what ankle he had the surgery on but the video appears to show some greater bulk on the right ankle which may indicate bracing for extra support. He has since been ruled questionable, but I believe he has a shot to play in a special teams role to work back into game shape. He could also be available as an emergency backup in the likely event that Milano doesn’t play. 

CB Taron Johnson (right hamstring)

Johnson has been an enigma this season, coming back from a torn labrum last season that ended his season prematurely. He appeared incredibly healthy & ready to take the next step until he suffered a right hamstring strain during the Jets game. He has since missed the past 4 games that makes me believe he suffered some type of setback prior to the Patriots game. 

It’s a shame that his body does not appear to withstand the rigors of the NFL game. This doesn’t mean he won’t even be able to play again, but he may need to reinvent himself in order to last longer than 1 season in the league. 

This week’s practice was promising that he was practicing in full, but no other updates other than his availability was noted. Interestingly though, he has been ruled questionable. The only possibility is that he wants to test it out to ensure that he is truly ready. He’s been out long enough that he should be fully healthy & regain his starting role in the secondary.

WILL PLAY:

WR Robert Foster (turf toe/groin)

Foster continues to battle through a recent groin injury & what is now a possible lingering turf toe injury. While the groin injury is more pronounced, the toe is still likely causing issues regarding running efficiency. 

However, things are looking promising for Foster as he was able to practice in full this week indicating that while he may not be 100%, he is closer to playing this week as indicated by the practice designation. Players are deemed to practice in full if they take all the normal reps at that position. They are limited if they miss reps by design or due to injury. If they did not take reps, but practiced on the side, then they are did not participate.  Thankfully, Foster will be able to play Sunday. 

OT Ty Nsekhe (right ankle)

We still don’t know the specifics dealing with Nsekhe, coming off a minor Week 3 ankle injury followed by a Week 4 injury that appears to have been either a contusion or high ankle sprain. According to still pictures from Monday’s practice, this may be more of a contusion as he did not appear to have any bracing on the right ankle. Other shots showed that he was able to go through blocking drills without any significant issues. 

Wednesday’s practice noted that he did not practice due to requiring a veteran rest day, but the video showed him performing warm-ups and side-stepping drills. Fortunately, Nsekhe was able to practice in full Thursday despite the cold & rainy weather which indicates that this supports the contusion theory. Friday’s injury report states that he will play Sunday.

There is a concern that Nsekhe is unable to hold up through an entire game, much less than an entire season. He is 33 years old in a physically demanding position with nearly a decade of professional football to his resume. Whether he can withstand full games anymore is only something that Nsekhe & the training staff know. If OT Cody Ford continues through his development, there is hope that Nsekhe can sink back into a reserve role. Until then, he will rotate with Ford unless the team says otherwise.

TE Tyler Kroft (left ankle/right foot)

Kroft is finally looking good after an incredibly trying season thus far. The video below shows that the right foot appears to be completely healed up & the left foot/ankle accepting dynamic weight bearing activities during the cone drill. He doesn’t appear to miss a step, he doesn’t appear to favor one side or slow down when pushing off. I’m very optimistic about him finally making his season debut. He was able to practice in full this week which is about as good of a sign as one can get.

RB Devin Singletary (left hamstring)

Without question, Singletary will play Sunday! He looks excellent on video, there haven’t been any changes in how he looks from the last video available & barring a meteor hitting Buffalo, he should play, even if the weather isn’t ideal. At some point, an athlete has to play. The conditions will only be so ideal or so much rest will help. He may get injured, but any guy can be injured on any given play. Singletary continues to look good in practice this week & there should be no reason why he can’t play Sunday. 

OT Cody Ford & DE Trent Murphy (concussions)

Both Ford & Murphy are working back from concussions sustained in the Titans game and appear to be making some progress. Reports from Monday’s practice indicated that both were working through the protocol performing light aerobic exercise which indicates that appear to be in Stage 2 of the concussion protocol.

However, this week’s practices indicated that both were able to practice in full signifying that were in Stage 5, requiring that they needed to be cleared by an independent neurologist. Monday’s practice may have been just the nature of the activities they were performing rather than the actual stage of recovery. They have both appeared to have been cleared by the neurologist which indicates they will play Sunday. 

WR John Brown (groin)

Brown was a surprise addition to the injury report Wednesday with a groin injury & was limited in practice. His snap counts from the past 5 games can be seen below & did not greatly differ from game to game. 

Reviewing game footage from the Titans game didn’t reveal any specific instances of injury which leads me to believe that he suffered the injury during Wednesday’s practice. Thursday’s practice was more promising in that he moved well on film, but did not show his full abilities. However, he has since been ruled in to play but it will be interesting to see if his snap count is affected by the groin & addition of Foster. 

C Mitch Morse (right ankle)

Morse sat out the rest of the Titans game as what appeared to be a precaution to avoid worsening any injuries. He appeared to be dealing with a contusion suffered midway through the 2nd quarter. While there is pain, there isn’t much that is functionally wrong. He should not have any issues come Sunday & continue to demonstrate why he’s one of the highest paid centers in the NFL. This week’s practice supported how he is recovering with no bracing or difficulties observed according to reports. He at most may have had his ankle wrapped in prewrap & tape, but this would not be concerning for his ability to play Sunday.

QB Josh Allen (hand)

Allen appeared on the injury report this week with a hand injury but was able to practice in full. To specify, he injured his left hand when he threw his interception against the Titans in where he hit his hand against Harold Landry III’s shoulder pads.

This may a contusion that he is still having some pain with, this may also be a minor sprain of the metacarpophalengeal joint due to the direct hit on the shoulder pads. He may have some bracing to the area at worst, but unlikely as it would restrict his ability to grip the football if he were to run or have to protect the ball. 

However, as pointed out by a follower on Twitter, the injury report indicated the right hand was injured. This is a new development & previously unknown what caused this. As he practiced in full, this may not be an issue, but certainly, something to monitor. 

My predictions for inactive’s are:

LB Matt Milano

OG Ike Boettger

OG Ryan Bates

S Jaquan Johnson

S Dean Marlowe

WR Isaiah McKenzie

TE Tommy Sweeney

This is a very winnable game to get to 5-1. This Bills team is not what we are used to seeing, getting full of themselves, beating them at their own game when cupcakes like this come up on the schedule. This is a team that is built to play, a team that knows their role each and every Sunday. This team may not be the most talented, but they are certainly one of the hardest working. The bye week really made a difference in health & allowed the Bills to get back in the right frame of mind for the next 11+ games. 

 

Week 5 Bills Injury Review- Titans

Will the Bills survive Sunday’s injury massacre?

Thank god that game is over. For all you new readers, this is my 3rd season covering Buffalo Bills injuries & while there have been some tough injuries to stomach, today’s game as a whole was painful both literally & figuratively. I do not remember a time where I nearly lost track because the injuries came in so fast. Fortunately, the Bills have a bye next week & it couldn’t have come at a better time. Last time this year, the Bills walked into Houston with no one on the injury report. Amazing how one year can change so much. This is a team that will bend, bend, bend, but not break. As always, injury recap below in chronological order. 

Those ruled inactive prior to the game included: 

WR Robert Foster (groin/turf toe)

TE Tyler Kroft (ankle)

LB Corey Thompson (ankle sx)

CB Taron Johnson (hamstring)

RB Devin Singletary (hamstring)

OG Ike Boettger 

OT Ty Nsekhe (ankle)

Thompson & Kroft continue to be out until further notice. Foster, Johnson & Singletary are all dealing with soft tissue strains which could have been aggravated by the slick conditions. Nsekhe is dealing with an ankle injury that appears to have been an aggravation from 2 weeks ago. 

C Mitch Morse (ankle)

Morse was the first injury of the day, dealing with what appears to be a left ankle injury. The injury appears when RB Frank Gore ran up the middle with 9:25 left in the 2nd quarter and appeared to kick Morse by accident. Morse rolls over and appears to be favoring the ankle before getting up, walking with a slightly labored effort. 

He was able to play several more snaps before getting removed in favor of OG Jon Feliciano. Morse did not appear in the game the rest of the day but was on the sidelines appearing to stay loose. 

This may be more of a contusion, similar to an injury observed with a leg whip. There may have been other possibilities such as a low ankle sprain or mild high ankle sprain not readily noted on film, but this is most likely. This isn’t something that should hold him out for long, but reports indicated he was limping around the locker room after the game as evident by the video below.

During Monday’s presser, HC Sean McDermott noted that if it was needed, Morse could have gone back in and played if further injury occurred. This is incredibly promising as this indicates that the injury alone doesn’t appear to be serious if they were willing to play him. I believe he will be able to play against Miami.

C/G Jon Feliciano (right leg)

Feliciano was injured with 10:40 left in the 3rd quarter when QB Josh Allen threw a costly interception. The offensive mauler was attempting to bring down S Kevin Byard when he fell down attempting to get a tackle. Unfortunately, OT Dion Dawkins fell onto his right leg, leading to the injury. Friendly fire is never ideal but is a part of the game. 

He limped off but amazingly did not miss a snap, keenly aware of the lack of depth at the offensive line Sunday. I’m sure that he has some pain in the leg, but injury-wise, this doesn’t appear to be anything that should cause lasting effects. 

QB Josh Allen (left hand)

On the same play as Feliciano, Allen threw the costly interception and had a minor collision with Titans LB Harold Landry III in where his left hand appears to hit the shoulder pad, namely at the metacarpophalangeal joint. He may have jammed his left thumb or suffered a contusion, causing him to favor the area briefly after the play. Considering this isn’t his throwing hand & he didn’t miss a snap, this isn’t something that the team should be worried about. Even if something did happen such as a minor sprain, this is something that could potentially heal during the bye week. Worst case, he could wear a brace as it’s his non-throwing hand. Unless there is an injury update, consider this injury, like Feliciano’s to be a dead matter. 

OG Cody Ford (concussion)

Ford, unfortunately, suffered a holding penalty on the play that led to his exit from the game due to injury. With 4:53 left in the 3rd quarter, Ford engaged with his defensive lineman assignment & got pulled down, driven headfirst into the ground. It initially appeared as though he got the wind knocked out of him, but reports later indicated he was assessed for a head injury. 

He has since been placed into the concussion protocol since Monday’s press conference. To note, it’s not a guarantee that he moves through the protocol quickly like some of his counterparts. However, having the bye week to recover only benefits him. 

LB Matt Milano (left hamstring)

Milano, a beast all season, continued his stellar play this week until the injury bug hit. Milano tweaked his left hamstring while attempting to slow down & possibly change direction in preparation to take down the Titans TE Jonnu Smith on the long reception. On film, it shows that he grabs at his hamstring towards the very end but is able to walk around afterward.

He was able to participate in one more play before motioning to come out & did not return. Regrettably, the deceleration in slowing down due to the eccentric contraction of the muscle caused the injury. Considering the grass was slick due to the rain, it was smart for him to not return. 

Taking into account the fact that CB Taron Johnson & RB Devin Singletary did not play today due to the same injury, this led to Milano not returning. Based on identifying how the team manages hamstring injuries, it’s very possible Milano misses the Dolphins game. Even then, he could miss the Eagles game as well, but until we have more information, his timeline for return will be very fluid. 

To make a note, Milano dealt with some hamstring issues during his rookie year early on during the Panthers game in ‘17 & missed the playoff game after suffering a hamstring strain against the Dolphins. He did not appear to have any issues last year according to records. While he has a history of hamstring strains, I cannot find evidence that this was the same side nor do I believe that the rookie year strains are affecting his most recent injury.

DE Trent Murphy (concussion)

Murphy has been incredibly healthy all season up until early in the 4th quarter. With 14:12 left, he was closing in for a sack on the left side while LB Lorenzo Alexander was coming from the right. Alexander came in slightly more direct on Titans QB Marcus Mariota before Murphy came slightly outside and collided. As expected with any possible head injury, Murphy was assessed for a possible concussion, ending his day. 

Like Ford, he has since been placed in the protocol & the hope is that he progresses through swiftly. We will probably not know where he or Ford stand until next Wednesday when practice resumes. 

S Jordan Poyer (head)

Similar to Murphy’s hit, Poyer attempted to help take down the ball carrier, assisting LB Lorenzo Alexander before colliding with him with 8:20 left in the 4th quarter. He was quickly assessed, missing several plays. Based on his ability to return to the game, he did not have any concussion-related symptoms, but this doesn’t prevent him from developing issues later on.

Thankfully, there have been no reports of concussion protocol for Poyer, though Matthew Fairburn & Joe Buscaglia of The Athletic reported on the Buffalo Beat podcast that he got a stinger on the play. I haven’t been able to confirm this anywhere else, but when there are questionable head injuries, the team is required to remove the player for further evaluation until a determination has been made. I don’t expect that Poyer will miss anytime or end up on next week’s injury report barring any new information. 

DT Ed Oliver (left foot/ankle)

Finally, the carnage is over, the last injury of the game. Oliver appeared to injure his left foot/ankle with 4:53 left in the 4th as he attempted to tackle Titans RB Derrick Henry. He did succeed in his quest, but in the process, for flipped over & his left foot hit the turf. He was able to get to all fours but appeared in distress immediately. He was able to walk off under his own power after a brief assessment by trainers. He may have suffered a contusion or jammed his ankle as a result of the hard slam. He did not return to the game, but there was not an opportunity to as the offense was able to close out the final minutes of the game & seal the win. This may be yet another injury that may not make much noise & be quickly forgotten about.

This game is done, finito, finished, ceased to continue. The Bills escape Nashville with a hard-fought 14-7 win & a bevy of injuries, but a bye to look forward to next week. As for those still working through injury, this week off will ideally help several key players to recover to make their triumphant return to New Era Field against the Dolphins in Week 7.

Top Photo Credit:

Syracuse.com

Week 5 Bills Injury Preview- Titans

Will Allen be cleared to play in time?

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

RULED OUT:

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

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

 

QUESTIONABLE:

QB Josh Allen (concussion)

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

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

S Dean Marlowe (concussion)

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

FB Patrick DiMarco (concussion)

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

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

Author’s Note:

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

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

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

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

WR Robert Foster (groin)

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

CB Taron Johnson (hamstring)

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

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

RB Devin Singletary (hamstring)

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

OT Ty Nsekhe (ankle)

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

 

CLEARED

OG Spencer Long (ankle)

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

CB Tre’Davious White (ankle)

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

WR Cole Beasley (ankle)

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

 

OTHER’S TO NOTE

OG Jon Feliciano (neck)

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

WR Zay Jones (shoulder)

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

WR Isaiah McKenzie (ankle)

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

OT Conor McDermott- waived

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

Possible Inactives:

TE Tyler Kroft

LB Corey Thompson

S Dean Marlowe

CB Taron Johnson

WR Robert Foster

OG Ike Boettger

OT Ty Nsekhe

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

Top Photo Credit: CBS Sports

Week 4 Bills Injury Review- Patriots

Will Allen & White be ready to go Sunday?

The Bills have something special on the team this year, the grit, the willingness to not give up, the ability to battle no matter what. Despite a disastrous first half, the Bills rebounded to get back within a score, but could not close it out against one of the NFL’s best. Regardless of the 16-10 score, the Bills set themselves up to bounce back in Week 5 against the Titans. The Bills defense have not let up more than 17 points in a game this season & have shown the ability to stay in games. With next week in Nashville & a bye coming thereafter, this will certainly affect the injury management moving forward.

Looking at the inactive list from Sunday, there were several notable surprises. WR Robert Foster (groin), RB Devin Singletary (hamstring), CB Taron Johnson (hamstring), & OG Spencer Long (ankle) all were dealing with injuries from this past week but weren’t certain to sit out. Singletary was looking productive in practice this week but may have felt that he wasn’t 100%, wanting to avoid injury. Same goes for Johnson. Below is confirmation that Singletary was close to playing but decided against it.

Foster is dealing with a groin injury in addition to a previous turf toe injury which made his availability unlikely, making the decision to be inactive a smart one. Long was dealing with an ankle injury as a late addition to the injury report Friday. We will find out more this coming week with all the injuries, but this is why the depth is critical as injuries pile up.

For those coming off injury, OG Jon Feliciano didn’t appear fazed by his neck injury & was able to play in every offensive series. LB Maurice Alexander played in 79% of special teams play which has been in line with his participation through the previous 3 games. WR Isaiah McKenzie was active but only played in 1 snap & wasn’t a factor indicating the ankle injury was worse than previously thought. He likely was active as there wasn’t another option to replace him. 

Looking at injuries today, there wasn’t a ton, but the ones that the Bills did sustain affected major contributors. 

 

CB Tre’Davious White (right ankle)

White suffered a right low ankle sprain with 8:29 left in the 2nd quarter. Brady threw a pass to the left to Josh Gordon whom CB Levi Wallace wrapped up to bring down. White pursued the ball and to avoid delivering a late hit as Wallace/Gordon was going down, he began slowing up, half running, half hopping. His right foot hit short and the foot snapped inward, tweaking the ankle in which was an obvious low ankle sprain. He left briefly before returning with a likely quick tape job around the ankle for stability. 

He later left before the 2nd quarter was finished to go to the locker room to get a head start on a further evaluation of the ankle & get bracing on the area. White was able to play the rest of the game, but at times appeared a step slower. He was able to keep up with the coverage on vertical plays, but the moment he had to pivot off the right foot, he wasn’t able to as effectively which put him at a huge disadvantage.

Whether this affects him for next week is uncertain for now. A low ankle sprain can be played through, but considering he has the bye coming up, it wouldn’t be crazy for him to sit out next week. Low ankle sprains can take 1-3 weeks to get back to full function with a suspected Grade 1 sprain. He may also still be dealing with his neck injury from the past 2 weeks. Wednesday will tell us more about his availability.

 

S Dean Marlowe (head)

Marlowe reportedly was assessed for a head injury late in the 3rd quarter with 4 minutes left & did not return. Looking at game film, he actually suffered the potential head injury much earlier on the kickoff return by the Patriots following the Bills scoring play with roughly 10 minutes left.

Marlowe wrapped up the returner and then appeared to get hit by a flurry of bodies that assisted in completing the tackle. He was able to get off the field but appeared possibly dazed. Unfortunately, he must have begun dealing with possible concussion symptoms, leading to an evaluation. He did not return & and he has since been placed in concussion protocol.

 

QB Josh Allen (concussion)

Obviously, the biggest concern from Sunday was the brutal hit that Allen took early in the 4th quarter with 14:54 left on a helmet-to-helmet hit. This hit was especially unfortunate as he was already wrapped up & CB Jonathan Jones came in with a brutal hit that left Allen crumpled in a heap for several moments, quickly tended to by the medical staff. Looking at the video below, he got hit on the crown of his head on the left side, goes down onto his right with the right side of his head bouncing off the turf. He was down for a few moments before getting up and having an assessment in the blue tent. He later ran into the tunnel to have a further assessment which indicated his day was done. After the game, he was placed into the concussion protocol. 

As to how serious the concussion is or the timeline he is out, we won’t know until Wednesday when we see if he is available to be on the sidelines for drills or participating in light football activities. He is not allowed to speak to the media while in the protocol, so all information will flow through McDermott who typically does not offer much detail. To read more about concussions, check out this article. To view a graphic of the concussion protocol, check it out below. 

This is the exact reason the team brought back QB Matt Barkley in moments like this. If Allen can’t go, they can turn to Barkley & activate QB Davis Webb from the PS as a backup. Concussion protocol can go quickly, but we have seen both C Mitch Morse & former QB Derek Anderson experience lengthy absences during their respective concussions.

There may be other minor injuries & things pop up on the injury report for Wednesday. But until then, the team may be without both Marlowe & Allen with White also either missing the game or not playing at 100% heading down to Nashville. We can only hope the team as a whole gets & stays healthy in order to prevent a repeat of past seasons with a hot start followed by a fizzle. 

Top Photo

Creator: Barry Chin/Globe Staff

Credit: The Boston Globe