2020 Week 6 Bills Injury Preview- Chiefs

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

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

OUT

TE Dawson Knox (calf)

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

QUESTIONABLE:

LB Matt Milano (left pectoral)

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

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

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

Credit: James P. McCoy/Buffalo News

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

CB Tre’Davious White (back)

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

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

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

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

WR John Brown (left knee)

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

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

G Quinton Spain (foot)

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

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

ACTIVE:

Josh Allen (left shoulder)

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

Tremaine Edmunds (right shoulder)

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

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

Zack Moss (toe)

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

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

S Micah Hyde (unknown, possible ankle/knee)

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

Other injury news:

G Jon Feliciano (right pectoral injury)

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

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

Inactives:

TE Dawson Knox

RB TJ Yeldon

QB Jake Fromm

LB Matt Milano

G Quinton Spain

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

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

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

Top Photo Credit: James P. McCoy/Buffalo News

2020 Week 4 Bills Injury Preview- Raiders

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

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

OUT

LB Del’Shawn Phillips (left quadriceps)

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

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

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

QUESTIONABLE

DE Mario Addison (knee)

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

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

RB Zack Moss (toe)

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

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

ACTIVE

WR John Brown (calf/foot)

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

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

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

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

LB Tremaine Edmunds (right shoulder)

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

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

TE Dawson Knox (concussion)

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

T Dion Dawkins (right shoulder)

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

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

S Micah Hyde (left ankle)

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

DT Quinton Jefferson (foot)

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

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

DT Ed Oliver (right knee)

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

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

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

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

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

CB Josh Norman (left hamstring)

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

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

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

Inactives:

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

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

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

Top Photo Credit:

Chris Benoit Facebook/Nate Mendelson Twitter

2020 Week 3 Bills Injury Preview- Rams

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

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

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

OUT

RB Zack Moss (toe)

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

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

PTEducator.com

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

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

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

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

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

TE Dawson Knox (concussion)

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

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

LB Del’Shawn Phillips (quadriceps)

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

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

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

QUESTIONABLE

LB Matt Milano (hamstring)

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

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

LB Tremaine Edmunds (right shoulder)

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

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

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

CB Taron Johnson (groin)

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

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

ACTIVE

WR Cole Beasley (hip/right thumb)

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

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

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

DT Ed Oliver (right knee)

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

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

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

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

CB Tre’Davious White (shoulder)

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

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

WR John Brown (foot, possible plantar fasciitis)

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

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

ChoosePT.com

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

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

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

Final thoughts:

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

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

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

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

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

Inactives:

QB Jake Fromm

RB Zack Moss

TE Dawson Knox

LB Del’Shawn Phillips

OL Ike Boettger

DE AJ Epenesa

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

Top Photo Credit: WKBW

2020 Week 1 Bills Injury Preview- Jets

How are the Bills looking heading into the season opener?

FOOTBALL IS BACK!!

The Bills face the New York Jets on Sunday in a much-needed distraction from what 2020 has become. As expected due to the truncated offseason, both teams are entering the game with several injuries. Fortunately, the Bills appear to be the healthier of the two teams. Today’s post will focus on the Bills injuries as they always do. If time was to be spent on the Jets, we would be getting into making this a chapter book. For easy reference, see the Jets injury report below.

As for the Bills, there are several injuries on the defensive side of the ball that could challenge the depth that the front office has worked so hard to build up. Below is each player’s status & injury.

OUT


CB Josh Norman (left hamstring strain)

He has officially been ruled out of Sunday’s matchup against the Jets despite injuring his hamstring more than 3 weeks ago. This is regrettable as he appeared to be on track up until this week.

This tells us several things about the injury.

  • It was possibly more severe than originally thought. This strain could be a Grade 2 which can take 4-8 weeks on average to recover.

  • He may have suffered a Grade 1 but re-injured it on Monday, the last practice that he participated in. He had looked well in video running through drills, but still had the leg wrapped.

  • This also potentially resets the timeline of when he will return. 1-3 weeks is a typical timeline for Grade 1 strains, but if it’s a Grade 2, he may only be half better by now. Or if it was a Grade 1 with reinjury, he may have to restart his rehab which could mean that he misses 2-3 weeks.

Defensive backs make up 23% of hamstring strains when compared to other positions and 12% of all training camp injuries are hamstrings. Norman was just outside the 2-week window where re-injury is at its highest but that window is still open for up to 4 weeks from the onset of the injury. Next week will show where he may be in terms of recovery and availability.

These are frequent injuries seen in training camp & occur even without abnormal preseasons. He may not be 100%, but considering he has a specialized role on special teams, he could be effective in limited action. It will be important to note how effective running & cutting can be, especially when cutting to the left, pivoting off the right knee. could be continuing to deal with issues especially cutting, could limit his return ability. Jones has dealt with numerous injuries before, this will be yet another injury he plays through.

QUESTIONABLE

DT Vernon Butler (hamstring)

Not much more can be said about hamstrings that haven’t been mentioned already for Butler. He practiced in full which indicates that he is likely to play Sunday. He has the added benefit of being in a rotation on the defensive line which will limit fatigue & overuse throughout the game.

He won’t have to work up to top-end speed like Wallace & Norman do but he will have the responsibilities of trying to drive through and around his blocker which will force the hip into extension. This is a primary function of the hamstring which could cause problems if he does too much. He will likely play but there is concern that he re-injures it.

ACTIVE

CB Levi Wallace (hamstring)

Fortunately for the CB2 position, Wallace is active & will get the start Sunday. He suffered his hamstring strain shortly after Josh Norman went down with an injury.

The only difference between Wallace & Norman was the designations upon injury. Wallace was listed day-to-day whereas Norman was week-to-week. Hamstrings continue to be a common injury early in training camps & early-season games. Hopefully, Wallace does not suffer a re-injury due to fatigue & puts this injury behind him.

RB Taiwan Jones (right knee)

Jones has been dealing with the injury since August 26th as camp was wrapping up. Reports indicated that he stepped awkwardly and went down, requiring trainers to tend to him. Without video, it’s hard to get a true gauge on the injury. But based on the wording, he could be possibly dealing with an MCL sprain or meniscus tear. I’m leaning towards the MCL due to the shorter timeframe that he has been limited.

Remaining injuries on IR:

G Jon Feliciano (left pectoral tear)

He continues to work back from his injury, recently ditching the sling early last week indicating that he is on track with rehab. Based on his timeline, he has one month to get in NFL shape & strength which is a really tall order. If the Bills get off to a great start, then this can allow Feliciano to take the time he truly needs to return & not rush back, risking the possibility of re-injury.

TE Tommy Sweeney (left foot fracture)

Sweeney is on the PUP list with the foot fracture & is not able to come back until Week 6 at the earliest. As midseason gets closer, we will have an idea of a Week 7 return is realistic or if he will need more time to fully get back into shape.

INACTIVE LIST

This is incredibly tricky due to the fluid nature of the practice squad list. However, there still has to be several inactives.

CB Josh Norman
G Ike Boettger
QB Jake Fromm
RB TJ Yeldon
TE Reggie Gilliam
WR Isaiah McKenzie

Fortunately, the Bills are in much better shape than the Jets coming into the game. The true test will be managing the workloads of all the players & not exacerbating or creating any new soft tissue injuries. I expect a Bills win not only due to talent but overall health. It is simply wonderful that football is back & can provide some sort of normalcy in an already crazy world.

Photo Credit:

Niagara-Gazette.com

G Ike Boettger Injury Profile

#65 Ike Boettger

Position: G
Height/Weight: 6’6”/313 lbs.
Age: 25
College: Iowa
Year joined Bills: 2018
Acquired: Waivers via Chiefs

College Injuries:

TBD

Pro Injuries:

2018 Chiefs/Bills:

No publicly reported injuries.

2019 Bills:

No publicly reported injuries.

General links:

2019 Bills Injury Review- Center/Guard

2020 Bills Injury Preview- Center/Guard

Bills 2020 Training Camp Injury Preview: Center/Guard

Will Morse, Spain, & Feliciano stay healthy in 2020?

This is Part 6 of the Buffalo Bills training camp preview revisiting injuries from 2019 & the impact it may have on their performance and availability in 2020. Part 6 consists of the center/guard room.

Players Returning

C Mitch Morse

16 games, 16 starts, 908 snaps, 2 holding penalties

Like most of the other players on the offensive line, Morse is quite tough, not letting most injuries get him down. The Bills free-agent prize of 2019 had high expectations coming to him following a solid career in Kansas City. Regrettably, he brought with him some notable injuries including a long history of concussions. That history continued to follow him to Buffalo along with some other smaller issues that thankfully did not cost him anytime.

Below is Morse’s known injuries:

    • Concussion

Morse suffered a concussion on a rather innocuous hit early in training camp. The time spent in the concussion protocol was extended due to his extensive previous injury history. As a result, he missed the entire preseason and all the contests as he slowly worked his way through the protocol. 

Towards the end of the preseason, it was revealed that Morse cleared the concussion protocol just prior to the cut-down day and was cleared for the regular season. There is the thought that the team purposely did not rush him through the protocol to ensure that he was fully healthy, but that also meant that he was not allowed to speak to the media while in the protocol, thereby reducing the stress of coming to a new team.

    • Right ankle

Morse suffered a right ankle injury when RB Frank Gore kicked him by accident as he ran up the middle in the 2nd quarter of the Titans game. He played a few more snaps that game before sitting out the entire 2nd half as Feliciano took over center duties. Considering all the injuries the Bills were dealing with prior to the bye, they did not want to risk the health of a starting offensive lineman. 

    • Right 5th digit hand

This injury was the result of engaging his Broncos defender before falling down to the turf, landing on his right hand. He came up grabbing the pinky area running to the sidelines. He was observed on the sidelines the rest of the afternoon with the finger buddy taped to the ring finger, even practicing snapping with QB Matt Barkley. Due to the Bills taking care of business, Morse was once again not needed for the rest of the game. 

    • Right ankle

Morse once again suffered a right ankle injury, this time when Patriots DE John Simon fell on the back of his foot late in the 4th quarter during the second meeting with New England. He was assessed by trainers and did not return to the game despite the Bills still having a shot to win the game. It was later reported that had the Bills had another drive, he would have been able to return which indicated that the injury was not severe. 

Overall, Morse was relatively healthy once he got past his preseason concussion. The finger and ankle injuries are just a byproduct of the position he plays and is not concerning moving forward into 2020. Morse has had 4 documented concussions and there is a concern for a fifth. Looking back at the article from Buffalo Rumblings, players who suffer 3 or more concussions are 3x more likely to suffer another one. Morse is in that danger zone; hopefully, the augmented training camp may reduce his chances for a 5th head injury. 

G/C Jon Feliciano

16 games, 16 starts, 947 snaps, 2 holding, 2 false starts, 1 fumble recovery

Feliciano truly is a warrior. He started all 16 games, was called upon multiple times to play center when Mitch Morse went down and overall was a mauler. He quickly established himself as an anchor at the guard position which really helped solidify the line to ensure consistency. Through all this, he played with multiple injuries that would sideline most players.

Feliciano’s injuries below:

    • Left shoulder rotator cuff tear

Feliciano went down with a left shoulder injury at the Bills home scrimmage at the beginning of August last year. He was done with the practice for the night and at the time, it was not known what he was dealing with. It appeared to be minor and it quickly became a non-issue.

Fast forward to January following the playoff loss, it was revealed that he suffered a rotator cuff tear which required surgery to repair. It’s quite possible to play through a partially torn rotator cuff but the pain at times would be incredibly difficult to manage. According to this most recent video on Twitter, this is confirmation that Feliciano is fully healthy & ready for training camp. This likely indicates that he had the partially torn rotator cuff & he should not be limited in any way.

    • Neck

He suffered what appeared to be a whiplash injury during the 1st quarter of the Bengals game where he got hit from the side by Bengals DT Geno Atkins and slammed into Mitch Morse. He finished the 2-pt conversion before ending his day, getting downgraded to out. He was observed leaving the stadium in a neck brace which worried some people but he ended up getting through practice and playing against the Patriots the next week.

    • Right lower leg

This injury was the result of friendly fire, courtesy of Dion Dawkins falling on Feliciano when he was attempting to make a tackle off the interception thrown by Josh Allen. He did not miss a snap following a defensive play series and was able to return to finish the game. 

Feliciano is yet another lock to make this roster but the big question mark will be whether he will be 100% with his rotator cuff repair. I am leaning towards him being ready to go due to having access to excellent medical care along with the injury likely a partial thickness tear. If he is not ready for training camp, he will be afforded the time to get his shoulder into shape for the regular season.

G Quinton Spain 

16 games, 16 starts 1063 snaps, 2 holding, 2 fumble recoveries

Spain became a valuable contributor to the Bills offensive line, far outplaying his one-year contract. Fortunately, the Bills rewarded him with a 3-year deal following the offseason, ensuring that he will be with the team for the foreseeable future. Along with stellar play, Spain was fairly healthy throughout the season, allowing the offensive line to remain consistent.

Spain’s injuries below:

    • Thumb surgery/ankle contusion/foot soreness

These injuries are lumped together due to occurring all within a short timeframe during training camp & OTA’s. Spain had injured his thumb severely enough that it required surgery which limited him during OTA’s. At the time, I had thought he either suffered a skier’s thumb injury in where the UCL ligament tore or if he suffered a fracture which required surgery to reset the bone. He was eventually able to be ready for training camp & did not have any known issues moving forward.

His foot soreness was reported early on in training camp but did not appear to be much of an issue as he was still playing through it. He suffered an ankle contusion as the result of RB Frank Gore stepping/kicking Spain during a routine play in the preseason and was, unfortunately, a victim of friendly fire. 

    • Foot

Spain showed up later on the injury report with a foot designation following the win over the Dolphins in the first game, though little was known what caused his issue. There wasn’t any mechanism of injury and this did not appear to be a chronic issue requiring multiple weeks on the injury report. 

Spain will make the roster in 2020 and he appears to be in even better shape than last season as evidenced by the picture below. He should continue to make an impact at the position and as long as he stays healthy like he did last season, he will be able to make another significant difference in the offense.

G/C Spencer Long

14 games, 174 snaps

Long, a six-year NFL veteran saw a considerable drop in his snaps compared to his previous seasons playing for the Jets & Redskins due to the presence of C Mitch Morse. He only got considerable playing time in 3 games with most of his other playing time on special teams. Despite the limited playing time, he still suffered several injuries.

Long’s injuries below:

    • Right knee

Long was limited early in training camp with what the team described as “knee soreness”. He had a compression sleeve & a hinged knee brace while on the bike. He may have suffered a minor knee sprain but he has also had previous knee issues dating back to his time with the Redskins. It was not something that appeared to limit him as the season progressed.

    • Ankle

He suffered an ankle injury late in the week prior to the first Patriots game which ultimately caused him to miss the game. During this timeframe, the team was dealing with a variety of injuries, and having Long out did not help things. It was not known which side he injured or how he suffered the injury.

Long was otherwise fairly available but got most of his snaps at guard due to the emergence of Jon Feliciano playing at center as needed. Long has a great shot at making the roster but if he is not in the team’s plans, the Bills can move on from him with a minimal financial penalty. 

G Ike Boettger

2 games, 54 snaps

Boettger continues to be a depth piece on this offensive line where he has been too good to expose to the practice squad, but not good enough to get meaningful playing time. Only appearing in 54 snaps all season with a majority of his time in the regular-season finale. He did not suffer any known injuries during his limited play. 

Considering he knows the playbook & has continuity in the room, he has a shot at making the roster or could be a valuable trade asset especially in the abnormal training camp of 2020.

New to the roster

G Marquel Harrell

Coming from Auburn, Harrell demonstrated the ability to play against elite competition in the SEC. He also comes to Buffalo with his health intact which may play into his favor as he attempts to make the roster. His injury history is detailed here at Banged Up Bills. He has a long way to make this roster, but Brandon Beane’s ability to identify talent may land him on the practice squad or a roster spot down the line as the front office has been known to bring back talent as it’s needed. 

G Evan Boehm

Boehm is a well-traveled man who has suffered a variety of injuries during his various stops in the league. He demonstrates versatility playing at both guard and center which may help him find a spot on the roster, especially if injuries occur. Read his injury history at Buffalo Rumblings

2020 Outlook

A lot will be riding on the health of Morse, Spain, & Feliciano, all locks to make the roster. All had outstanding play despite dealing with various injuries. If one of them goes down, there is depth at the tackle position that could move over to guard or a reserve lineman could step up to play until the starter returns. 

Along with the three previously mentioned locks, I see the possibility of either Boettger or Boehm making the roster, Long as a possibility, though he could be an excellent trade piece as Feliciano has shown how good he is when asked to fill in at center. Harrell is a long shot and may find himself on the practice squad, especially if the rosters get expanded due to the pandemic. This is a strong group of players that could make or break the effectiveness of the firepower at the offensive skill positions. 

Wild Card Weekend Bills Injury Preview- Texans

What is the status of Nsekhe, Roberts, Lawson, & Wallace?

Well, we’re finally here, the playoffs are upon us! We are moments away from the Bills playing in Houston on Wild Card Weekend for the first NFL game of 2020! The Bills are beat up but still in a better spot than the Texans. While I could detail out every injury for Houston & compare it to how the Bills could take advantage, I may be better off writing the sequel to War & Peace. But if you want to get some detailed analysis of the Texans injuries, check out my latest appearance on Locked On Bills with Joe Marino. I have nuggets on JJ Watt, Johnathan Joseph, Bradley Roby, & Will Fuller V. Make sure to check out the pod below!

Locked On Bills 

If you want to know why Houston DE JJ Watt is able to come back so quickly from his pectoral tendon tear, check out my latest article at Buffalo Rumblings!

JJ Watt’s Unexpected Return

As this blog is a Bills based site, the Bills injuries are below & my impressions of them.

QUESTIONABLE

DE Shaq Lawson (left hamstring strain)

Lawson continues to recover from his hamstring strain suffered late in the Patriots loss but appears on the right track. He has been limited the past week, but with controlled activities, he has looked great on film.

I’ve stated all season that the hamstrings are vital for running & blocking, important responsibilities for a defensive end. It’s not a muscle group that can be babied or managed with certain bracing or necessarily protected. Even with the best rehab & rest, injuries can still occur and Lawson may be a casualty of that. 

He missed the Jets game & would probably benefit from another week off, but considering each game now is single elimination, Lawson should not miss. I have a strong suspicion that he plays.

WR Andre Roberts (foot)

Little is still known about Roberts’s foot other than it cost him another game against the Jets. Matt Parrino of NYUp.com noted that he was taking punt & kick returns in practice, accelerating up the field without issue. Any foot injury would limit sudden acceleration as the toes & foot act as a lever to push off the ground to move forward. 

If he had something such as turf toe, a foot sprain, fracture; there would be difficulty getting up to speed & slowing down. As long as Roberts is able to play Saturday, then it won’t really matter what’s wrong as long as he can add another dimension to the team.

OT Ty Nsekhe (right ankle contusion)

Nsekhe continues to work back from his right ankle that cost him 5 games this season. He was rolled up on again Sunday & but appears to be working through the injury just fine. This appears to be more of a contusion which was supported by the fact that he’s practicing all week & only has a brace on, the same one that he appeared to be wearing on Sunday.

I feel strongly that Nsekhe will suit up Sunday & will be in a rotation with OT Cody Ford with Ford taking a bulk of the snaps. 

CB Levi Wallace (right medial ankle sprain)

Wallace is the big iffy for Saturday. At the end of the day, he is still dealing with an ankle sprain that requires rest. The part of the ankle he injured was the medial side which is the inside portion of the ankle. The deltoid ligament is the strong inside portion of the ankle that provides stability between the tibia, talus, calcaneus, & navicular. This is the reason why it is so difficult for the inside portion of the ankle to suffer a sprain. If the outside portion of the ankle had the same type of structure, I would imagine we would all run very differently. You can see the makeup of the deltoid ligament below.

Deltoid-Ligament-Structure-location
Credit: medicpassion.com

The next picture below is a great example of how the injury occurred with Wallace with regards to the motion & the area injured. To note, the ligament does not likely tear that severely for Wallace or a fracture sustained as dictated in the picture.

medial-ankle-sprain419
Credit: http://www.sportsinjuryclinic.net/

If this was a regular-season game, Wallace would surely miss Saturday. Considering it’s the playoffs, I imagine that he will try to suit up with a heavy tape job similar to the one seen below. His major limitations will be pivoting, attempting to stay with his assignments. He will be able to run straight & cut off the left ankle, but forcing Wallace to jump, cut to the right, and backpedal will limit his effectiveness. I expect that CB Kevin Johnson gets the start & majority of snaps with Wallace as a backup or used in certain packages. 

Probable Inactives:

TE Tommy Sweeney

DT Vincent Taylor

S Kurt Coleman

S Dean Marlowe

OG Ike Boettger

RB TJ Yeldon

OG Ryan Bates

The Bills are in a great position to win their first playoff game since 1995 & move to the divisional round against a likely rematch with the Ravens. I could see this Bills team make a run like the Jaguars did a few years ago; anything can happen in the playoffs. 

On top of that, the injuries listed today won’t be real factors outside of Wallace heading into next week. There is always the possibility of new injuries, but thankfully the injuries we do have are at positions of depth at OT & CB. 

Regardless of the outcome, you will be hearing from me next week. However, I highly anticipate that I will be coming to you with an injury review & preview heading into the divisional round. GO BILLS!

Top Photo Credit:

USAToday.com

Week 16 Bills Injury Preview- Patriots

Is Buffalo treasure Tre’Davious White healthy & ready to go Saturday?

This is odd, isn’t it? Playing meaningful December football, no longer being “in the hunt”, potentially winning the AFC East. It’s wild stuff! To top it off, the Bills continue to stay healthy as they head to Foxborough for a huge game with seeding implications. Win out & the Patriots lose out, the Bills win the East, potentially obtaining the 3rd seed and a home playoff game. Otherwise, the Bills get the 5th seed. Healthwise, the Bills have the advantage over the Patriots & appear to have the talent in order to win. We can only hope that the Patriots will continue their substandard play over recent weeks & allow the Bills to get their 11th win.

OUT

OT Ty Nsekhe (right ankle)

Nsekhe has already been ruled out for his 5th straight game due to his ankle injury against the Dolphins. I don’t really have anything to add besides that 4 weeks was an appropriate timeline but on the accelerated side of the healing timelines. These injuries can take 4-6 weeks, sometimes longer & he could be close but maybe closer to returning next week or for the playoffs. Until he practices in some fashion, only time will tell. By no means does there appear to be complications or lingering issues at this time.

QUESTIONABLE

DT Corey Liuget (knee)

Little continues to be released with Liuget’s knee injury. We still don’t know what side or the exact nature of the injury. He did have a quadriceps tendon tear that cost him half of last year. It’s possible he could be having some pain associated with that such as arthritis as he does have a lot of miles on him, but until more is made available, we are guessing. All the work that went into rehab & the severity of the actual injury supports that after a month of actual football could be causing some issues that need time & rest. The fact that he is limited is promising, but I need to see a full practice before I can be confident he will play. Until then, I expect DT Vincent Taylor will get another start. 

For more reading on Liuget’s injury, check out this piece from the Buffalo News Jason Wolf. It’s very comprehensive & accurately details the original injury, physical therapy techniques, struggles, and overall rehab. Worth the click.

CLEARED TO PLAY

CB Tre’Davious White (left shoulder)

White appeared to suffer a minor stinger on a hard tackle late in the 1st quarter Sunday night. He missed one play & was able to return, continuing his stellar play. The fact he didn’t end up on the injury report is promising as it may have truly been a minor issue & should not impact him at all Saturday. 

CB Taron Johnson (left 5th digit)

Johnson suffered a left finger injury late in the 4th quarter but was part of a key stop & prevented moving the chains for the Steelers. Video is poor & doesn’t show exactly what Johnson did, but it was observed he was getting his fingers buddy taped. He either stubbed it, suffered some type of crush injury, or possible dislocation. Either way, an injury as minor as this wouldn’t affect Johnson’s ability to do his job. Certainly, something to monitor. 

Something else that’s interesting that I’d like to note. The Athletic’s Joe Buscaglia noted that practice squad member CB Cam Lewis wasn’t practicing the past 2 days. Typically practice squad members get really no press unless they are involved in a transaction or are called up. There aren’t details noted about Lewis’ injury, but for that attention to detail from Buscaglia & others that I routinely follow & retweet really set the Bills coverage apart from other fan bases. Bills Mafia, we’re blessed!

Probable Inactives:

OG Ike Boettger

OT Ty Nsekhe

DT Corey Liuget

TE Tommy Sweeney

RB TJ Yeldon

S Dean Marlowe

WR Duke Williams

Saturday will be a fun game, win or lose, but I’m feeling a win. This fan base knows the team can hang with anyone in the league & playing the Patriots again will only reinforce this. I think we’re starting to see the end of the dynasty that is New England & observing the rise of prolonged sustained success in Buffalo. This is a fun time to be a fan, such a different mindset than the past 20 years. It’s a beautiful feeling. GO BILLS!

Top Photo Credit:

ESPN.com

 

 

Week 15 Bills Injury Preview- Steelers

What is going on with Liuget & Feliciano?

The Buffalo Bills haven’t won in Pittsburgh since 1993, a 24-3 win in their march towards a 3rd Super Bowl appearance. Regular season, they haven’t won there since 1975. To date, the Steelers have won the last 6 meetings with the last win coming in 1999. Safe to say there’s a lot riding on this game, a chance to make up for previous failures. To top it off, this is a Sunday Night game, the Bills haven’t appeared on Sunday night since 2007, an embarrassment by the Patriots. There’s so much at stake, we may need a priest to perform an exorcism for good measure. 

The one upside is that the Bills continue to be healthy heading into a win & in playoff scenario. Players are reducing padded practices per the CBA & trying to manage their health during the week to maximize their abilities on Sundays. Below are the injuries & expected inactives prior to the Sunday game. 

OUT

OT Ty Nsekhe (right ankle)

Nsekhe will miss his 4th straight game following his severe sprain suffered in the win over the Dolphins. He continues to show progress, observed walking without a walking boot, but not practicing just yet. I had anticipated that he could come back in time for the Patriots game which is still realistic, but not a guarantee. Once he begins practicing, then a return to play timeline can be definitive.

QUESTIONABLE 

DT Corey Liuget (knee)

Liuget has been dealing with a knee injury all week that forced him to miss Wednesday’s practice, but limited Thursday & Friday. It is not known which knee is bothering him but there were several instances where he could have sustained a contusion due to hitting his knee on a helmet, getting kicked, or having bodies fall on him. Unless a clear mechanism of injury is identified or even which side, hard to really tell if he’s a guarantee to play. If he is unable to go, DT Vincent Taylor gets the nod.

OG Jon Feliciano (illness)

Feliciano was sent home Friday with an illness that affected RB Frank Gore this week & RB TJ Yeldon & OG Quinton Spain last week. It’s flu season & people are bound to get sick. He is truly a 50/50 on whether he plays Sunday night. Considering he has extra time to recover with hitting the fluids & resting, there may be a chance he plays. From the looks of what I’ve seen him do this season, he’s one tough dude. With the ability to clinch a playoff spot, I would think he could muster enough energy Sunday night. If he can’t go, OG Spencer Long would likely get the start.

CLEARED TO PLAY

DT Jordan Phillips (knee)

Like Liuget, it’s unknown which knee he is dealing with. He popped on the injury report as limited Thursday indicating he missed some drill at some point, reportedly receiving extra attention from the training staff at the beginning of practice. Looking back at Sunday’s game on replay, it was a brutal, physical game. It’s no surprise several guys are banged up, especially the big uglies in the trenches. Thankfully, Phillips is cleared to play & he will continue his rotation on the defensive line as they have every other game. 

QB Josh Allen (left ankle)

Allen suffered a mild left ankle sprain as the result of getting stepped on by C Mitch Morse which forced him to limp off the field briefly. He quickly got his ankle taped back up & was able to return to play without missing a snap. As he didn’t appear on the injury report this week, I don’t anticipate it being an issue. He will likely have either some bracing or have it taped up in order to provide extra support. I don’t believe that it will hinder his overall mobility. 

Probable Inactives:

TE Tommy Sweeney

OG Ike Boettger

RB TJ Yeldon

OT Ty Nsekhe

DT Corey Liuget

S Dean Marlowe

WR Duke Williams

The Steelers boast a talented defense, strong offensive line, beat up starting running back in RB James Connor, lacking their top wide receiver in WR Ju-Ju Smith-Schuster & playing their 3rd string QB Devlin Hodges. Heinz Field is not an easy place to play as Steeler Nation shows up every game & this will be no exception. It will be cold & the pressure will be on. The Bills appear to be the more talented team heading down to Pittsburgh to play on the national stage. They have shown they can hang with anyone; this is a winnable game & I expect Buffalo to end Sunday night with 10 wins. 

On a personal note, growing up in Erie, PA, I was surrounded by Steeler fans including many family members. It is incredibly satisfying to see Facebook meltdown after a Steelers loss. I plan on watching the game from the comfort of my own home, watch the Bills win, and then sit back, with a tasty beer as Steelers nation cries themselves to sleep. GO BILLS!

Top Photo Credit:

Sportsbookreview.com

Week 14 Bills Injury Preview- Ravens

Breaking down why Nsekhe is out so long.

9-3. What a sight to behold!

The Bills are 9-3 heading into the month of December. That’s pretty incredible after all the years of cold meaningless football. While the Bills still have more work to do this month, this has turned into quite a special season, making the national media take notice on the team from Western NY. As the Bills embark on vital December games, the team continues to stay healthy following a rash of injuries around a well-timed Week 6 bye. But the Bills, they’re incredibly healthy now & in prime position to capitalize on teams limping into the playoffs. With the Ravens coming to town on an 8-game winning streak, this is a true test for the Bills to create an opportunity to capture an elusive AFC East crown.

OUT

OT Ty Nsekhe (right ankle)

Nsekhe continues to rehab back from his severe ankle sprain suffered against the Dolphins back on November 17th. On Wednesday, it was reported that Nsekhe would be out on the practice field in some role, however, he was a DNP all week. This is not surprising considering the severity of the ankle sprain he suffered, assessed out at least as a Grade 2 inversion ankle sprain. 

The reason this ankle continues to require more time is due to how ligaments heal. Like all tissues, they are made up of various building blocks. In the case of ligaments, water, collagen, & amino acids create the makeup of the tissue. During normal use, the ligaments crimp & uncrimp based on the tensile loads placed through the joint as they connect bone to bone for structural support. As the joint is progressed through the range of motion, the ligaments elongate until they are maximally stretched. Prior to the injury, the striations of the ligaments are linear and allow for support during the full range during joint motion. Think of the striations in a nice steak, all linear and uniform as seen below.

blood cell types
Credit: Sportsinjuryclinic.net

When an injury occurs, the ligaments are either overstretched or outright tear. When a joint is taken to its end range, the proprioceptive nerves in the ligament start signaling for the muscles around the area to contract to prevent the joint from injury. While this attempts to reduce injury, the muscles are not always able to overcome the forces from the injury. Based on the severity, anywhere from several fibers to the entirety of the ligament can tear. 

During healing, the body attempts to heal quickly by putting scar tissue down in a haphazard fashion to heal the tissue. Because the tissue is not linear, the elasticity decreases & the tissue is not as strong as what was originally torn. What happens then is if the tissue is reinjured, it takes less force for the tissue to tear or it stretches out & does not regain its normal shape as easily. You can see below how the makeup of the tissue changes with injury.

scar-tissue-image-300x175
Credit: oregonmassageandwellnessclinic.com

All this tissue healing takes time, anywhere from 6 weeks to a few years for the tissue to fully mature. Fortunately, progressive loading movements help remodel the tissue as it heals in order to return to activity sooner. This is why we are able to gauge return to play timelines based on the severity of the injury. At the end of the day, Nsekhe needs proper rest with increasing loading of the surrounding tissue and ankle joint to ensure that he regains full function in the ankle without causing further damage to the healing tissue.

According to ESPN’s Marcel Louis-Jacques, Nsekhe is out of the walking boot this week, hopefully walking without pain. Ideally, he begins to practice in a limited capacity next week with an outside chance to play against the Steelers but more realistic chances to return against the Patriots. 

CLEARED

OG Quinton Spain & RB TJ Yeldon (illness)

Both Spain & Yeldon missed Thursday’s practice with what was described as an illness. Considering its flu season, that’s likely the cause. Neither were ruled out and while Spain won’t be 100%, enough fluids & Vitamin C should get him through the game. Just another reason to get the flu shot so you don’t get the flu. If you can’t get the shot, you know you can’t. But if you’re able, it helps keep you & others around you healthy. 

Possible Inactives:

TE Tommy Sweeney

OG Ike Boettger

OT Ty Nsekhe

WR Duke Williams

RB TJ Yeldon

S Dean Marlowe

DT Vincent Taylor

The Ravens are on an 8 game winning streak coming into New Era Field. Winning streaks in the NFL like this are rare & need to end at some point. I believe the Bills with their elite defense are primed to stop Lamar Jackson & Greg Roman’s offense. The Ravens are dealing with injury, but the Bills are healthier which with that and the ability to contain Lamar Jackson, could propel the Bills to victory. Here’s to a competitive game with the home crowd advantage, leading to a defining Bills win.
Top Photo Credit:

Baltimore Sun