2020 Week 10 Bills Injury Preview- Cardinals

Will Hyde and Ford suit up with their respective ankle injuries?

Things are finally trending up for the Bills on the injury front! While the list is still long, the players are getting healthier which is incredibly important heading into the bye next week. If you look around the league, many teams have long injury lists, but how those injuries have affected those teams’ records is interesting. Some have kept marching along and others have been decimated as a result.

Fortunately, the Bills are in the former group as they prepare to head out to Arizona to play the 5-3 Cardinals. A win Sunday would put the team as just the 8th team in franchise history to go 8-2 through 10 games according to fellow Bills content creator Circling the Wagons podcast. All those but one reached their respective league championship game. The one that didn’t in 1988 still made the AFC title game.

That’s some great information to look fondly back on. But before we start counting the chickens before they hatch, check out the injuries below. 

OUT:

RB Taiwan Jones (hamstring)

Jones misses his second game of the season with a hamstring strain suffered in the win over the Patriots. With how the team has managed the hamstring strains since Sean McDermott has been coaching, for Jones to miss 2 games is no surprise. 

It’s possible that Jones could have been a candidate for IR, but considering the bye is next week, the team can use that to their advantage and avoid roster moves. Hopefully, he comes off the report following the bye. 

QUESTIONABLE:

G Cody Ford (right ankle)

Ford was limited in practice all week with an ankle injury sustained in the win over Seattle midway through the 1st quarter. He later appeared on the sidelines, potentially able to play but never returned. By video, it appears he suffered a low ankle sprain when he got clipped by Zack Moss during the play. 

The fact that he was limited all week says that he can potentially play Sunday if he needs to. He may still be dealing with swelling and pain in the area, making him more of a true game-time decision. I suspect that he plays and allows the Bills to field the offensive line group that they haven’t been able to produce as originally envisioned for Week 1 (Dawkins, Ford, Morse, Feliciano, Williams). If he doesn’t play, then this may be out of an abundance of caution and using the bye week to get healthy.

S Micah Hyde (ankle)

Hyde suffered an ankle injury during Thursday’s practice that left him limited and he did not practice Friday. While he is questionable, it may truly be a game-time decision whether he plays Sunday. We do not have specifics of the injury, only a timeframe of when it occurred. Frankly, I do not like the DNP designation on Friday. Those typically don’t bode well to play Sunday’s from my past observations of the injury report.

To note, he did have left ankle injuries in Week 1 and Week 3 of which he was able to play through. It’s not known whether he injured the same ankle again or if it is the other side. I’m not certain he plays Sunday, but I would be glad to be wrong. 

INJURED RESERVE:

LB Del’Shawn Phillips (quadricep)

Phillips lands on IR again, this time ending his season with a quadriceps injury. It appears that this is the same injury that he suffered in Week 1 against the Jets, went on IR, and then potentially injured again against the Seahawks. 

It appeared that he had suffered a strain in Week 1, but this seems to be an injury that Phillips cannot get past. His 2020 season consisted of 14 special teams plays over the two games. He goes to IR which ends his season as he has already had one trip to short-term IR. This opens a coveted roster spot for several possible players to be called up for depth.

ACTIVE: 

QB Josh Allen (left shoulder)

Another week, another Josh Allen sighting on the injury report with this shoulder injury. We have seen his play appear to be affected by the shoulder injury with his follow through and ability to throw the deep ball. We have also seen the level of bracing change from a shoulder harness to a brace to kinesotape for stability. This is now 6 weeks he has been on the report. The team obviously won’t tell us the specifics, but we continue to watch and see what’s going on with his play. 

WR John Brown (left knee)

Brown continues to work through the knee injury sustained in practice that caused him to miss the Week 5 matchup against the Titans and re-injured against the Chiefs. Sunday against the Seahawks appeared as though he was finally back on track with a stat line that matched his 2019 levels. He continues to work through these nagging injuries and will hopefully get healthy enough following the bye to become the WR2 that the team envisioned at the beginning of this season. 

G Jon Feliciano (back)

Little is known about Feliciano’s back other than the designation. He has played in 100% of snaps since returning and it’s possible that he has generalized back soreness from getting back into game shape. As he has no designation, this isn’t something I’m concerned about unless he lingers on the report as some of his teammates. 

DE Jerry Hughes (foot)

Hughes has been battling a foot ailment over the past few weeks that hasn’t hampered his abilities to perform. As his snap counts and production have not suffered, it’s hard to identify the actual specifics of the injury. He continues to show up week in and week out since his trade in 2013; I do not expect that to change. 

C Mitch Morse (concussion)

Morse cleared the concussion protocol Wednesday following his 5th documented concussion in the win over the Patriots. The protocol is there for a reason to ensure players return safely at their own pace. He has cleared protocol, then I would have no reservations about him playing. The chance to suffer another concussion is there, but it has been there the entire time. If he for some reason doesn’t play, it would be deemed a healthy scratch and would likely come at the agreement of Morse, training staff, and the team collectively.

CB Josh Norman (left hamstring)

With no designation next to his name, Josh Norman returns to the field. This allows the Bills to showcase their cornerback depth for the first time since Week 4 when Norman returned off IR before Levi Wallace got hurt against the Raiders. Hopefully, Norman stays healthy for this game and then uses the bye to prepare for the final stretch of the season. 

While this season has not been what Bills and Norman envisioned, my hope is that he provides needed depth and veteran leadership at the position once the Bills enter the playoffs. I’m excited to see what he and Levi Wallace can do opposite Tre’Davious White for a full game.

CB Tre’Davious White (left ankle)

It seems anytime Tre’Davious White goes down, there is an audible gasp from fans. White has become the heart and soul of the secondary with his exemplary play as he has ascended to the ranks of the NFL’s best cornerbacks. 

He appeared to suffer a medial eversion ankle sprain late in the 4th quarter against the Seahawks. He was in pain on the field before hopping over to the bench to get it taped up, appearing ready to go back in if needed.

He practiced this week with a limited designation on Thursday and full on Friday indicating that this was not going to be an issue. He had also stated to the media that he would play. Despite the injury, he will likely not see any ill effects as he will probably have the ankle taped up and or braced. Arizona has some talented wide receivers and it will be White’s job to lock down whoever it may be, most likely DeAndre Hopkins

G Brian Winters (knee)

Winters appears on the injury report again with a knee ailment. He did exit the game briefly on Sunday with what appeared to be a knee contusion before returning later in the game. While he may have some acute injuries, this may be more of an acute on chronic issue that he continues to battle as the season progresses. 

RB TJ Yeldon (back)

Still, nothing is known about Yeldon’s back injury but he does not have a game status attached to him. This situation reminds me of several years ago when former Bills OL John Miller was on the injury report with an ankle injury for nearly 6 weeks despite not playing. 

Yeldon doesn’t appear to be in the game plans this Sunday and will likely be inactive. However, knowing he is healthy is good to know in the event that either Devin Singletary or Zack Moss goes down in the future. 

Inactives:

QB Jake Fromm

RB TJ Yeldon

S Micah Hyde

TE Lee Smith* active due to TE Tyler Kroft on COVID list

RB Taiwan Jones 

DT Harrison Phillips 

COVID list: Josh Norman, Dean Marlowe, Tyler Kroft, Levi Wallace

Elevated for COVID and PS call ups include Darron Lee, Daryl Worley, Jake Kumerow, Josh Thomas, Dane Jackson

The Cardinals are a talented team but the Bills match up well with them. Looking at the injury report for Arizona, they have several injuries that could impact their ability to match up as well as they have with other teams in the past weeks. Budda Baker is questionable with a groin injury, Kenyan Drake is still working through an ankle injury that you can read more about at The Game Day. Drake may play but I highly question his effectiveness. He may be best served to sit out one more game.

Dre Kirkpatrick their top corner is also working through a thigh injury and Dionte Thompson addressing a knee injury. On top of that, former Bill Jordan Phillips will miss the game with a hamstring strain. 

Even though the Bills are still working through some injuries, at worst they will not have Micah Hyde, Cody Ford, and they are already without Matt Milano. That is far better than the Cardinals potentially missing most of their secondary along with key offensive weapons. The Bills have shown they can plug up the holes required to get by without them for short durations. 

If the Bills play at all how they did last week, they have a very realistic shot to move to 8-2 heading into the bye. These games are incredibly stressful at times to watch but also insanely fun because this team is competitive and every single play means something now. It’s always been fun to be a part of Bills Mafia, but it’s so fantastic to be a Bills fan when they’re finally winning, it’s been worth the wait!

Top Photo Credit: Buffalo News

2020 Week 9 Bills Injury Preview- Seahawks

Proceed with caution, this is a long one.

The 2020 NFL season is truly something else. Lately, I cringe a little every time the injury report gets released. There’s a lot of names on that list. It’s at times dizzying to look and see that over 25% of the roster is injured to the point that they may not be available to play Sunday.

Over the past few years, there have been bouts where they have dealt with numerous injuries from week to week, but they have not had this level of injuries for this long of duration since HC Sean McDermott took over in 2017. As always here at Banged Up Bills, every injury is detailed out below to give an idea of the specifics and availability for Sunday’s game against Seattle. 

OUT 

RB Taiwan Jones (Hamstring)

Jones is dealing with a hamstring strain that appears to be on the right side. He suffered this during kickoff following the second touchdown that put the Bills up 14-6. He was sprinting full speed and the hamstring just appeared to be overworked and it went. 

With how the team handles hamstrings and his positional demands, I do not anticipate him playing Sunday. He would need at least a week off if not more before he could return. It wouldn’t surprise me if he missed the next two games and then used the bye to get some extra rest. His loss on special teams will certainly be missed, but this isn’t something that he can gut out like he has so many other injuries.

C Mitch Morse (Concussion)

Morse suffered a concussion on the 3rd play of the 1st quarter and had to exit the game, quickly receiving the diagnosis. His long history of concussions dating back to his rookie year is well known and this is now his 5th publicly reported documented concussion. 

He was seen on the sidelines working out with training staff indicating that he is at least in Stage 2 of the protocol Wednesday and Thursday. Friday he was seen in a red non-contact jersey indicating Stage 3, very possible Stage 4.

Considering concussions take on average 10 days to return from and add in the fact that Morse has taken longer to return from a concussion, he was not expected to play Sunday. I see a scenario where he misses the next two games and uses the bye to get fully right before fully returning. He could play against Arizona if he clears the protocol, but only the team and he will know which path he wishes to take.

Morse has said that he can only worry about what he can control. He’s going to do everything in his power to return quickly but safely in order to help the Bills during the second half of the season. 

LB Matt Milano (Pectoral)

Milano did not practice this week after playing the last two games. He hasn’t exactly been playing perfect, but he has had to wear a shoulder harness to prevent stressing the healing area. It’s not clear whether he aggravated the injury on Sunday or if they are just trying to manage the injury efficiently. Friday’s press conference appeared to imply that they are trying to rest him as much as possible while allowing him to play as needed. 

My thoughts originally were that they were trying to preserve him for the week to play on Sunday’s. That now does not appear to be the case. It has been a month since he suffered the injury and while the area is healing, playing in a football game the past two weeks hasn’t exactly accelerated the healing process.

I didn’t get the perception that he did suffer an aggravation on film, but we don’t know what the team knows. I can say with 100% certainty that he did not fully tear the area, otherwise, he would have been sent to have it repaired. You can live with a fully torn pectoral muscle in certain cases but not if you want to play NFL football.

It’s also important to note that the last two games have been against AFC East opponents which are more significant for the playoffs instead of the upcoming NFC games. Since the Bills won both games and the NFC games don’t hold as much weight for playoff seeding as a divisional game, it would make sense to rest Milano for this game. 

As he is not playing Sunday, this is the decision that was likely made with the team, training staff, and Milano together to ensure he’s healthy for later in the season. It will be interesting to see if newly signed LB Darron Lee makes an appearance due to the massive struggles of LB AJ Klein last week.

Update: Milano has been placed on IR.

CB Josh Norman (Hamstring)

Norman’s season continues to be a struggle for the veteran corner to stay healthy. He still continues to work through the same hamstring that he originally suffered in the preseason and then aggravated in practice two weeks ago. At this point, it’s anyone’s guess as to when he returns. My hope is that he takes the time he needs and is healthy for the final stretch. 

RB TJ Yeldon (Back)

I have absolutely no idea what Yeldon could be dealing with. He doesn’t have a publicly known history of back issues and he didn’t play in Sunday’s contest. This ailment either occurred during practice or this is an injury that the public isn’t aware of. As he is rarely active, this is a non-factor for Sunday. 

QUESTIONABLE

TE Dawson Knox (Calf)

Knox has had a rough season this year. He has been dealing with a concussion, a hamstring strain, a calf strain, and now COVID. It’s very possible that Knox’s calf is fully recovered from the original injury sustained against the Titans. On average, it takes about 17.4 days to return to play which is just under 3 weeks. Knox passed that window in terms of recovery time and is questionable to play.

The bigger concern will be how he responds following having COVID. Every day we are still learning the effects the virus has on the body and Knox is not immune to those effects. Right now, I hope that he can come back and just play before we get into considering how much of an offensive threat he can be. Due to the uncertainty of how COVID affected him, I want to say he won’t play, but with the number of injuries all over, he might be forced into being active on game day.

DE Darryl Johnson (Knee)

Johnson continues the trend of mystery injuries from Sunday’s game and it’s difficult to speculate the details. He did practice in full on Friday which was a great sign but was still ruled questionable. Considering DE AJ Epenesa was inactive last week, they could switch these two out. The only reason to play Johnson is his special teams contributions. He is a core special teamer whereas Epenesa has only played any special teams the past two weeks. It may just depend on how Johnson feels Sunday.

DT Vernon Butler (Groin)

Butler is moving in the right direction with a full practice on Thursday and Friday following a limited practice on Wednesday. When he exactly injured the groin against the Jets is not known, but the fact that he is able to return after one game indicates it was not that serious. This may come down to how he feels on game day, but the weather is supposed to be warm and dry, potentially lessening the risk for poor footing, leading to aggravation due to slipping. 

The Seahawks rushing attack will be limited due to the possible absence of RB Chris Carson and RB Carlos Hyde. With the addition of Butler, this will help stymie the run game to limit the weapons available for QB Russell Wilson and give the Bills a chance at slowing the offense. 

G Cody Ford (Right knee)

There is hope that Ford can suit up against the Seahawks on Sunday after missing two games with a likely right MCL injury. He did practice in full on Friday which is typically a good sign to play on Sunday. The team continues to have depth at the offensive line to patch things together, but returning Ford would be huge to help maintain consistency for the run game and pass protection.

He has had his share of injuries this season and the time off may have allowed him to get right in order to return to the left guard position and provide stability on an ever-changing offensive line. 

ACTIVE 

WR John Brown (Knee)

Brown continues to deal with nagging injuries from the beginning of the season with the foot issues progressing into the calf strain, working up to a likely left knee sprain. Wednesday was most likely a veteran rest day but practiced in full on Thursday and Friday. Hopefully, he can get through the next two games before the bye and finally get off the injury report. 

RG Brian Winters (Knee)

Winters appears on the injury report again with a knee injury; the specifics are not known. He is known to wear a knee brace during games on the right side. He did have a left ACL tear several years ago that I had thought he could be dealing with some arthritic changes, but impossible to confirm at this time. This may be an injury that the team continues to manage conservatively throughout the season as he is an older player. 

DE Jerry Hughes (Foot)

Despite the injury designation, Hughes continues to make an impact at the defensive end position while not missing any time. The injury originally occurred in the Jets game and it did not appear to affect him. He played in 62% of the snaps against the Patriots, roughly his normal snap count and there simply isn’t a lot of information regarding the injury. 

The bottom line, it’s going to take more than a foot injury to force Hughes to miss a game. 

QB Josh Allen (Left shoulder)

Allen continues to appear weekly on the injury report with a left shoulder injury originally sustained in the win over the Raiders. He also continues to wear a shoulder brace to address likely instability from that injury. He continues to practice in full but there is continued concern that he will aggravate the injury with an ill-timed hit or fall. 

This is something that we will likely get much more information on after the season. This is an issue that will continue to be monitored as he appears on the injury report and continues to wear a brace. 

S Micah Hyde (Concussion)

Hyde worked through the concussion protocol this week following his massive hit on Jets WR Breshad Perriman. He was limited in practice Wednesday but fortunately, practiced in full on Thursday and Friday. Per reports, he has since cleared concussion protocol and will suit up for Sunday to give the secondary a huge boost in containing the Seahawks offensive weapons.

DT Quinton Jefferson (Knee)

This is Jefferson’s second week on the injury report with a knee ailment that originally occurred in the Jets game. There aren’t any specifics regarding what he’s dealing with, but he, like Winters, did have an ACL tear several years ago. It’s possible the grind of the NFL season is wearing on his joints and he is dealing with some generalized arthritic pain following the ACL tear. He played last week and I expect him to play again this week.

G Jon Feliciano (Pectoral tear)

Felicano played in every snap Sunday after missing the first 7 games of the season due to the pectoral tear suffered in training camp. I highly doubt this was the plan due to C Mitch Morse exiting the game with a concussion, but he was pressed into service. Feliciano did note that playing center allows him to stay more protected against future injury, but it doesn’t eliminate the possibility. 

I personally don’t like the idea of him playing 100% of snaps again, but he appears to be the best option at this time unless G Ryan Bates got up to speed to take snaps at center this week. He should be eased back in, but according to Feliciano, he is at 97% in regards to his recovery, so he may understand the risks involved and decide to play anyway. This will be something I watch for on Sunday with his playing time.

Inactives:

QB Jake Fromm

CB Josh Norman

LB Matt Milano* IR

RB Taiwan Jones

C Mitch Morse

RB TJ Yeldon

DE Daryl Johnson

TE Dawson Knox

The one upside to this game is that the Seahawks are even more injured than the Bills are. The team will be down both RB’s Chris Carson and RB Carlos Hyde. They will also be without their starting cornerback in Shaquill Griffin and starting guard Mike Iupati. They do note on their practice reports the term load management and resting vet, but most are still working through things. 

Looking at this game, I’m biased, I want the Bills to win, but this is a tough offense. Ideally, the defense steps up as it did against Kansas City despite the loss and slows down the Seahawks just enough that the Bills offense can stay ahead. The team also desperately needs this bye week in Week 11 to get right for the final stretch. 

While COVID did mess with our schedule, it did not result in a bye like the Titans and Steelers received in Week 4. That early bye week may come back to haunt those two likely playoff teams come January. The late bye may make the difference for the Bills. I can stomach a loss, but I would rather take a loss and avoid further injuries than win and lose more key pieces. Survive to fight another day and get to the bye week. This should be an entertaining game with the hopes that the Bills move to 7-2.

Top Photo Credit: BillsWire-USA Today

2020 Week 8 Bills Injury Preview- Patriots

The Bills are banged up, but so are the Patriots. Who will win the injury bowl?

It’s Patriots week! The two times during the season where the Bills play the New England Patriots, a team that has spent two decades tormenting the Bills. But the winds have shifted as they do so often in Orchard Park, this time, in favor of the Bills. The Patriots enter this contest 2-4, the Bills 5-2 with a chance for Buffalo to lock down the AFC East at the midway point of the season. One thing that could stop that is the ever growing list of injuries. Despite the Bills avoiding any in game injuries, there were six new injuries to the report which makes determining who will play all that much tougher. Below is the multitude of injuries.

Ok OUT

G Cody Ford (Right knee)

Ford was ruled out Friday morning during Sean McDermott’s press conference. He appears to be dealing with a right MCL sprain suffered in the loss to the Chiefs. I had said this was a 2-3 week injury and thought he would be best served to get a stint on IR.

The team elected to not go that route and he appears to be trending to try and play in Week 9 despite not practicing the past two weeks. We will see what happens following the Patriots game.

CB Josh Norman (Left hamstring)

Norman misses his 5th game now due to his balky left hamstring injury suffered in training camp. The severity of this latest injury is not known but considering this is the same side and a re-injury, the team is making sure he is absolutely 100% before trotting him back out onto the field.

Defensive backs are already at a higher rate to suffer hamstring strains and then add in the previous injury, this makes for a rough season for Norman. Hopefully he can resume practicing next week.

QUESTIONABLE:

G Brian Winters (Knee)

Winters appeared back on the injury report again with a knee injury though it isn’t clear when he suffered the injury. He played in 97% of snaps indicating that this may not be serious. While it’s not know which side is injured, he did show up on the injury report following the Raiders game with a knee complaint then.

He is an older player that plays a very physical position; he may need the rest from time to time and this may be more of a load management issue. While he is questionable, he did practice in full on Friday which is a good indicator that he should play. I would hope that he rotates with G Jon Feliciano or whoever else plays.

DT Vernon Butler (Groin)

Butler was a surprise on the injury report with a groin injury that wasn’t readily noticed on film from Sunday. He was a DNP for 2 straight days after being limited Wednesday.

Credit: wnyurology.com

While he is an interior line player at defensive tackle, I believe it would be hard for him to generate any power to shed blocks or quickly change direction to tackle a back in the running lane. He has already dealt with a hamstring injury this season and would be best served to sit this one out.

S Micah Hyde (Concussion)

Hyde was eventually diagnosed with a concussion following his bone crushing hit on Jets WR Breshard Perriman. It’s not certain he suffered the concussion from this hit, but it’s a very strong guess. He likely developed symptoms later on, sending him into the concussion protocol.

He was out at practice this week but stayed off to the side on the exercise bike, indicating he was in Stage 2-3. He is listed as questionable indicating the team may try to have him pass the protocol in time for the game Sunday.

Credit: NFL

I don’t anticipate he plays based on the fact that concussions take some time to heal. Literature suggests it takes on average 10 days to return but we have seen players return quicker than that and in other cases much longer. I’m also not certain how he goes through live football reps to ensure he doesn’t have any symptom reproduction afterward as part of the protocol as he didn’t practice this week.

There’s always a chance he could pass the evaluation, but it would be a truly impressive to pass through this quickly. I say he misses this contest.

DE Jerry Hughes (Foot)

Hughes made a surprise appearance on the injury report this week with a foot designation. Despite the injury, he was a terror on the field as he garnered AFC Defensive Player of the Week. With the lack of specifics of what he did to the foot, it’s hard to say what he’s dealing with. Looking back, he has played with far worse injuries and still produced. He has yet to miss a game in a Bills uniform; I don’t expect that to change Sunday.

DT Quinton Jefferson (Knee)

Jefferson also made an appearance on the injury report with a knee ailment. Like most of the injuries, it’s not clear when he suffered the injury, making specifics difficult to discuss. Considering he practiced in full on Friday and with the likely inactive coming for Butler, I’m leaning towards Jefferson playing.

CB Cam Lewis (Left wrist)

Lewis is still battling with a wrist injury that saw him active last week but not play. He was limited all again this week and is questionable. He continues to have the club on his hand which has me believe this may be more than a sprain. He may have fractured a bone in his wrist and simply needs time to heal. If he is looking at a fracture, it could be a 4-10 week timeframe for things to fully heal in there. Without further details, hard to elaborate.

For Sunday, he could sit out which I think is the smart move or he could once again be active but play only in the case of emergency. I envision him sitting this one out.

Update: Lewis has since been placed on IR.

LB Matt Milano (Left pectoral)

Milano was limited all week in a red practice jersey which seemed to worry some members of Bills Mafia. He is designated as questionable but I fully expect him to play Sunday. His pectoral tear is still healing up and will not likely be fully healed until after the bye. He only played in 33% of the snaps on obvious passing downs illustrating his restrictions at the moment. I had thought that could be a possibility in my Buffalo Rumblings article.

He was likely limited due to the team not wanting to have him go through full practices and possibly re-injure the area. He doesn’t need to practice tackling, he needs to work in the game plan. I expect his snap count to increase this week but still rotate with LB AJ Klein to prevent further re-injury.

ACTIVE

QB Josh Allen (Left shoulder)

I continue to highlight Allen’s presence on the injury report because he clearly did something to the shoulder as evident with the shoulder brace. He’s going to continue playing through it but we’ve seen him have less scrambles and more designed runs or stay in the pocket. I still believe he injured the labrum or the rotator cuff. He continues to practice and play, but there is concern that he re-injures it at some point with a hard hit.

WR John Brown (Left knee)

Brown continues to battle through numerous injuries from earlier this season, but finally appears back on track to play Sunday. Three full days of practice indicates that he will play and with the Patriots potentially without CB Stephon Gilmore, Brown may have himself a day against a weakened secondary. He is still healing from the numerous injuries, but appears healthy enough to play.

WR Isaiah McKenzie (Ankle)

McKenzie only played in 20% of the offensive plays from Sunday but still managed to walk away with an ankle injury. As you see a theme here, there are no specifics on the exact injury as to what he’s dealing with. He did not have a game day designation meaning he will play and hopefully be effective.

Other injury news:

CB Levi Wallace (Left ankle)

Wallace is eligible to return from IR following his ankle injury in the Raiders game. He has missed the last 3 games and is in his practice window where he does not count against the roster.

Looking at the video, he’s moving around fairly well but still having some trouble going to his left and pushing off that side. As he is in the practice window, the team is not obligated to give an injury report or participation designation to him.

If this were a playoff game, I say he can play. While this is an important game, the Patriots are beat up themselves which means the Bills can afford to let Wallace rehab another week before returning to the field.

Update: Wallace has been activated from IR.

G Jon Feliciano (Right pectoral tear)

Feliciano is making his long awaited debut for the 2020 season after tearing his right pectoral muscle while weightlifting shortly after training camp started. I had speculated that he would return after Week 8, he returns before. He is wearing a shoulder harness as I suspected he would and I do not believe he plays the entire game.

I would expect that he rotates in on the line and gets his feet wet as he works back into game shape. He had told reporters that he wanted to come back sooner but they stopped him to essentially protect him from himself. The team made the right move in this case.

If I were the training staff, I would work him in over the next 3 games and then let him play the full games following the bye. He will be 4 months out at that point and while he can still continue to heal, he will be at a much lower chance to re-tear the area.

Housekeeping:

The Bills have activated TE Lee Smith off the COVID/Reserve list. The team elevated LB Andre Smith to the active roster, cut and re-signed LB Deon Lacey to the practice squad. The team is also in the process of signing former Jets and Chiefs LB Darron Lee to the practice squad.

Inactives:

QB Jake Fromm
CB Cam Lewis* IR
DT Vernon Butler
S Micah Hyde
RB TJ Yeldon
CB Josh Norman
G Cody Ford

While the Bills continue to battle through the numerous injuries, the Patriots are dealing with their own. On top of all the COVID opt outs, they will also be without WR N’Keal Harry and WR Julian Edelman due to a concussion and knee injuries respectively. There is a possibility their top CB Stephon Gilmore missing the game due to a knee injury. DT Carl Davis has also been ruled out with a concussion.

Looking at the questionables besides Gilmore, there are a lot of significant names on that list. They are one team that is quite possibly as beat up as the Bills are.

Despite all the injuries on both teams, the Patriots still have Bill Belichick. He has been at this a very long time and will adapt his game plan to whatever he has available and may very well still be competitive. I will not count out the Patriots until the clock strikes 0:00 in the 4th quarter with the Bills having more points than the Patriots.

I am expecting the Bills to win this game because I believe they are the better team, but if the Bills struggle early like they did the past few games, this could spell trouble in securing the AFC East crown. With the weather expected to be poor, wet and windy conditions may lend itself to reducing injuries. The Bills need to get through this game with minimal injuries and get to the bye in order to make a deep postseason run.

Top Photo Credit: Buffalo Bills

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.

DE Jerry Hughes Injury Profile

#55 Jerry Hughes
Position: DE
Height/Weight: 6’2”/254 lbs.
Age: 32
College: TCU
Year joined Bills: 2013
Acquired: Trade in 2013 for LB Kelvin Sheppard

College Injuries:

No publicly reported injuries

Pro Injuries:

2010 Colts:

No publicly reported injuries

2011 Colts:

No publicly reported injuries

2012 Colts:

No publicly reported injuries

2013 Bills:

No publicly reported injuries

2014 Bills:

No publicly reported injuries

2015 Bills:

Left wrist, Week 2, chipped bone, later required surgery, missed 0 games

2016 Bills:

Hand injury, Week 7, missed 0 games

Hamstring issues, missed 0 games

2017 Bills:

Shin/calf injury, Week 10, missed 0 games

2018 Bills:

Right knee contusion, Week 10, missed 0 games.

2019 Bills:

Ankle injury, Preseason, missed 0 games

R wrist torn ligaments, Preseason, possibly schapholunate ligament, required surgery, missed 0 games

Groin strain, later core muscle injury requiring repair, Week 10, missed 0 games

2020 Bills:

Calf strain, Week 2, missed 0 games.

Foot injury, Week 7, missed 0 games.

General links:

Left wrist, chipped bone

Hamstring issues

2018 Bills Injury Review- Defensive Ends

2019 Bills Injury Review- Defensive Ends

2020 Bills Injury Preview- Defensive Ends

Jerry Hughes’ Wrist is a Big Problem

Bills 2020 Training Camp Injury Preview: Defensive End

Will Hughes continue to stay healthy & productive?

This is Part 7 of the Buffalo Bills training camp preview revisiting injuries from 2019 & the impact it may have on their performance and availability in 2020. Part 7 consists of the defensive end room.

Not Returning

DE Shaq Lawson 

15 games, 2 passes defended, 1 forced fumble, 6.5 sacks, 32 combined tackles, 21 solo, 11 assisted, 13 TFL, 18 QB hits

Lawson finally had his breakout year after being drafted as a 1st round pick back in 2016 that forced the Bills to make a business decision on whether to keep him in 2020. Fortunately for Lawson, he was allowed to walk in where he signed a sizable contract with the rival Miami Dolphins in the hopes of building off his career year. 

He was able to have a stellar year by not having to deal with many injuries which was a stark change from previous seasons. In fact, his only injury was a left hamstring strain late in the Patriots loss just prior to the playoffs. He got up from celebrating a tackle for loss and appeared to tweak the hamstring. It appeared to be minor & forced him from the regular-season finale, but allowed him to play in the playoffs. For his sake, hopefully, he is able to continue to stay healthy & develop as a player. 

Players Returning

DE Jerry Hughes

16 games, 16 starts, 3 passes defended, 1 fumble recovery, 4.5 sacks, 23 combined tackles, 14 solo, 9 assisted, 6 TFL, 9 QB hits

Jerry Hughes is a beast. Simply put, he is a player with a high motor and gives everything he has to the Bills in order to be the best. This includes playing through multiple injuries that would sideline most players. 

Below is Hughes injuries:

    • Right wrist ligament tears

Hughes suffered a right wrist injury early in training camp, possibly in the victory over the Panthers in the preseason. It wasn’t reported as much and he played the entire season with a cast/brace on the wrist, never appearing on the injury report.

Following the season, he announced that he had played through torn ligaments in the wrist which landed the Bills in hot water momentarily. They were cleared of any wrongdoing and Hughes eventually had surgery which was detailed here. He should be fully healthy for the season regarding his wrist. To read more on the wrist injury, check out the article at Banged Up Bills.

    • Ankle

He also suffered an ankle injury around the same time he suffered his wrist injury. He was limited briefly and the ankle was never mentioned again. It was also not known which side he suffered the injury.

    • Groin (core muscle injury)

Showing up on the injury report during Week 7 was a groin injury for Hughes. While groin injuries at his position are not abnormal, the fact that he played through a core muscle injury that later required surgery was. It is common to play through a core muscle injury and have it appear similar to a generalized groin strain. 

Likely, it did not heal up properly and during an exit physical, it was found and needed repair. Most core muscle injury repairs have excellent outcomes and he did get the procedure done at the Vincera Institute outside of Philadelphia where one of the nation’s doctors routinely performs these procedures. Like the wrist, the groin injury should be of no concern moving forward. 

    • Hamstrings

This injury was not listed on any injury reports nor was it a concern during the 2019 season. The only reason this was brought up was due to Hughes mentioning it in an Instagram post noting that his hamstrings were 100%.

He has had previous hamstring strains dating back several years, but none severe enough to have him miss a game. Most of the adductors that attach to the groin where Hughes had his core muscle surgery assist with lateral movement but the adductor magnus in that group has different parts of the muscle. One portion assists with flexion of the hip, the other assists with hip extension, the same motion that the hamstrings perform. 

adductor-magnus-muscle-plain-1
Credit: Yoganatomy.com

This is just a theory, but it’s possible that Hughes was having hamstring issues related to the core muscle injury by aggravating that muscle group during play. This would explain why he said the hamstrings are 100%. There is also the possibility that he did have a hamstring strain that he played through or suffered during the playoff loss to the Texans. 

Hughes is a lock to make the roster but all the years of playing through injury compounded with the demands of the position do concern me that he will begin to decline in production or be forced to end his iron man streak due to injury. 

DE Darryl Johnson 

16 games, 1 sack, 11 combined tackles, 6 solo, 5 assisted, 2 TFL, 2 QB hits

Rookie Darryl Johnson had a solid preseason that prevented the Bills from sneaking him onto the practice squad following cut down day. He made the roster as a 7th round pick and quickly found himself in the defensive end rotation early on. 

Unfortunately, that lack of experience playing in the NFL caught up with him and mistakes began to become apparent. He quickly lost playing time as the season progressed and more of his focus was on special teams. Thankfully, he did not suffer many known injuries which allowed him to get through the 16 game grind.

Below is Johnson’s known injuries:

    • Neck 

Johnson suffered a generalized neck strain/sprain during the win over the Giants back in Week 2. He completed a tackle and his neck was snapped forcefully backward as he was falling. He was attended to by trainers but never showed up on the injury report the following week. 

This appeared to be a minor injury and he didn’t appear limited the rest of the season injury-wise. While Johnson has an excellent shot to make the roster, his spot is far from guaranteed due to the talent brought in this offseason. 

DE Trent Murphy 

16 games, 16 starts, 5 sacks, 36 total tackles, 24 solo, 9 assisted, 9 QB hits

Murphy finally started to come around in 2019 after a trying 2018 in which he admittedly rushed back following his ACL tear when he was with the Redskins. While his numbers don’t exactly jump off the sheet, especially considering the money he is being paid, he is still an NFL-caliber defensive end. Fortunately for Murphy, he had significantly fewer injuries than 2018 which was a strong reason why his play improved.

Below is Murphy’s known injury history:

    • Concussion

Murphy suffered a concussion in the win over the Titans in Week 5. He was attempting to close in on a tackle before he received friendly fire, colliding with Bills LB Lorenzo Alexander. He was evaluated for a head injury and his day was done early in the 4th quarter. Thankfully, he did not miss any time due to the well-timed bye placement.

    • Left shoulder/neck

He suffered a left shoulder/neck injury during the Redskins game when he had a pile of bodies fall upon him when he got sucked into the middle of a routine run play. He required medical assessment in the blue tent but was able to return quickly, indicating it was not a big issue.

Murphy has a great shot at making the roster but has fallen out of favor with the fans due to lack of production when compared to the contact. Trading him would make the most sense, but due to the uncertainty of the upcoming season, he may be beneficial to hold onto in case of injury or poor play by a fellow defensive end. Healthwise, he should not have any major concerns outside of continued concussions which are a risk for everyone playing football. 

DE Mike Love

Spent 2019 on IR with a pectoral injury

Love had a strong end to 2018, appearing in 3 games and realizing his dream of playing in the NFL. 2019 training camp came and Love began to make a strong case why he should make the team out of training camp. Unfortunately, in the 2nd half of the Lions preseason game, Love partially tore his left pectoral attempting to make a special teams tackle. He was placed on IR prior to roster cut down day and had resulting surgery shortly afterward. With the uncertain future of both DE Shaq Lawson & Trent Murphy, it’s very possible that Love makes this squad next season as a key linchpin in the dominating defense. To read more on Love’s injury, check out Buffalo Rumblings.

New to the roster

DE Mario Addison

Addison continues the trend of Carolina Panthers coming up north to work with a familiar system & extend their careers. Addison is older & has been incredibly productive during his time in the league. There is hope that he continues that trend with the Bills as they look to replace Shaq Lawson. On top of that, Addison comes to the Bills relatively healthy with details found at Buffalo Rumblings.

DE Bryan Cox Jr.

Despite the name, Bryan Cox Jr isn’t the same athlete as his father was. A slew of collegiate injuries torpedoed his chances at getting drafted and Cox Jr has had his difficulties finding a consistent spot on a roster. His time with the Panthers allowed him to develop as a professional but he soon found himself on the street before signing with the Browns in 2019. 

Ideally, a new start with Buffalo will allow him to make the team & establish himself as a consistent option at defensive end as the position begins to turn over. To read more on his injuries, check out Banged Up Bills.

DE AJ Epenesa

Epenesa, the first pick for the Bills in the 2020 draft slid down to the 2nd round which provided Buffalo some value in the pick despite not having a first-round selection. He comes to the Bills as a highly regarded end who can demonstrate strong abilities to rush the passer but also move inside to provide pressure up the middle. In addition, Epenesa has virtually no injuries save for a broken leg in high school. To read up on his injury history, check out Buffalo Rumblings.

DE Johnathan Woodard

Woodard comes to Buffalo as possibly his last chance at finding an NFL home. He reportedly tore his Achilles during training workouts several years ago which certainly stunted his growth over time. He has bounced around from Jacksonville to Atlanta to Miami. He eventually stuck with Miami for 2 years before finding a home in Buffalo. For more information, check out this article at Banged Up Bills.

2020 Outlook

The returning talent along with new signings helps pave the way for turnover in the defensive end room. Most everyone comes with some sort of injuries, but the effectiveness of this unit will depend on the cohesiveness of the players along with Jerry Hughes’s health. There is also concern with Addison as he is getting older, entering his age-33 season. 

Hughes, Addison, Epenesa, and either Johnson or Murphy appear to be locked on this roster. If Johnson or Murphy fails to show the team their worth, there is a possibility one or the other could be looking for a new home quickly. Cox Jr, Woodard, & Love all have a shot to make the roster but will have to unseat Johnson or Murphy in order to make that happen. There are little injury concerns moving forward in 2020 with the exception of Jerry Hughes staying intact. If everyone stays healthy & available, this could be a very effective unit. 

Bills Offseason Injury Updates

Get the #Bills latest injury news during these long lulls in the offseason as we inch closer to OTA’s Phase 1

Talk about some offseason doldrums! Mock draft after mock draft, continuous speculation about what player goes where. On top of that, the underwear Olympics are coming up at the end of February which will take the draft season to a whole new level of madness.

To make matters worse, there has been little to no updates regarding anything Bills content outside of DT Star Lotulelei’s restructuring of his contract. That and TE Greg Olsen signed with the Seahawks after meeting with the Bills.

But there’s still love for you Bills fans over here at Banged Up Bills. It’s been about a month since any major news was released regarding offseason surgeries. While there has been little new information, I still feel it’s beneficial to provide updates on the surgeries. This is to attempt to further identify what each player is dealing with and any possible updated timelines.

Jerry Hughes

Jerry got the Bills in some hot water over his tweet below right after the season ended. To recap, he announced that he was playing all season with torn wrist ligaments in his right wrist.

I attempted to speculate what type of injury he may have been dealing with right after the news broke. Make sure to go check it out if you haven’t already. Since then, Jerry had surgery about two and a half weeks after the news with this picture below.

Fortunately, Hughes did not get the Bills in trouble and no fines were assessed due to the injury.

While we won’t know the specifics of the wrist injury, social media does allow us to gather some information on specifics based on rehab timelines. While this is not conclusive, it appears that Hughes still has some type of cast or splint on his wrist that he attempts to hide under the table during the picture.

Click to access scapholunate-ligament-repair.pdf

If that is indeed the case, then this points more towards the theory that he had a scapholunate ligament repair as the timeline for rehab protocols indicate that he is to be in the cast/bracing for six weeks. At the time of this article, he will be a few days shy of four weeks. At this point in rehab, he will be performing any range of motion activities with his fingers, elbow, and turning of the forearm, known as pronation and supination.

He will still likely be limited for most of OTA’s, but he should be active and present as he gears up for yet another season. There should be no limitations come training camp.

Ed Oliver

Oliver’s rookie season progressively got better as he adjusted to the demands of the NFL. He began to show why the Bills selected him ninth overall in last year’s draft. Despite the improvement during the season, it was a surprise when Oliver announced that he had core muscle surgery back on January 14th.

Bills fans got some details with news stories detailing the exact reason he got the surgery later on. But these did not detail the exact area, when he injured it, how he injured it, and the severity. To get some background information on core muscle injuries, check out my article.

Since then, it has been nearly radio silent with little information. The only indication that Oliver is doing alright is that he made it down to Houston at the beginning of February. Based on general rehab guidelines, Oliver is still working on flexibility and reintroducing strengthening exercises, progressing the level of difficulty and resistance as tolerated.

He may also be limited during part of OTA’s, but should be able to participate during Phase Three when there is actual contact. He should also be fully ready for training camp.

Jon Feliciano

Feliciano continued the trend of players requiring surgery after the season, specifically for a left rotator cuff tear. He had noted that he was playing all season with the tear that dated back to the scrimmage at New Era Field in early August.

Feliciano is about five weeks out from surgery which means he has either just begun or will begin to get his arm out of the sling more. He will be progressing his range of motion, careful to not stress the healing tissue and possibly begin working on isometrics based on the doctor’s protocol. For more details regarding a rotator cuff repair, read this article I wrote last month.

Feliciano will take his time to get through the rehab and will not be available for OTA’s. Thankfully, he should be ready for training camp this summer.

Levi Wallace

Wallace was the most recent surgery added to the list, requiring shoulder surgery back on January 28th.

Unfortunately, outside of what Jay Skurski stated, there has not been any other information released. It is known he suffered a shoulder injury back against the Philadelphia Eagles, but the specifics are not available. Unless details are released, I believe he may have had a general cleanout of the shoulder arthroscopically.

It is too soon to tell if he will be able to participate in any fashion during OTA’s. But I remain hopeful that he can participate and be ready for training camp.

Cody Ford

Finally, we get to the last player who required surgery this offseason. Ford was a surprise announcement that he required surgery on his right shoulder. Like Wallace, details are scarce, but there is some information to be interpreted from pictures.

Based on the picture below, Ford is dealing with either a torn labrum in his right shoulder or a rotator cuff repair, both of which would take four to six weeks in the sling. Based on the most recent picture, he would be four weeks out.

Details may emerge later with the exact injury, but seeing updates such as this helps narrow down what the player could be dealing with. If he is dealing with either injury, range of motion is vital early on and performing isometrics to take his rehab to the next stage for strengthening is key. Regardless of the injury repair, he should be fully cleared in either case for training camp barring any unforeseen complications.

While this doesn’t get into the nitty-gritty details that people want to know, it does establish several injury timelines. This also provides updates on how the players are responding to surgery and if anything seems out of the ordinary.

I expect that more details will emerge regarding some of the injuries, but not a given. The Bills are still on track to bring nearly everyone back onto the team to maintain the culture the coaching staff strived to establish. As fans, we can only hope that the Bills are maximizing the quality of starters at each position. If any go down, it’s important to have a capable backup who can carry the torch until the starter returns.

For the latest up-to-date content, check out @BangedUpBills on Twitter and here on the website. Make sure to also check out Cover1.net for my draft injury analysis on prospects as the NFL draft approaches.

Ed Oliver’s Core Muscle Surgery

Will Oliver be ready in time for OTA’s?

A surprise tweet from DT Ed Oliver hit Twitter Tuesday afternoon showing two pictures that he had successful surgery following his rookie year. This created several questions as Oliver did not appear on the injury report all season & only appeared to suffer one known injury following the Titans game in which he sustained a left foot/ankle injury when he tackled RB Derrick Henry. He was able to return following the bye & did not miss any games during this season.

However, Tuesday’s tweet changed things with Oliver in a hospital gown. The Bills had recently performed their end of season exit physicals & issues are found once a full assessment has been performed. We have already observed this with the tweets last week from DE Jerry Hughes & his torn wrist ligaments. Oliver likely had his exit physical & found this issue which required corrective surgery.

Originally, I had thought that he had a routine joint cleanout from general debris such as bone chips, articular cartilage, or frayed tissue due to not appearing on the injury report. But news came out later that he had successful core muscle surgery, commonly known as a sports hernia, announced by Buffalo News reporter Vic Carucci. 

Looking back at the Oliver tweet, there were two clues that indicated that he had core muscle surgery. First, the location was in Philadelphia, PA. Oliver could have had arthroscopic surgery in Buffalo or back in his hometown Houston, or wherever he wanted, indicating that Philadelphia was a specific location. Second, the 2nd picture shows the phrase “Vincera Institute” above his head. This was not readily observed unless you were able to zoom in on the picture but this was a dead giveaway in retrospect to what he had done. Frankly, I missed it the first time around.

The Vincera Institute in Philadelphia is run by Dr. William Meyers, a nationally renowned orthopedic doctor specializing in core muscle repair. From what I’ve read, he is THE guy when it comes to core muscle repair. Meyers is also big against identifying the injury as a sports hernia, hence my use of the term core muscle. We don’t know when Oliver suffered his injury, how long he was dealing with it, & how severe it was.

With regard to the injury itself, there is a multitude of variations according to the Vincera Institute website that frankly, even as a licensed Physical Therapist, were new to me. As there are no specifics to which injury he sustained, below is a general description of a core muscle injury.

groin_injuries
Credit: https://physioworks.com.au/Injuries-Conditions/Regions/groin_pain

Core-muscles-abdominal
Credit: plankpose.com

The adductor muscles in the groin are most commonly injured pictured above, but can also affect the abdominal muscles in the 2nd picture. These injuries can occur with planting the feet & twisting maximally, causing the lower-body injury. They can also occur with violent twisting, kicking, and turning along with blows to the back, anything that overstretches or strains the muscle at its attachment.

These injuries can present as groin strains, oblique strains, or other general injuries around the hip or core region that don’t resolve with proper rest & rehab. A core muscle injury is when the tissue tears & does not heal like a normal strain, commonly with the muscle pulling away from the pubic bone attachment observed in the first picture.

This can present as sharp or stabbing pains with specific movements such as sprinting, kicking, cutting, etc. This can also be tender to touch, little to no pain during rest, and typically isolated to one side. These injuries aren’t always apparent at the time; often minor injuries are able to be played through. The severity of the injury is found later such as during a physical or if the pain becomes too intense to perform an activity.

Fortunately, surgical outcomes are great with at least 90% of repairs in the NFL have shown to resume their normal activities prior to the injury with the control group playing slightly more games and slightly longer careers than those having the surgery. However, the control group in that study were players who had similar careers in relation to experience, statistics, & position played, not indicating that the groin injury itself led to a shorter career. Another study showed 89% of repairs were able to return to the pre-injury level of play with minimal to no pain during a 4-year follow up study. 

Rehab for this surgery can be between 6-12 weeks based on the specific type of core muscle surgery & location. Rehab protocols can be found here & here with most protocols skewing towards a lengthened recovery timeline for a conservative approach.

If Oliver has any concerns regarding his recovery, he can ask fellow Bills players C Mitch Morse & WR Cole Beasley who both suffered similar injuries at the end of the 2018 season which required surgery, causing them to miss some of OTA’s last spring. As of writing, both have not had any known issues regarding re-injury to the area & should continue to stay productive. According to the 2020 NFL offseason schedule, the Bills will start OTA’s April 20th. By then, Oliver will be fully healthy without any limitations.

It’s unfortunate that Oliver suffered this injury, but injuries are a part of football. It is great that he got this addressed now so that he may be fully healthy to attack this first offseason as a professional in order to grow into the next great Bills defensive tackle. I have no concerns regarding this injury & his recovery as he was treated by one of the best in the United States & has an excellent facility to rehab at in Buffalo if he so chooses.

I expect there to be more surprise injuries & surgeries as the offseason progresses, but this is just another one that is being addressed properly & maximizing Oliver’s growth as a professional football player.

Top Photo Credit:

HoustonChronicle.com

Jerry Hughes’s Wrist Is A Big Problem

Did Hughes’s tweet write a check the Bills can’t cash?

The sting of the overtime playoff loss to the Texans was still very fresh in everyone’s mind when a seemingly innocuous tweet from DE Jerry Hughes was released. Below is the tweet which shows his passion & love for his team. All well and fine, we love you too Jerry! But 5 words within that statement got the Bills put on notice by the league & raised questions about the Bills injury reporting this season.

“Torn ligaments in my wrist”

Normally that statement wouldn’t be an issue because NFL players get injured. It’s a fact. But Hughes never appeared on the injury report this season with a wrist injury. This is where the league doesn’t like that news. Below is the first few paragraphs of the NFL injury report policy.

The Personnel (Injury) Report Policy has been a cornerstone of public confidence in the NFL for many decades. The credibility of the NFL, teams, owners and team personnel requires full compliance with and uniform enforcement of the policy.

The intent is to provide full and complete information on player availability. It is NFL policy that information for dissemination to the public on all injured players be reported in a satisfactory manner by clubs to the league office, the opposing team, local and national media, and broadcast partners each game week of the regular season and postseason (including for the two Super Bowl teams between the Championship Games and Super Bowl).

The information must be credible, accurate, timely, and specific within the guidelines of the policy, which is of paramount importance in maintaining the integrity of the game.

A violation of the policy may result in Commissioner discipline, which may include a fine on the involved club, fines or suspensions of involved individuals, as well as the possible forfeiture of draft choices by the involved club.

This weekly injury report is the cornerstone of what I do, commenting on Bills’ injuries. Fortunately, this injury was something I was aware of, but unaware of the severity of the injury as most teams won’t come out and give details.

I had first noted that Jerry injured his right wrist sometime in the preseason, likely occurring during the Bills vs Panthers preseason game. Hughes played 14 snaps in that game and was his usual self during the first few series he was in. Having reviewed that film several times, there didn’t appear to be any smoking gun with regards to injury either indicating that the injury was not realized until later or that it did not occur during the game.

Hughes was able to play in all 16 games & the postseason, only suffering an ankle injury at the beginning of camp & a groin injury during Week 12 which limited him that week in practice in addition to the wrist. He also had several veteran rest days, which isn’t uncommon for a player his age. Looking back at pictures from this season, it’s observed that he has a brace or tape for support every time he plays.

ENrtX9FWwAEO-4B
Credit: Twitter.com/Iam_JerryHughes

Bills Football
Credit: billswire.usatoday.com

Buffalo Bills v Tennessee Titans
Credit: TheAthletic.com

NFL: Washington Redskins at Buffalo Bills
Credit: billswire.usatoday.com

r638687_1296x729_16-9
Credit: ESPN.com

As you can see in all those pictures throughout the 2019 season, he has a wrist brace on during each game, indicating that this was a lingering injury.

The next question is, what ligaments did he tear? Based on the lack of obvious injury & previously unknown severity, it’s hard to identify what he exactly did. We obviously know he didn’t suffer any fractures or dislocations as those would have either been season altering or season-ending.

I can also say confidently he did not injure any ligaments in his thumb as supported by the picture above, specifically the one with him during practice. You can see that he has tape supporting the area but the thumb moves freely, indicating that the interphalangeal joint, metacarpal joint, and carpometacarpal joint are intact. Otherwise, a thumb spica splint would have been noticeable & higher up the thumb.

A327851_1_En_2_Sch2_HTML
Credit: musculoskeletalkey.com/

Evaluating the anatomy of the wrist, the carpals and distal ends of the radius & ulna make up the wrist as you can see in the picture below. There are multiple ligaments in the wrist that you can view on your own if you wish. Clinically significant ones include the scapholunate ligament, the lunotriquetral ligament, & the triangular fibrocartilage complex (TFCC), among others.

Carpal-bones

The ligaments listed above are the most common wrist ligament tears from what I could find in literature, but there are certainly others. To generalize the mechanism of injury for these injuries, it typically happens when there is a fall or sudden force that places the wrist into extension and then into radial or ulnar deviation along with possible forearm pronation or supination. The presentation includes swelling, pain, weakness with range of motion, possible clicking/grinding, point tenderness, and difficulty with specific wrist movements. According to literature, if these injuries are suspected, the patient is to be placed in some type of bracing since there is instability noted.

As mentioned above, without a specific mechanism of injury or further details, hard to say what he did. Most of the time when these injuries occur, surgery is indicated to restore stability in the area. There are always reasons for non-operative treatment, but either outcomes are poor or ineffective. The only one that can be treated after the initial injury is the scapholunate injury in where surgery can be performed within 18 months of injury & splinting may be effective with incomplete tears.

It’s possible he injured the scapholunate ligament either falling on the hand or getting his hand caught up in a blocker, getting it twisted around to the ulnar side. But this is merely a guess.

After uncorking your mind from all that anatomy jargon, we go back to why Hughes & the Bills may be in trouble. The injury never appeared on the injury report during the season. Below are the indications of why an injury would automatically be reported.

Some injuries are automatically reportable because they result in the player’s unavailability or limited availability to the club. These include any injury that:
(a) causes the player to miss a game;
(b) prevents the player from finishing a game;
(c) causes the player to miss a practice (Did Not Participate);
(d) limits the player’s participation in practice (Limited Participation); or
(e) prevents the player from finishing a practice (Limited Participation).
Other injuries may be reportable because of their effect upon the player’s performance despite his continuing availability to the club.

The club must continue to list the player on its weekly Practice Reports
until the player’s injury no longer affects the player’s performance.

Below is what makes up the practice report & define full, limited, and DNP.

The Practice Report’s player participation categories are defined as follows:
Did Not Participate: means zero percent of a player’s normal repetitions.
Limited Participation: means less than 100 percent of a player’s normal repetitions.
Full Participation: means 100 percent of a player’s normal repetitions. In general,
this category should be used for players who missed or could not complete the prior
game due to injury, but have returned to participate fully in practice the following week.
It should also be used for a player who (i) sustained an injury in the prior game that
affects his performance, but was able to finish the game, and (ii) participates fully in
practice the following week, as in the example on page 2 (injured quarterback).

I think he suffered the injury in the preseason, had it addressed with the brace & likely rehab. He probably had it evaluated and determined that he could practice/play through it & get surgery later. He did not play in the Lions or Vikings preseason games but was able to play Week 1, giving him just over 3 weeks to give the wrist some time to recover.

Furthermore, this happened in the preseason where injury reporting is not as strict & by the time it got to the regular season, he was healthy enough to play. Did the injury impact his performance? Hard to say. His stats over the years show a bell curve, indicating that his best years are behind him & that he wasn’t far off from last season, though a slight drop was noted. Why were his stats down?

Possible reasons include: he may have been double-teamed more, Hughes is no longer as effective as a defensive end, scheme fit; overall, not my place to say.

Finally, what qualifies as a torn ligament? By definition, a sprain is a ligament tear with the grades varying in severity. Hughes may have suffered partially torn ligaments; never fully healing due to the rough nature of the NFL, & they require surgery. He may have fully torn some ligaments & there’s instability noted. Hughes may have also exaggerated or been misinformed about what he was saying in his post.

We always find out later that guys were playing with injuries the team did not divulge or have to publically report on. We also find out that what appeared to be a minor injury, turned out to be more significant. I think this is one of those cases. We knew that there was some type of injury, we didn’t know what exactly happened & the severity.

Do I think the Bills get fined? It’s possible, considering the Raiders had injury reporting violations last year & the Lions had issues this year with Matt Stafford resulting in a fine. The Steelers also got hit with a fine this year following Ben Roethlisberger & the management of his elbow injury. So this isn’t a rule that doesn’t get enforced.

I think the only difference from the above-mentioned fines & what the Bills did was how far removed from the injury the players were. All the other fines were responses to acute injuries. Hughes didn’t appear on the injury report for a rest day until late September.

The only way the Bills are in violation of this rule is due to the statements below.

The supplemental entry “Not Injury Related” applies to situations in which a player is withheld from his normal repetitions for reasons other than injury. Examples include: resting veteran players, team discipline, jury duty, illness in family, personal matter, etc. In these cases, the club must explain specifically – on its own participation release issued to the media – why the player missed or was limited in practice. Use of this category is prohibited if the player in question has an injury that is otherwise reportable under the policy. An injured player cannot be listed as a “resting veteran.”

The Practice Report is expected to provide clubs and the public an accurate description of a player’s injury status and his level of participation during the practice week. All players who have reportable injuries must be listed on the Practice Report, even if the player takes all the reps in practice, and even if the team is certain that he will play in the upcoming game. This is especially true of key players and those players whose injuries have been the subject of local or national media coverage.

Looking at this as a whole & how I interpret the rules, I don’t think the Bills were in violation. Hughes is a key player, but when the injury was & how it was managed I believe make this different. Full disclosure, I am a Bills fan, but looking at it from when I put my medical hat on confirms my thought process. The Bills & the NFL know far more than I will & ever should know and the decision will be handed down. I hope I am right, but we shall wait & see.

Top Photo Credit:

Twitter.com/Iam_JerryHughes

Week 12 Bills Injury Review- Broncos

Are Morse & Beasley going to play Thursday?

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

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

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

C Mitch Morse (right 5th digit)

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

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

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

WR Cole Beasley (left ankle)

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

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

WR Robert Foster (right hamstring)

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

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

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

Other notes:

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

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

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

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

Top Photo Credit:

Rochesterfirst.com