2020 Week 3 Bills Injury Preview- Rams

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

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

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

OUT

RB Zack Moss (toe)

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

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

PTEducator.com

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

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

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

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

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

TE Dawson Knox (concussion)

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

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

LB Del’Shawn Phillips (quadriceps)

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

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

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

QUESTIONABLE

LB Matt Milano (hamstring)

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

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

LB Tremaine Edmunds (right shoulder)

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

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

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

CB Taron Johnson (groin)

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

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

ACTIVE

WR Cole Beasley (hip/right thumb)

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

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

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

DT Ed Oliver (right knee)

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

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

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

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

CB Tre’Davious White (shoulder)

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

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

WR John Brown (foot, possible plantar fasciitis)

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

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

ChoosePT.com

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

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

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

Final thoughts:

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

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

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

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

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

Inactives:

QB Jake Fromm

RB Zack Moss

TE Dawson Knox

LB Del’Shawn Phillips

OL Ike Boettger

DE AJ Epenesa

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

Top Photo Credit: WKBW

2020 Week 2 Bills Injury Preview- Dolphins

Will the LB corps survive without Milano & Edmunds?

We knew that injuries during the regular season would be increased due to the lack of preseason, but injuries are taking their toll greater than most Bills fans would like. The big talking points of the week was Josh Allen running the ball along with the injuries to Matt Milano & Tremaine Edmunds. 

We will let the talking heads and Twitter debate the abilities of Josh Allen in the rushing game, but you’re here for the injury breakdown. 

There have been several new developments this week with the injuries that will be described below. The one thing that I want to impart to the readers is how drastically different doing this job is this year. What I’m seeing is not that the injuries change, we are seeing an increase in frequency that was expected, but in how the Bills are using the Injured Reserve designations and Practice Squad call ups. 

We are seeing injuries would normally be played through or that wouldn’t require extensive time missed get that IR designation or missing the game altogether. I have several theories on their roster management in how it pertains to each player, but this will continue to take time to get adjusted to interpreting properly. Make sure to come here for the latest Bills injury impressions.

OUT

LB Tremaine Edmunds (right shoulder)

Edmunds has been an interesting injury to assess this week. He injured it while trying to tackle Jets WR Jamison Crowder on the 69-yard touchdown late in the 3rd quarter. The only contact that he made was with the ground falling into the turf. His right shoulder hit the turf hard with his arm close to his body. He played in the extra point play but didn’t appear in distress.

He was assessed in the blue medical tent for a while, later coming out without pads, signifying his day was done. Later in the locker room, he didn’t have any ice, bracing, slings, anything to allude to the severity of the injury.

He then practiced in a limited fashion in mostly individual drills Wednesday and Thursday. Typically limited practices translate towards a player likely suiting up on Sunday. Edmunds was ruled out Friday morning even before practice took place. 

Either this injury is way more severe than we thought, which is entirely possible. Instead of the contusion/minor AC joint sprain, there still is the possibility of a labrum or rotator cuff tear. That is a scary proposition, but if the labrum is torn, I expect to see bracing used next week on the right shoulder. This was not something I observed this week from video available below.

You can also use bracing for a rotator cuff tear, but it is not necessary as we saw with G Jon Feliciano last year. I have thoughts that the shoulder is still a painful shoulder contusion. This is something that he could have played through, but the team is allowing him to be fully healthy and miss a winnable game instead of laboring through the next few weeks with it. If it’s worse, then maybe a trip to the IR would do him good now that it’s 3 weeks in duration instead of 8 weeks. 

The fact that the coaching staff did not get the opportunity to get preseason looks at their other guys may have played into this decision as well. If they know they can be without him, then they can get their backups some of the vital game time reps that they needed to improve as players. Add in the practice squad call ups in with both LB Deon Lacey and LB Andre Smith available, why wouldn’t you want to protect your top assets with other guys who can at least fill in for the time being?

Until we get more information, I don’t believe my eyes are deceiving me. I wonder if this is more of the coaching staff maximizing the new roster rules to a competitive advantage.

LB Matt Milano (hamstring, possibly right)

Since his injury on Sunday, he has been a long shot to play. He had 3 straight DNP’s which usually equate to being ruled out for Sunday. I’ve seen various percentages for return to play, anywhere from 13-18 days on average for a Grade 1 hamstring strain, but Milano would not have fit that timeline anyway. He will miss Sunday, but his absence can be withstood as Miami still doesn’t appear to be a threatening team yet. The hope is that the hamstring was truly minor and he can return next week against the Rams. That’s a big hope for me right now. If not, a matchup in the desert against the Raiders may be more likely.

Before I can be sure of a true timeline, he will have to have at least 1 full practice but would do better with 2-3 before I could say he’d be out there. If he continues to miss & be limited, then it was likely more severe and he’s looking at 3+ weeks, similar to what the team has done in the past. There is a possibility that he goes on IR which Sean McDermott had alluded to in Friday’s press conference, but now it’s too early..

LB Del’Shawn Phillips (quadriceps)

Phillips is out with a quadriceps injury after missing 3 straight practices. He only played in 7 special teams plays according to snap counts. He did not appear in the game again following the kick-off which resulted in a touchback following the score that sent the Bills to a 14-0 lead. On broadcast, the camera pans towards the location of the ball, unfortunately away from the Bills running down the field. For All-22, that play does not exist. For whatever reason, there were glitches and delays for All-22 this week and that play may have been a casualty. 

Until he resumes practicing and getting full practices in, we are left to guess the injury and when he returns. Considering this was a touchback, this leads me to believe it may have been more of a quadriceps strain sprinting or slowing down rather due to the lack of contact. This could also be from a previous play that he could not continue to play though. I didn’t see any major contact for him, but some injuries are virtually impossible to spot on film.

ACTIVE

WR John Brown (foot)

Everyone was quite worried about Brown missing practice Wednesday with a foot ailment. Little information is known other than Stefon Diggs had no idea he wasn’t at practice. 

Brown could have had some general soreness from Sunday due to getting actual game reps, he could have had it stepped on, he could be dealing with plantar fasciitis with sudden overloading of the tissues due to the loss of reps from preseason. There could be a Morton’s neuroma where a nerve in the foot between the metatarsals is irritated, leading to pain. 

He could have strained some of the musculature in the foot, he could have stubbed his toe at home, there’s just so many possibilities that it’s impossible to pinpoint without Brown or the team noting what he’s dealing with. 

Film review didn’t show anything definitive but he may have been limping a little after plays in the 4th quarter. Could have been fatigue, could have been the foot, but there was not anything definitive on film to suggest an injury. 

He did practice in full on Thursday and Friday, not receiving an injury designation for Sunday. This will be one to watch in case he has issues later. Right now, I don’t have any reason to believe that this is a huge concern. He will be someone to watch closer on Sunday. 

WR Vernon Butler (hamstring)

Butler missed last week with a hamstring strain despite being questionable. While the weather is supposed to be much warmer and still wet, the extra week to recover along with full practices all week only made him more available. I’m excited to see how he will perform. There is still concern he could re-injure the hamstring, but after 3 weeks since the original injury, the risk continues to lessen, but not eliminated. Keep in mind, every injury is unique and responds differently to treatment.

LB Tyrel Dodson (neck)

Excellent to see Dodson cleared to play for Sunday following exiting the game late with what we now know was a neck injury. Looking back, he may have suffered a generalized neck strain or whiplash when he completed his tackle. There may have been more soreness and limited movement rather than outright damage. 

He is taking over starting for Tremaine Edmunds on Sunday which will be a huge test calling out plays for the defense. This is his opportunity to show why the team stuck by him last year following his domestic violence issues last year and keeping him on the roster this year. 

DE Jerry Hughes (calf)

Hughes was a surprise addition to the injury report Thursday with a calf ailment. He was limited on Thursday but able to practice in full on Friday. He may have had some calf soreness that he missed some drills for, leading to the limited designation, he may have injured it Thursday, little is known. 

This is yet another soft tissue ailment that we expect to see early in the season. With the calf, I am slightly worried about his ability to explode off the line with that first step and get around the edge. He might have a little less explosion, but to the casual fan, may not be noticeable.

Whatever it is, Hughes will play through it, we saw that last year with his wrist and groin. Right now, I consider this to be something to note, like a timestamp, in case issues occur later. 

WR Isaiah McKenzie (hamstring)

Like Hughes, McKenzie was limited Thursday but with a hamstring. He may have been feeling something and pulled himself out or injured it the day before. Considering he is cleared for Sunday makes me think it’s not a glaring concern. 

But hamstring strains don’t just disappear. We will have to watch if this is recurring. I also did observe last year that despite an injury, players were still active but played little or not at all due to the Bills not being able to field a full roster otherwise. I don’t believe this to be the case, but sometimes injured players have to be active. 

Once again, something to note and reference in case of injury later.

Inactives:

LB Matt Milano

LB Tremaine Edmunds

LB Del’Shawn Phillips

G Ike Boettger

RB TJ Yeldon

QB Jake Fromm

Final thoughts:

It’s easy to worry about all the soft tissue injuries and the linebacker corps. This was going to happen when the preseason did not allow guys to prime their bodies to game time action. The Bills also have a lot of depth available to withstand most of these injuries. They have also been churning the bottom of the roster and practice squad bringing in free agents weekly, trying to find out who else they can bring in if further injury occurs. 

The Bills are still in great shape heading into Sunday with the Dolphins not having starting linebacker Elandon Roberts out with a concussion. DE Clayton Fejedelem is doubtful with a pectoral injury and WR DeVante Parker is questionable with a hamstring. 

A doubtful designation isn’t a great chance to play and considering the weather mentioned above being warm and wet, I don’t believe Parker plays, especially after injuring last Sunday. If he does play, then I expect him to be limited and increase the potential for this to linger all season. Not the best idea for your top receiving option.

The Dolphins are better than the Jets, but this is an opportunity for the Bills offense to take control now that the defense is not at full strength. With the rain, I expect to see some injury incidence reduce due to the poorer footing, but the risk isn’t totally eliminated. I expect a Bills win and hopefully to write a much shorter article postgame.

WR Isaiah McKenzie Injury Profile

#19 Isaiah McKenzie

Position: WR
Height/Weight: 5’9”/173 lbs.
Age: 25
College: Georgia
Year joined Bills: 2018
Acquired: Waivers via Denver

College Injuries:

TBD

Pro Injuries:

2017 Broncos:

Low ankle sprain, Week 6, missed 1 game.

2018 Broncos/Bills:

Toe injury, suffered in practice prior to Week 15, missed 0 games.

2019 Bills:

Ankle injury, Week 3, missed 0 games.

Left knee hyperextension, Week 11, missed 0 games.

2020 Bills:

Hamstring strain, Week 2, missed 0 games.

General links:

2019 Bills Injury Review- Wide Receiver

2020 Bills Injury Preview- Wide Receiver

Bills 2020 Training Camp Injury Preview: Wide Receiver

Some concerns going into 2020.

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

Not Returning

WR Zay Jones

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

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

Returning

WR Robert Foster 

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

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

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

    • Left Turf Toe

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

    • Right shoulder

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

    • Groin

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

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

WR Cole Beasley 

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

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

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

    • Right knee

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

    • Ankle

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

    • Left ankle

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

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

WR Isaiah McKenzie 

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

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

Below is McKenzie’s injuries from 2019:

    • Ankle

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

    • Left knee

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

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

WR Duke Williams 

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

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

Williams’ injuries below:

    • Right shoulder

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

    • Left low ankle sprain

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

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

WR John Brown 

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

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

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

    • Groin

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

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

WR Ray-Ray McCloud

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

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

WR Nick Easley

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

New to the roster

WR Stefon Diggs

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

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

WR Gabriel Davis

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

WR Isaiah Hodges

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

2020 Outlook

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

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 11 Bills Injury Review- Dolphins

How severe is Nsekhe’s injury?

Another week, another win. The Bills move to 7-3 on the season with a convincing win over the Miami Dolphins in Miami Sunday afternoon. This is the best start for the Bills since 1999 & 10th time in franchise history that they started 7-3, all previous Bills teams made the playoffs with varying degrees of success. While the Bills are continuing to march towards the postseason, they will be without a key contributor moving forward. This & other injuries will be detailed below. 

WR Isaiah McKenzie (left knee)

McKenzie suffered a left knee injury when he caught a pass going out of bounds with :55 left in the 2nd quarter. CB Nik Needham was close by but unable to break up the pass, instead falling & hitting McKenzie’s lower leg. It appeared to hyperflex his left knee, causing McKenzie to get up & limp off the field. 

Thankfully this was close to halftime where he was able to get some rest & get a quick assessment to ensure he could play in the 2nd half. This injury appeared to be minor & is not something I expect him to show up on the injury report with later this week.

S Siran Neal (concussion)

Neal suffered a concussion midway through the 2nd quarter on the kickoff with 7:41 left following Hauschka’s FG. Unfortunately, the video is not available yet as there was a touchback & the camera followed the ball & not the players. It was reported he was shaken up on the play, but once All-22 comes out, we may get a clearer view of what exactly happened. Neal enters the concussion protocol with no guarantee he is cleared for next Sunday. 

OT Ty Nsekhe (right ankle)

Nsekhe suffered a rather severe right ankle injury with 9:14 left in the 3rd quarter. This was a routine run play by Singletary up the middle when Nsekhe’s foot was caught from behind by Dolphins DE Avery Moss, landing on the back on Nsekhe’s heel, forcing the ankle to roll under the big man violently before his body caught up & he falls down in obvious pain. 

He was immediately placed into in an air cast & carted off, waving to fans but in significant discomfort. The result: a likely ankle dislocation with fibula fracture. There is a concern that he suffered a tibia fracture as well, but he may have spared the more significant bone due to the ankle rolling as much as it did before he fell over. 

300px-Fibula_Fracture
Credit: physio-pedia.com

According to Monday’s press conference, more tests were being performed on Nsekhe’s ankle with no definitive answer at this time. 

This could be for several reasons: 

  • The swelling may have been so great that imaging did not show the true extent of the damage.
  • There isn’t an actual break but significant ligament damage on the lateral portion of the ankle.
  • The Bills know exactly what is going on (they likely do) & are sitting on the info because they have no reason to release it until they feel they’re ready or can sign someone to replace his roster spot. 

images (1)
Credit: physiodirectnz.com

Looking at an alternative video angle from Thad Brown, there is the possibility that Nsekhe avoided a break but dealing with quite a severe inversion ankle sprain. He would have injured the anterior talofibular & calcaneofibular ligaments when Moss landed on his ankle. There is a slight chance he avoided a fracture due to observing the heel sliding out, relieving pressure off the fibula as he went down. 

The sheer fact that he was placed into an air cast & carted off without the ability to place weight through his leg isn’t ideal. His season is possibly done, heading to IR for surgery & rehab if my original suspicions are confirmed. I am not certain but if you go on NFL Gamepass & watch the replay, it appears as though the snap of the bone is audible. I’ve played it multiple times in a row. 

This may be a similar injury to what LB Matt Milano suffered last season. if so, a recovery timeline for Nsekhe would be 6-9 months with my guess being closer to 8-9 months. There are several factors including: 

  • Nsekhe is 34 years old, Milano was 24 during his injury.
  • Nsekhe is 6’8”, 325 lbs. Milano is 6’0”, 225 lbs. 
  • Nsekhe’s bones are thicker & are required to accept more weight than Milano’s, requiring a longer healing time & associated recovery.

While 34 is still a youthful age, it is getting up there when it comes to the NFL. Nsekhe can & should make a full recovery, but considering the mileage on his body, it’ll be interesting to see whether he is able to return to full form in order to compete for a roster spot next year. He should be close to, if not fully ready for training camp & should be able to participate in OTA’s in 2020. He is clearly a talented player, the Bills have him under contract for another year, it may come down to how he looks in camp.

For the interim, OT Cody Ford slides into the starting role he has alternated with Nsekhe all season. OT Ryan Bates will likely move to back Ford up. Once Nsekhe moves to IR, the team may elect to fill his roster spot with practice squad players OT Brandon Hitner or OT Victor Salako. The other option is to find a street free agent or another player off another team’s practice squad. Either way, GM Brandon Beane already has a preliminary plan in place. 

Other observations from today’s game injury-wise include noting Nsekhe’s replacement OT Cody Ford is still wearing a hinged elbow brace with a compression sleeve on the left elbow from the injury in the Eagles game. Each week he wears this brace further confirms that he suffered some type of injury to the UCL ligament in the right elbow & the brace provides protection as the ligament heals. 

Other injury news to note is that DE Jerry Hughes was active & played his usual snap count, highest among the DL group. I had originally stated that Hughes would miss the game & I was wrong. While I did not observe every single snap, he did not appear to be compensating or limited. This also creates the thought that the team is not sold on rookie DE Darryl Johnson. While no one expects that Johnson can be an effective player such as Hughes, it shows that an injured Hughes is still better than a healthy Johnson. 

The loss is Nsekhe is going to hurt. While he is older, he showed the ability to play very well with the offensive unit. Ford is able to step in & contribute, but his play has been marred by penalties & inconsistent play. He will suffice, but the quality of play at the position will suffer. However, the Bills are 7-3 & even with a 3-3 finish to the season will give the Bills double-digit wins for the first time this millennium. The Bills are still very much in control of their destiny & can make noise in the playoffs if they played like they did Sunday.

Week 10 Bills Injury Review- Browns

The Bills are healthy but not in the win column, will that change next week?

Well, this is awkward. I was expecting to write about how the Buffalo Bills earned yet another win to move to 7-2 over the lowly Cleveland Browns. Yet, they are now 6-3 with a ton of questions, questions that I don’t have the answers. On top of this, there weren’t any publically reported injuries during Sunday’s game which is unique in that rarely does a team enter a game fully “healthy” & exit the same. The only difference is that the Bills leave Cleveland with a loss.

Here I am, Banged Up Bills, a Buffalo Bills injury based site & I have no new injuries to discuss. But I will soldier on because when I mention “healthy”, there are still several players dealing with injury that are cleared to play. To note, McDermott did not note any injuries following Monday’s press conference.

OT Cody Ford (left elbow) 

The rookie tackle from Oklahoma played only 4 special teams snaps last week during the win over the Redskins after being listed as questionable heading into the game. This may have been by design, but considering that the team resumed their rotation between Nsekhe & Ford, this shows that Ford’s injury appeared to be more severe than I had originally anticipated. The snap counts didn’t show anything out of the ordinary, though Nsekhe once again won the numbers battle, 60% to 40%.

Ford may be dealing with a UCL sprain considering the hit he took against the Eagles late in the game. He could play through this as he doesn’t really have to put strain through his elbow like someone who throws the ball would deal with. The compression sleeve & hinge bracing may allow him to play while avoiding stress to the healing ligament. It will be interesting to note if he ditches the brace in the coming weeks, but he may wear it as another form of protection as it continues to get colder. 

There is also a possibility that he has elbow bursitis due to the hit, but there is more swelling & loss of range of motion associated with this injury. It’s unlikely that he would have a hinged brace with this, but as we don’t have the specific information, there is only speculation. 

CB Kurt Coleman (left hamstring)

Coleman returned to the fold this week after missing the last 2 games after suffering the injury against Miami. As expected, he did not appear to miss a step & was a contributor on special teams along with several defensive snaps. Coleman continues to be the latest example of the talent of this training staff to ensure players are fully healthy returning from soft tissue injuries. 

CB Kevin Johnson (left knee)

Johnson briefly appeared on the injury report Wednesday with a knee injury following the win against Washington. It’s possible he may have suffered a minor hyperextension of his knee after getting tripped up during a routine punt. He didn’t appear to be out of place with his contributions on special teams or his availability on defense according to the numbers.

WR Duke Williams (right shoulder)

Williams has now been inactive the past 2 games after suffering what appeared to be a right AC joint sprain during a hard fall following a catch in the Miami game. He did play in the loss to the Eagles, garnering 2 targets with 1 catch for 6 yards. Considering he is essentially a rookie despite having several years of experience in the CFL, I believe that he is inactive due to his inexperience in the NFL passing game compared to WR Isaiah McKenzie & WR Robert Foster. Recalling, Williams was a feel-good story but started the year on the practice squad. Due to the entire roster being healthy, someone has to sit & Williams is closer to the 53rd roster spot than McKenzie or Foster. I believe his time will come as inevitable injuries rear its ugly head. 

CB Levi Wallace (left shoulder)

Wallace suffered a left shoulder injury after getting run over by RB Boston Scott in the loss to the Eagles. Despite suffering a painful contusion, he did not miss anytime but his play appears to be more suspect over the last 2 weeks. I do not believe that he is limited by the shoulder, but rather his actual abilities as a player. This coaching staff does favor veterans over younger players but will give preference to individuals that have been in their system over guys like CB Kevin Johnson. If Wallace’s play does not improve soon, I wonder when the hook will come because getting burned like he does continue to create unfavorable matchups during this upcoming stretch of games. 

The Bills are healthy now with a 6-3 record; imagine how bad it would be if they were rife with injury & did not have the depth available. Regardless of the current health status of the roster, the quality of play & offensive production must improve in order to have any type of shot at making the playoffs, much less actually winning a game. We’ll have to see how this pans out with the Bills going to balmy Miami with a very winnable game against the Dolphins.

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 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