2020 Week 17 Bills Injury Preview- Dolphins

Who will sit on Sunday to prevent injury?

To rest the starters or let them play, that appears to be the big question for the Buffalo Bills heading into Week 17 against the Miami Dolphins. With the #2 seed hanging in the balance with a win, the Bills must balance the roster properly to ensure maximum health but to ensure that they can still win the game. If they do lose and so does the Pittsburgh Steelers, then the Bills still secure the #2 seed. But if the Bills lose and Pittsburgh wins over a hungry Cleveland Browns team, then they secure the #3 seed. I don’t believe it is in Sean McDermott’s DNA to not try and win a game, especially if home-field advantage hangs in the balance.

The roster management will be significantly different from past weeks and we will see more inactives due to preserving health rather than true injuries. This doesn’t mean that everyone will sit, only those that don’t have anything to gain by playing. Below are the injuries and inactives.

OUT 

TE Reggie Gilliam (knee/hamstring)

Gilliam misses his second straight game with a likely left knee injury in addition to a hamstring injury. He has not practiced over the past two weeks and quietly left the game against the Broncos without a clear mechanism of injury other than having his knee taken out from behind him on a special teams play from which he returned later in the game.

We will have to watch the injury report to see if he begins practicing and returns for the playoffs or whether he gets sent to IR to activate someone else from the practice squad. This would then let the Bills sign others to the practice squad as insurance in case further injuries occur.

WR Cole Beasley (left knee)

Beasley missed the past week of practice as expected due to a left knee injury that forced him to leave the game early in the 4th quarter Monday. I had detailed the possibilities of his knee injury that you can find in my article from Wednesday. To summarize, he could have suffered a contusion to the lateral knee, a quadriceps strain, or a meniscus injury. 

My thoughts have not changed from Wednesday and it may be possible that he plays in the Wild Card round of the playoffs, but it is far from guaranteed. Looking at recent Bills who have played through meniscus injuries including Kelvin Benjamin and Charles Clay in 2017. Benjamin missed 2 games with his meniscus tear and gutted out the remaining 5 games to the playoffs.

Clay missed 3 total games but 4 weeks total due to having the bye week. His recovery was longer due to requiring surgery to trim the meniscus in order to play and allow his MCL sprain to heal. Both were hot and cold with their production, but let’s face it, Benjamin and Clay are nowhere near the talent level that Beasly possesses. 

The Bills could survive the first round game without Beasley, but if he can play, he will try to perform. Practice next week will be telling as to whether he is trending towards playing or if the team is more cautious.

ACTIVE

G Jon Feliciano (illness)

Feliciano was a surprise addition to the injury report with illness but practiced in full on Friday and had no game day designation. As long as the illness is not COVID, things happen, and as long as he can play, then there are no worries. I am not certain he plays a lot unless Josh Allen plays. This is a game that the Bills can look at backups or find out if any of their pending free agents are worth re-signing. 

Inactives:

TE Reggie Gilliam

WR Cole Beasley

CB Tre’Davious White

C Mitch Morse

WR Stefon Diggs

QB Josh Allen

LB Matt Milano

Outside of Gilliam and Beasley, these inactives are a total guess based on value to the team. To lose Tre’Davious White would be a huge issue and Matt Milano certainly would benefit from being fresh working back from his pectoral injury. While Stefon Diggs did reach his statistical benchmarks for the season for his contract and could rest, Josh Allen is only 40 passing yards from claiming the top spot in Bills history for passing yards. I am sure Allen would want the record, but not if it potentially could mean injury. 

Mitch Morse is a smart bet to not play if Allen does not and with his previous concussion this season, to avoid losing him for the playoffs would not be ideal. I would not be surprised if I am wrong on 5/7 picks because Sean McDermott has been coy on if he would rest starters or not. We will know Sunday at 11:30 am as to their plans. 

The team does have their two standard practice squad call-ups and protected practice squad players which were used on offensive lineman Trey Adams, Jordan Devey, Jonotthan Harrison, and Darron Lee. They also have a COVID emergency callup which could be used on Dane Jackson or Davis Webb. The team has plenty of options in terms of resting players with the use of practice squad guys if they need.

Other injury thoughts:

We do know that John Brown will finally play for the first time since Week 10 to get reps to be ready for the postseason. He would be one that would benefit from time off, but to get even a half of football in would ensure that he is ready for next weekend. His high ankle sprain should be pretty close to if not fully healed up by now and most of the other injuries he was dealing with should be fairly well managed by now. 

The Dolphins are dealing with several injuries for themselves including Jakeem Grant (high ankle), Solomon Kindley (knee/foot), Shaq Lawson (shoulder), and DeVante Parker (hamstring). I would expect all play with the exception of Grant who was reported to miss the game but is currently listed as questionable. Even if he did play, I doubt he would be effective on special teams and offense. 

Either way, this is a must-win game for the Dolphins to control their playoff fate. They could still make the playoffs if the Baltimore Ravens, Indianapolis Colts, or Browns lose which could allow them to enter the postseason, but none of those are guaranteed which forces the Dolphins to play for their lives.

I believe the Bills can still win even with most of the starters resting or seeing minimal playing time. If the Bills do lose this game, this could set up the Dolphins to come back up the next week for the Wild Card game if things fall just right. Either way, this will be enjoyable to watch this game knowing there is little to be concerned for as the team prepares for a home playoff game. The pressure to win will increase following 4:30 pm on Sunday but until then, the fanbase can relax and enjoy the game.

Top Photo Credit: ESPN

2020 Week 16 Bills Injury Review- Patriots

How serious is Cole Beasley’s leg injury?

The Patriots have been vanquished! A season sweep completed, the first since 1999! With a dominating 38-9 win over New England, the Buffalo Bills move to 12-3 as they continue to strive towards the AFC’s 2nd playoff seed. On top of that, the Bills continue to have excellent luck with regards to injuries following a rough stretch earlier this season. Below are Monday’s injuries. 

In-game injuries:

S Jordan Poyer (Concussion evaluation)

Poyer was briefly removed from the game following a thunderous hit on Cam Newton going out of bounds with 3:21 left in the 2nd quarter. He appeared briefly dazed standing up which likely signaled the athletic trainers above to flag the hit for a concussion check. Poyer didn’t appear thrilled that he had to leave the game but left to the locker room.

He came back out later having been cleared from the evaluation and didn’t appear to have issues throughout the game. It’s important to have these protocols in place to avoid further complications if there was truly a head injury. Fortunately, he was not diagnosed with a concussion but I don’t expect him to play a lot in Week 17 due to wanting to rest starters. 

WR Cole Beasley (Left knee/leg)

Beasley got up gingerly favoring his left leg following a missed catch with 10:30 left in the 4th quarter. Upon initial review, he either sustained a hit to the outside of his left knee or he suffered a strain of his left quadriceps muscle trying to slow down. In the Twitter thread below, the first angle shows that he may have gotten the knee hit, but the second angle shows a stutter step. 

Based on how he got up and the trainers later assessing his knee along with focusing on the outside portion, it seems like there could be a contusion rather than a strain. He didn’t return to the game but this may have been more precautionary than the actual injury. 

Unfortunately, Sean McDermott delivered some disappointing news Tuesday during his weekly post game press conference. Beasley has been termed week-to-week with a leg injury which usually isn’t a great sign when it comes to availability for next week. From what I’ve understood with Sean McDermott week-to-week is missing at least 1-2 games. 

The team termed it a leg injury which doesn’t give us much information. It could be a contusion as mentioned above, could be a quadriceps strain, or it could be something else like a meniscus injury.

Why meniscus? Because after watching this enough times and researching more, this is a possibility based on the new information we know. 

Meniscus tears usually occur with more of a rotary or pivoting motion with the foot planted, such as changing direction suddenly. They can occur in other ways such as deceleration which is not something I initially considered when looking at the injury by video. The team was focused on the left knee and in a clip from the sidelines, a trainer even motions to the lateral aspect of the knee, right along the tibial plateau area where the meniscus sits where some pain/tenderness may have been felt.

It’s possible when he stutter-stepped due to slowing down, he created a shearing force on the meniscus with the knee in flexion or bent. That sudden stop with his weight still accelerating forward could have sheared a portion of the meniscus. 

Credit: John Hopkins Medicine

Signs of a meniscus tear include clicking, popping, locking of the knee during movement. There is also joint line tenderness present during palpation of the knee along with intermittent residual pain. He may have had difficulty fully extending the leg with imaging later confirming the physical findings. 

Credit: Liberty Orthopedic

This would explain why he is now week-to-week and fits the information currently available. This is pure speculation as I am processing the newest information. I hope this is not the case but it’s something that has to be considered. There is still a lot of information that we have to see including the body part that the team designates him with on the injury report and his practice availability. 

The best-case scenario is that it’s a lateral knee contusion and the team is being cautious. The next possibility is the quadriceps strain which could be a week-to-week injury that could force him out. This would be the most opportune situation in terms of overall health.

The worst-case would be the meniscus tear and he has to battle through it for the postseason. We saw former Bills wide receiver Kelvin Benjamin deal with this during the 2017 season. I would expect Beasley to do the same. I hope I’m wrong, I want to be wrong, but I am considering all possibilities based on the information at hand.

While it is a shame that he probably won’t get his 1,000 yards, it’s best that he gets the rest he needs in order to perform in the playoffs. I’d expect him to miss Week 17 with a realistic shot at the first playoff game. He will need rest and rehab in order to get the knee well enough for the playoffs and then they can figure out how to address the area afterward. This will be a situation that changes quickly and hopefully 13 days off is enough time to get the knee healthy enough to play. 

T Dion Dawkins (Right elbow)

This wasn’t even noticed during the game until a Twitter follower pointed it out. Dawkins had a brace on his right elbow after the game in a post-game video when Josh Allen and Stefon Diggs were being interviewed. 

Looking back at the film, Dawkins doesn’t appear with a brace until later in the 3rd quarter. He appeared to get hit on the right elbow during a routine run play with 9:21 left in the 3rd. He finished the series and then the next series came out with a brace. This appears to be a general contusion to the area. It did not appear to greatly affect his play, but there may have been pain and swelling the training staff wanted to manage. 

I am not certain if he shows up on the injury report this week. If he does, this appears to be the culprit. If his play is limited next week, it would likely be due to more of the situation than injury. 

Other injury thoughts:

T Ty Nsekhe (groin)

I had thought that Nsekhe would have been ruled out for Monday’s game, but he was active despite barely practicing last week. He only played in 8 offensive snaps towards the end and 6 special teams snaps which is more in line with his overall play from this season. 

He is an older player that appears to understand his role and may have sat last week due to load management. 

WR John Brown (right high ankle sprain/COVID)

Brown was finally activated to the roster after spending time on IR since Week 10 with a high ankle sprain. He appeared on track to play Monday and the general consensus was that he would, but he was deemed a close contact with TJ Yeldon and placed on the COVID/Reserve list.

He must stay on the reserve list for at least 5 days since he last had contact with Yeldon. If he does not test positive during that time frame, then he can come off and play Sunday against the Miami Dolphins. He is one player who needs the reps prior to the playoffs in order to get ready. 

Outside of Beasley’s injury, there is little concern for injuries going into Week 17. There always appears to be an injury or two that is a surprise on the report, but that will have to wait. Otherwise, the Bills are hot and healthy as they wait to find out their Wild Card opponent as hopefully the 2nd seed. The championship window is open, the Bills can pass through and hopefully hoist the Lombardi trophy in February.

Top Photo Credit: Buffalo News

2020 Week 16 Bills Injury Preview- Patriots

Will Johnson and Nsekhe play?

Well, this is a fantastic turn of events! The New England Patriots, 6-8 and eliminated from the playoffs. The Bills, 11-3, winner of the AFC East and a playoff spot locked up. This is a welcome change from the last 20 years and is a chance to kick the Patriots while they’re down on national TV. 

While a game against the Patriots is never a guaranteed win, the Bills have shown that they can play with and beat anyone in the NFL. On top of it, the Bills are incredibly healthy compared to the Patriots who listed roughly 40% of their active roster on the injury report. Below is the Bills injury concerns heading into Monday night and a rundown of all the Patriots’ injuries. 

OUT

TE Reggie Gilliam (Knee/hamstring)

Gilliam is interesting because he was designated as probable with a knee injury during the game but eventually returned. It appeared he injured his left knee when he got hit from behind on kickoff with 6:28 left in the 2nd quarter but later returned. He shows up on the injury report with the knee and hamstring and hasn’t practiced all week. His last appearance in the game was with 8:02 left in the 4th quarter when he lined up as a fullback on a run play; there wasn’t a clear mechanism of injury.

He has since been ruled out for Monday’s game but it’s possible that he aggravated his hamstring injury from Week 13 at some point in the game. Since the playoffs are locked up and he has become a core special teamer, he may finally be giving it the rest it deserves. As Gilliam is designated a tight end and plays special team, there could be a one for one swap for Tyler Kroft considering Kroft has played a decent amount of special teams so far this year. 

QUESTIONABLE

S Jaquan Johnson (Right ankle)

Seeing Johnson practice after two full weeks off is promising after he had his right ankle taken out late in the Steelers game. I had thought he suffered a high ankle by the way he got hit from the outside. The fact that he practiced in a limited fashion this week is promising. 

Looking back at the others who have had similar practice designations through the week, the team has been all over the place. We have seen players not practice all week but play Sunday in the case of Andre Roberts, players practice in full but are ruled out on game day such as Vernon Butler, and everything in between. Those that have followed exactly what Johnson did indicates that he will play. He is a vital special teams player; it would be expected that he plays considering Gilliam is out.

T Ty Nsekhe (Groin)

I don’t know what to make of Nsekhe. This was his first extended time playing this year with 30 snaps on offense following mostly special teams snaps during the year. Reviewing the film, there wasn’t anything obvious as to how he would have injured his groin.

Nsekhe did leave practice briefly on Wednesday but later returned but has been DNP all this week except Friday when he was limited. Things certainly aren’t trending towards him playing which is concerning due to the fact that he replaced Daryl Williams last Saturday. Thankfully, the team does not have a designation for Williams which allows them to find a different depth option.

ACTIVE 

QB Josh Allen (Right knee/ankle)

I’m not sure which joint is still bothering him to be on this injury report, my guess is his ankle. He didn’t wear a brace on the right leg and was running all over without hesitation. This may be more of a formality but this injury isn’t a factor from what we can see with his mobility. 

WR Stefon Diggs (Left foot)

Diggs foot injury was concerning at first until it was reported that it wasn’t overly worrisome. I had thought that he might be limited this week, but fortunately he has practiced in full every day. He may still be dealing with some pain but his foot getting stepped on won’t affect his performance Monday night.

DE AJ Epenesa (Not injury)

Epenesa is on this injury report due to being evaluated for a head injury late in the game Saturday. He was ruled to not have a concussion but apparently since that designation was not made before the end of the game, this designation indicates that there was a potential injury that was cleared. Otherwise, no issues for Monday. 

WR Andre Roberts (Low back)

Roberts has been limited all week with the exception of Friday in which he practiced in full. Considering he is such a vital part of special teams, it was expected that he did suit up since it isn’t ideal that Micah Hyde returns punts. It’s great Hyde is available but to have a Pro Bowl-caliber return man that specializes in trying to flip the field is better. The hope is that he was dealing with general pain or spasms that have since calmed down. 

CB Tre’Davious White (Neck)

White suffered a stinger in the game on Saturday, went out briefly and then came back to finish the game. He has suffered stingers before and for several weeks last season, he dealt with a neck injury, though it did not affect his availability at the time.

He did practice in full this week indicating this isn’t a big issue; it is possible that he is dealing with some general soreness in the neck with certain movements or it is possible that he is still dealing with some occasional numbness/tingling in the neck/arm that isn’t affecting his abilities. If that’s the case, I’d expect him to continue getting treatment to manage his complaints and be ready for Monday. 

T Daryl Williams (Groin)

Williams was the big concern to miss Monday’s game due to exiting shortly after halftime during the Broncos game. The research has shown that he could be out 8-20 days which initially after the injury, seemed like he wasn’t going to play against the Patriots. However, he has practiced all week with a limited designation which indicates that the groin strain isn’t as severe as initially thought. 

Inactives:

QB Jake Fromm

RB TJ Yeldon

T Ty Nsekhe

TE Reggie Gilliam

DE Trent Murphy*

*If John Brown is activated. 

WR John Brown (Right high ankle sprain)

I also expect that John Brown will be recalled from IR back to the active roster and get some playing time to get ready for the postseason. The team has until 4 pm on Monday to make this designation. This squad is quite healthy in the big picture, though most of these guys are banged up and dealing with smaller injuries to varying degrees. 

The Patriots will be without Stephon Gilmore and likely Julian Edelman, both of whom didn’t play in Week 8 when the Bills last played them. Besides that, 20 players were listed on the injury report with limited participation by all and carrying a questionable designation. 

If you want gamesmanship, this is it right here folks. I can say with 100% certainty that 13 of the 20 players listed will play. As for who won’t, that’s anyone’s guess besides Bill Belichick. A small part of me wants to speculate who plays and who doesn’t, but that exercise would be fruitless. If this had serious playoff implications or was a playoff matchup, I’d dig into this, but I’m not going to let Bill Belichick waste any more of my time. He’s already given nearly 20 years of misery to this fan base. 

I do expect the Bills to go 4-0 in December to sweep the Patriots for the first time since 1999. If they do, this will be their highest win total since 1993 and will be the 6th time that they have achieved 12 wins or better in franchise history. I want to continue to see the Bills maximize their offensive firepower as they inch closer to the playoffs to win their first playoff game since 1995 and complete a deep playoff run. Enjoy the moment, Go Bills!

Top Photo Credit: Buffalo Rumblings

2020 Week 15 Bills Injury Preview- Broncos

Will Lee Smith play? Is Tremaine Edmunds alright?

The Bills, owners of a 10-3 record, travel to out west Saturday on a short week to play the 5-8 Denver Broncos who are fighting to stave off an inevitable playoff elimination. This is the third game in primetime in three weeks and yet another opportunity to show that the Bills are the real deal as they attempt to lock up the AFC East and a playoff berth.

Buffalo continues to improve their health and bring more players back, relying less on practice squad players and the use of injured reserve. Tough decisions will be made in the future when John Brown and potentially others need to come back, but there are still several games before they need to make those transactions. For this week, the roster is set and the injury designations are below.

OUT 

S Jaquan Johnson (right ankle)

Johnson missed his second week of practice dealing with an ankle injury sustained against the 49ers late in the 4th quarter. Details have not been revealed regarding the specifics of the injury, but based on the video, it still appears as though he is dealing with a high ankle sprain.

It’s curious that he has not been placed on injured reserve, but that may indicate the severity with a possibility that he returns sooner than later. Hopefully, he can return to practice in some capacity next week and begin the process to return in time for the playoffs.

QUESTIONABLE

TE Lee Smith (left knee)

Smith’s knee contusion off Josh Allen’s helmet during the roughing the passer call seemed so minor that I did not bother to include it in the Steelers post-game review. Allen’s helmet hits on the inside portion of the left knee as Smith disengaged his blocker. He was in obvious pain moving his leg after around but stayed in the game.

He may be dealing with pain and swelling in the general area which is why he was limited this past week. It seems rather minor, but clearly, not all the information is known. Based on the video and that he was limited this week in practice, I’d expect that he plays. In my mind, he is a 50/50 shot to play, but the team already knows which direction they will go in for Saturday.

Ideally, he would play as it’s been noted that Denver’s run defense is rather bad and having an extra blocker in Smith would be beneficial to help spring the run game. He continues to be a strong veteran and has a place on this team as both a blocker and leader in order to help take the Bills deep into the playoffs.

ACTIVE

LB Tremaine Edmunds (foot)

Frankly, I am not sure what Edmunds is dealing with. Looking at the game film, he played in every defensive snap and also on two special teams snaps. He kept his feet moving and there weren’t any noticeable instances that he came up limping. He also did not have any mechanisms of injury to either foot that would suggest that something was present.

This could be a chronic issue such as plantar fasciitis or general soreness to the area that flared up which required rest during the week. He did practice in full Thursday and did not have a game designation which is always promising. This may be similar to the Jon Feliciano foot injury; something known but not impacting the overall play.

CB Taron Johnson (concussion)

Johnson appeared to be sail through the concussion protocol, limited all week in practice before practicing in full on Thursday. Typically concussions take upwards of 10 days to recover from, but since this was Johnson’s first documented NFL concussion, he may not be dealing with some of the lingering effects of the hit as some others may.

The return of Johnson especially after what may be his greatest game Sunday would be a great addition to contain the receiving threats Denver possess. I’m surprised that he is cleared, but overall, if he’s able to play, get him out there because he has become a difference-maker.

QB Josh Allen (right knee/ankle)

Allen is still on the injury report despite practicing in full likely due to his status as a quarterback having a higher profile than other positions. The ankle and right knee did not appear to limit his mobility Sunday with his rushing totals increased and running to all sides of the field. I’d expect that he increases his running abilities Saturday but still wear the brace as protection. I don’t anticipate that he will be on the injury report much longer after this week.

Other injury thoughts:

WR John Brown (right high ankle sprain)

Brown has officially been activated to practice and was eligible to play Saturday but was ultimately not activated. It has only been five weeks since his high ankle sprain against the Cardinals; a player can return from a high ankle nearly 100% at around six weeks. If Brown were to return, they would need to cut someone to make room for his roster position, this could occur if they move Jaquan Johnson to IR. 

There was some chatter on social media this week about his sickle cell trait that could be exacerbated by the higher altitudes. Having sickle cell trait is not a contraindication to play football or any sport for that matter, but it is a consideration when looking at the whole person medically. When looking at someone from a medical perspective, having the whole picture of the person influences interventions and decisions. These conditions should not dictate treatment unless there are contraindications, but have to be considered to work for the best interest of the athlete.

If Brown had not been dealing with injuries or this was a game that he was needed in to ensure the team gets the playoff berth, he plays. If this was the playoffs, he plays. The fact that he is coming off injuries and what an exacerbation can do to his performance is the reason any of this is even a consideration. After Saturday, this is a moot point.

There were also questions regarding how the Bills would handle the altitude change. While it can be an issue, there are reasons why it could and it couldn’t. To avoid doubling the word count of this article, go listen to my latest appearance on Locked On Bills with Joe Marino where I detail how the atmospheric pressure affects athletic performance. 

The team would benefit from Brown’s skill set but they have been doing alright with the emergence of Gabriel Davis this season. I expect Brown to be activated to play against the Patriots and work up to the playoffs. 

Inactives:

QB Jake Fromm

RB TJ Yeldon

S Jaquan Johnson

DE Trent Murphy

TE Tyler Kroft

Looking at the Broncos’ injury report, both running backs in Melvin Gordon and Phillip Lindsay are dealing with injuries, designated as questionable, but are expected to play.

They do have several more illness/injuries including to offensive weapons in Noah Fant and Jerry Jeudy though they do not have any injury designations. The one place where the Bills can exploit is the recent loss of Duke Dawson, Essang Bassey, and Kevin Tolliver due to ACL tears, decimating the secondary.

Fortunately for the Bills, kicker Brandon McManus will not be available due to COVID concerns which means rookie Taylor Russolino gets kicking duties. Recently signed to the practice squad in December, he could be rattled by the whole experience of his first NFL action or he may just be another guy trying to earn his place in the league. Either way, the loss of McManus will certainly help keep points off the board for the Broncos.

The Bills have a very winnable matchup against the Broncos to move them to 11-3. This is not a team to take lightly especially playing away from home. While the Bills essentially have the playoffs locked up regardless of this game, they still need the win to lock up the division and control their playoff matchups rather than relying on the wild card seedings.

I do expect the Bills to win again and ideally stay healthy as they close out the regular season. If they control the game like they did last year, I am quite alright with that, but I also anticipate a competitive game. There isn’t much more to say than enjoy the game and Go Bills!

Top Photo Credit: Pro Football Talk- NBC Sports

2020 Week 14 Bills Injury Review- Steelers

What is going on with Morse, Knox, and Johnson?

These are the Buffalo Bills that I’ve waited to cheer for since I converted to my fandom to full-fledged Bills membership many years ago. To see this organization win as they have and know that they are not mortgaging the future to win now is incredibly pleasing. This continues to be a week-to-week league and the Bills have shown that they can get the job done nearly every week. The true test will be the playoffs, maximizing the winning window that Buffalo has not had in nearly a generation.

While a 10-3 start is incredible, the Bills still need to secure the AFC East to get a home playoff game and potentially control who they play in the postseason. After a rough portion of the season where injuries beget injuries, the Bills are getting healthy at the right time. Thankfully there were injuries that did not lead to any concern for the remaining schedule. 

C Mitch Morse (left elbow)

Morse exited the game for several series after sustaining a left elbow injury during the second Bills drive. He was observed on the sidelines getting his elbow taped up. This tape job was performed to limit hyperextension to the elbow according to a Twitter follower who happens to be an ATC below. This could have been protecting the distal biceps required for elbow flexion or it could have been protecting from elbow hyperextension if he had gotten hit up underneath the arm. 

Looking at the film, it’s not clear when he suffered the injury. I didn’t see a specific instance where he gets his elbow hit that required attention. He was wearing bracing before the injury occurred and has often worn bracing to the area in general. The type of bracing did not change after indicating that the taping may have needed to be replaced. 

Credit: Buffalo News

He was able to return after some time off and testing the area on the sidelines though it did initially appear at times he had trouble engaging blocks with his left arm. Pain and swelling are likely to present which may have been more of a factor in getting things taped back up after examination of the area. 

I’m not certain that he will miss any time with this injury as he was able to return and the elbow is a stable joint limiting further injury. Add in bracing/tape and he should continue to play through this ailment. This one will be one to watch on the injury report this week but I’m not concerned long term.

TE Dawson Knox (stinger)

Knox startled everyone by grabbing at his head and falling to the turf shortly after a routine block in the 3rd quarter. Fortunately, he was able to walk off under his own power and the initial pain appeared to subside. Based on how he was grabbing his neck/right trapezius on the sidelines, I had thought he suffered a stinger due to how he was hit. He was later reported as having a stinger, confirming my thoughts.

Stingers occur when there is a sudden compression or stretch to the cervical nerves that branch off the neck. This can cause a temporary intense shock down the nerves of the neck that can be felt down the arm in some cases. This can be the result of the nerve getting compressed coming out between the cervical vertebrae or this could be the result of a herniated or bulging disc in the area pressing on the nerve. Stingers typically don’t last long and aren’t recurrent unless there are underlying issues such as a disc issue like we saw happen with Eric Wood back in 2017. I am not implying that to be the case, rather just to give context to the situation. 

Credit: AAFP.org

Like Morse, he also sat out briefly before returning and creating several plays later that helped cement the win for the Bills. This injury isn’t something that I expect to see on the injury report unless he is dealing with continued soreness to the area or there are persistent symptoms. 

CB Taron Johnson (concussion)

Johnson was downgraded to out in the 3rd quarter with a concussion while trying to tackle Steelers back James Conner. He was whisked away to the blue medical tent for further evaluation and eventually to the locker room where they officially diagnosed him with a concussion. 

From what I’ve found, this is Johnson’s first documented NFL concussion. They take on average 7-10 days to recover from which means his timeline to play Saturday against the Broncos isn’t great. He could pass through the protocol quickly but isn’t likely considering the research. I don’t anticipate him playing Sunday and based on the severity, only time will tell how much he will really miss. Until Johnson returns, Siran Neal will likely get increased playing time. 

Other thoughts:

QB Josh Allen (right knee)

Allen continues to work back from his right knee injury still sporting the hinged brace. His 6 rushes for 28 yards is an uptick from last week and he showed a greater ability to use the entire field to run as needed. He had an effective run to the left, showing the ability to push off his right leg and overall showed greater confidence. 

LB Matt Milano (Left pectoral)

Milano performed well last week seeing 19 snaps before increasing his total snaps increase to 27 which was 47% of the total snaps. He continues to wrap offensive players up with greater ability and show why his presence improves the defensive performance. 

I’m unsure what the team will do with playing time as AJ Klein has shown an ability to play with placed in the right situation. He may continue to split reps to preserve his health or it may be best from a defensive scheme. Either way, it’s a great situation to have and if Milano needs to play more, he can, but if he’s not needed, then this reduces the risk of either re-injury or other injuries.

WR John Brown (right high ankle sprain)

The Bills practice on a short week with the Denver Broncos on Saturday at 4:30 pm. This game is being played in Denver which could have an impact on the availability of John Brown. He is eligible to return this week, he has been activated for practice, but I’m not certain that he does. 

He is still coming off his high ankle sprain suffered against the Cardinals in Week 10 and he also has sickle cell trait that he has battled through during his career. He has played in Denver before but not since 2014 where he had two receptions for 4 yards. The lower oxygen levels due to the higher altitude could cause his body to fatigue quicker leading to potentially more injuries. To read more on the effects of sickle cell trait, check out this article from Dr. Melanie Friedlander over at Steelers Depot.

I’m not implying that this will prevent him from playing, it hasn’t in the past, but it is a variable that has to be considered especially coming off the numerous injuries this season. This is something that both Brown and the medical staff have likely discussed with his return to play timeline from the high ankle sprain.

With the emergence of Gabriel Davis and a Broncos team on the cusp of playoff elimination, I believe the Bills can survive another week without Brown. They can have him come back in Week 16 to get reps in against playoff-caliber teams in the Patriots and Dolphins before the playoffs start. The 6 total weeks off for the high ankle sprain would allow him plenty of time to come back fully healthy in time for the playoffs. 

It is remarkable that the Bills can suffer all these injuries and just fill the gaps with backup talent until the starters come back to perform. We’ve seen plenty of other teams suffer several injuries that simply derail their playoff hopes and yet the Bills continue to march through. A win this Saturday would lock up the AFC East and allow the Bills to consider resting starters as able. The only downside would be that a win for the Patriots or Dolphins may allow them to get into the postseason which would not be ideal to play the same team 3 times in a season, regardless if there was a regular-season sweep. 

Continue to watch the injury report and updates coming out of Banged Up Bills and One Bills Drive as the Bills head out to Denver to attempt to move to 11-3 on the season. 

Top Photo Credit: MSN.com

2020 Week 12 Bills Injury Review- Chargers

How did Josh Allen avoid serious injury?

Another week, another stressful win. Consistently winning is something this generation of Bills fans has to get used to. It’s a great feeling, but it would be nice to just absolutely dominate a team from time to time. At the end of the day, I’ll take the win because that shows up in the box score and string together enough wins and that qualifies for the postseason. I am aware the Bills are still not a finished product with glaring mistakes and continued issues, but if they can play like this and be 8-3 with the ability to fine-tune things and peak at the right time, then that’s all that matters. But this isn’t a blog that looks at the play of the Bills, it looks at the injuries of the Bills. Fortunately, there were not many in-game injuries and below are the ones noted in the game.

QB Josh Allen (right knee/ankle)

Josh Allen may very well be Gumby. The way his right leg twisted down under Joey Bosa, affecting his right ankle and knee wasn’t pretty. He walked off the field, misses one play, and then returns to finish out the half before returning is impressive.

Looking at everything after the game and his body of work, it actually looks as though he injured his knee versus his ankle based on the picture below. 

I’m going to walk through the thought process with this injury so you can understand why it’s a knee and not ankle, though it’s quite possible he suffered an ankle injury in addition to the knee injury. During the moment of play, I had originally thought a high ankle sprain based on how the ankle twisted but was not convinced that it was with how quickly he returned and played afterward.

Looking at the play initially, Bosa wraps up Allen and attempts to twist him down. Allen’s ankle gets caught up under Bosa and is pushed into eversion or twisting outward. Allen continues to be dragged down to the turf with his knee taking the brunt of the force as his knee continues to bend into flexion and into a valgus position. By this point, the ankle is pinned under Bosa as he pulls Allen up towards his head to ensure that he is down. The play finishes and Allen is in obvious pain. 

The mechanism for a high ankle sprain was clearly there with the foot in eversion and dorsiflexion as seen below. The mechanism for an MCL sprain was there with the knee bent and in valgus position. Two things really played into Allen’s favor. The fact that Bosa pulled him up over him, relieving pressure on the pinned ankle and the fact that Allen has fairly decent hip internal rotation, allowing the leg to turn out. Had Allen’s hip not continued to turn out to reduce pressure on the knee/ankle, or Bosa didn’t pull him backwards, things could have been much worse. 

Forces showing a high ankle injury
Forces showing an MCL injury
Credit: physioadvisor.com.au

It also helped that Allen was pulled down relatively slowly when it comes to tackling, things weren’t abruptly forced. Another benefit was that Chargers defensive tackle Jerry Tillery bailed out of hitting Allen at the last second, which could have potentially added more force to the stressed knee/ankle and causing further damage. 

Allen played the second half with a hinged brace on the right knee under his pants and socks and was surprisingly effective. Had he suffered a high ankle, he could have still performed and run alright with a tape job, but the swelling would have been set in as the game progressed. I’m not certain he would have been able to run as well as he did if the ankle took the brunt of the injury.

The MCL injury makes more sense because the knee was bent into flexion and stressed into a valgus position which allowed the tissues to stretch and partially tear, resulting in a sprain, but not with the force necessary to really sustain a significant injury.

It would not surprise me and it should not surprise you if Josh Allen shows up on the injury report Wednesday with a knee and ankle designation or one or the other. I personally believe that it will be more of a knee designation based on the bracing observed after the game.

It appears to be a mild MCL sprain which can take 1-3 weeks to fully heal. I’d expect him to deal with some swelling and pain in the area, but since the knee is a hinge joint, he can continue to run but may have difficulty in running to his left due to needing to push off the right side.

I’d also expect him to wear the brace for a little while to protect the knee in order to ensure that it heals properly. This might be the milder side of an MCL sprain which heals well to begin with. He should play through this and hopefully avoid further injury in order to wrap up the division and get him much needed rest. 

CB Levi Wallace (right leg)

I’m not sure what to make of this injury. This occurred during the roughing the passer call on Justin Herbert with 11:58 left in the 4th quarter covering Mike Williams. He kept with Williams going out of bounds and he jumped as they both went out of bounds in the end zone. He got up and moments later was down on his left knee.

He required attention from the training staff briefly before missing one play and returning. As he was walking off, he appeared to be shaking out his right leg. There is a thought that he injured the ankle but I’m not certain of that. This will be a wait and see approach if he ends up on the injury report. 

Other injury thoughts:

G Cody Ford (meniscus) & WR John Brown (right high ankle sprain)

Ford ended up on injured reserve with a torn meniscus following a knee injury Wednesday at practice. His recovery timeline is 3-4 months which fits in line with a meniscal repair. This will allow him to have the best outcomes possible with his knee injury and maximize his career to prevent possible problems and chronic issues such as arthritis.

Brown also earned a stay on IR due to a now confirmed right high ankle sprain sustained in the Week 10 Cardinals game. I had originally thought he suffered more of a medial eversion sprain, but according to Adam Schefter, it is a high ankle sprain. 

By the time he is eligible to return in Week 15, he will have had nearly a month to recover. By that time, it will only be a guess if he’s needed or if they wish to keep him on IR until the playoffs. 

LB Matt Milano (left pectoral)

LB Tyrel Dodson (hamstring)

CB Cam Lewis (left wrist)  

WR Isaiah Hodgins (left shoulder)

All are eligible to return from IR and have been activated for their 21-day practice window except Milano as of today. There is a strong chance that Milano gets activated for Wednesday’s practice. There are currently 3 roster spots available for which I believe Milano, Dodson, and Lewis will return. 

Milano will be 8 weeks out from his pectoral injury against the Raiders with 4 weeks since playing football, Dodson is 6 weeks out from the hamstring injury against the Chiefs, and Lewis is also 6 weeks out from his possible wrist fracture against the Chiefs. For their respective injuries, that is adequate time for those injuries to heal, but it is not certain that each are 100%.

There is a chance that Hodgins gets activated but he was put on IR with a shoulder injury sustained in training camp and has been on there ever since. It’s possible that they want to see him in-game action or at least get him on the practice field to see what they have in him. In the coming days, we should see several roster changes. I will also not be surprised to see a few names added to the injury report for various ailments and/or chronic issues.

Overall, the Bills are 8-3 as they head into a Monday Night Football against the 49ers as they set up shop in Arizona as a temporary home due to COVID. The big storylines will be the Bills warding off the demons of the Hail Murray in Arizona, the return of a variety of players from IR on both teams, and whether Jimmy Garoppolo and George Kittle will be activated for Sunday. Right now, it doesn’t appear to be the case based on their respective injuries, but with the 49ers sitting at 5-6, they still have a shot at the playoffs and the return of those two along with other players could allow them to make a push. We’ll see what happens in the coming days. Regardless of what the 49ers look like, the Bills are still relatively healthy and ready to move on to the next week.

Top Photo Credit: Larrybrownsports.com

2020 Week 12 Bills Injury Preview- Chargers

What’s going on with John Brown? How serious is Cody Ford’s knee injury? Will Tommy Sweeney be alright?

Welcome back everyone! I hope everyone had a great Thanksgiving and got a lot done on the bye week. The Bills benefited greatly from the bye, significantly reducing the number of names on the injury report. In turn, a shorter injury report alters decisions on who needs to play and who needs to rest. Below are the injuries and updates. 

OUT

WR John Brown (Right ankle)

Brown continues to be limited with a right ankle injury sustained in the Week 10 matchup against the Cardinals. This initially appeared to be a medial eversion ankle sprain. He did not practice Tuesday or Wednesday, was projected to not practice Thursday due to Thanksgiving and did not practice Friday. Ultimately he was ruled out before Friday’s practice. 

On Locked on Bills, I was more bullish on Brown playing coming off the bye due to him frequently taking rest days early in the week. I also referenced this Instagram post below that he is making progress with his ankle injury.

On top of that, he did have the week off which could have improved the ability to heal. If this is a medial eversion ankle sprain, Cardinals running back Kenyan Drake had a similar injury which caused him to miss 2 games but he came back to play effectively. Brown could have hypothetically come back following the week off and continue to build off his recent progress. 

I had noted in the postgame review from the Cardinals game that he could miss 1-2 games based on the injury and that he now appears to be trending towards that. I will admit that seeing the Instagram post did give me some false hope with the idea that he could suit up faster, but such is the power of social media.

However, if this ankle is worse than originally thought and it could be or it presents more like a high ankle, then he could be out longer. He could potentially be out next week against the 49ers and questionable against the Steelers. This has been a miserable season for John Brown but the hopes is that he can get right when it really counts.

Update: Brown has since been placed on IR.

G Cody Ford (right ankle/knee)

Ford continued to work back from his latest injury suffered against the Seahawks in Week 9. At the time, it appeared as though he suffered a low inversion ankle sprain when he was clipped from behind by Zack Moss on the scoring play by Tyler Kroft

However, it was reported Friday that Ford would be out for the season with a torn meniscus. It was confirmed that he suffered the injury in practice but it did not specify which side he injured. Ian Rapoport of NFL Network stated that he would be out 3-4 months with a full recovery. I agree with that timeline and outlook.

I have detailed out meniscus injuries in the past which you can read here. Looking at Ford’s previous knee injury from against the Chiefs, I have not found any correlation that shows that previous MCL injuries increase the risk for meniscal tears. A previous MCL injury could increase knee laxity but not associated with meniscal injuries. There is research to support knee laxity contributing to future meniscus tears when associated with previous ACL injuries, but that is more due to the rotational component of the knee that the ACL helps stabilize during movement.

Credit: Physio-pedia.com

This discussion is all based on the idea if he tore the meniscus in the right knee which has not been confirmed. If he suffered this on the left side, then this is a moot point. But I feel it is important to note the possibilities Looking back at his college injury history, there is nothing to suggest that he had previous meniscal issues either. This repair decision is a far better option than trimming or removing pieces of the meniscus because that would contribute to further knee degeneration and possibly a shorter career. If you want to remember what the effects of meniscectomies are, recall former Bills tight end Charles Clay.

Update: Ford has since been placed on IR.

ACTIVE

DE Mario Addison (knee/veteran rest)

Considering Addison is a veteran on the wrong side of 30, it’s not surprising that he shows up on the injury report with a vet rest day. He is also listed as a knee injury which hasn’t been a known issue since prior to Week 4 when he injured it in practice. 

He played in 67% of snaps which was tied with Jerry Hughes for the team lead for defensive end snaps. This may be more of a chronic issue though it’s not known which side he is dealing with. Unless more details are known, this will continue to be monitored with overall little concern. 

DE AJ Epenesa (Concussion)

Epenesa suffered his first documented concussion in Week 10, quickly getting ruled out midway through the game. He quickly entered the concussion protocol and working through the system until getting cleared following Wednesday’s practice. 

His recovery fits the timeline seen for a concussion and there is hope he avoids further injury for the remainder of the season. 

RB Taiwan Jones (Hamstring)

Jones appears ready to return following a hamstring strain suffered against the Patriots on a kickoff in the 3rd Quarter. He has missed two games plus the bye to recover which has fit the timelines we see for hamstring strains. 

He has had a multitude of injuries over his career and to see him deal with another one isn’t really all that concerning. I had thought that Brandon Beane wanted to get whatever was left in the tank and that may be the case. As he practiced in full, he will be expected to return and contribute on special teams. 

TE Dawson Knox (Hamstring)

Knox was a surprise showing up on the injury report in his first game back from COVID. He played in 70% of the snaps but was generally ineffective. This hamstring injury was not noticed on film and the fact that he’s practicing in full after a week off tells me that it was minor in the first place. Hopefully Knox can put it together in the next few games to show he’s worth keeping around next season. 

CB Josh Norman (Illness)

Honestly not sure why Norman is on the injury report. He’s been cleared off the COVID reserve list and he’s practicing in full. Things like this will have me digging into the intricacies of the injury reporting in the offseason to understand designations like this. 

TE Lee Smith (Illness)

Smith was a DNP Friday due to illness which is why he was on the injury report but that doesn’t appear to be affecting his availability for Sunday. As he has been used sparingly this year, this may not matter but for posterity, I must mention. 

DE Jerry Hughes (Back)

Hughes showed up on the injury report with a back ailment that limited him Wednesday but was projected as full on Thursday and practiced in full on Friday. I’m not certain regarding the specifics as to what he was dealing with but until he has multiple DNP’s or is ruled out prematurely due to an injury, I have faith he will play and continue to produce.

Other Thoughts

QB Josh Allen (Left shoulder) 

Allen is finally off the injury report following 6 weeks of full participation from the original shoulder injury. I can say for a fact we have seen more severe injuries get minimal to no time on the injury report. Case in point: Jerry Hughes wrist/groin, Jon Feliciano left shoulder rotator cuff tear, Zay Jones/Taron Johnson torn labrum; those are just off the top of my head. 

Either Josh Allen had fully recovered from his shoulder ailment or it is finally at a point where it is no longer an issue. This is something I still continue to watch in his runs, throws, and what he wears on the shoulder. At this point in the season, if these guys can produce and win games, then that’s all the matters because everyone is hurt in the league. It’s a harsh reality, but it is what it is for those that play in the NFL.

TE Tommy Sweeney (Myocarditis)

Tommy Sweeney never had a chance in 2020. He started off on the PUP list due to a possible stress fracture, spending the entire season on there before getting exposed to and contracting COVID.

Once cleared, he continued to work out but may have been having some issues with his endurance which likely led to a consultation with a cardiologist. Regrettably, he was diagnosed with myocarditis, the first known NFL player afflicted with this condition as the result of COVID. 

Myocarditis is a condition in where the heart muscle itself becomes inflamed, this can also affect the electrical system of the heart as well. This can be the result of a virus, fungi, or bacteria among other things. The problem with inflammation of the heart muscle compared to skeletal muscle is that the heart muscle does not have the regenerative properties that regular muscle has. There is some research that shows some recovery can happen, but at a very slow rate. This is why heart attacks are so tough to come back from, the heart muscle is damaged and does not heal as effectively as skeletal muscle.

So is there damage to Sweeney’s heart? I’m not certain of that and I hope not. But he possibly had been having issues with working out after getting COVID which led to the consultation. The hope is that they caught it early enough and prevented any damage from occurring. Research shows that he will have to stop activities from 3-6 months to allow things to recover fully.

If he were to work through this or had a severe case, he could have suffered heart damage, irregular heart beats, or heart attack/strokes. It is a terrible situation for Sweeney but at least he can access some of the best medical care available to ensure that he can return for 2021. It is far too early to tell how this will affect him but any delay in training could impact him for next season. This will be something to continue to monitor. 

Inactives:

QB Jake Fromm

WR John Brown* has been placed on IR

TE Lee Smith

DT Harrison Phillips

RB T.J. Yeldon

G Cody Ford* has been placed on IR

There are currently 52 players on the active roster. Transactions may occur later today which can affect the number of inactives.

Looking at the other side, the Chargers are dealing with their own injuries including the potential return of running back Austin Eckler from a Week 4 hamstring injury. This could drastically change up their running game which has been a point of weakness for the Bills in defending the run. The Chargers will already be without Casey Heyward, Melvin Ingram, and Uchenna Nwosu which the Bills could exploit offensively. Despite their record, they are still a talented team and rookie quarterback Justin Herbert had shown he was worth the first round draft pick earlier this year. 

Biased view but I believe the Bills have what it takes to win simply due to overall talent and health. The opportunity to stack wins before playing the Steelers will only help in case COVID hits again or an untimely injury occurs, potentially costing the team a win. A reminder: this is the last regular season game at 1:00 pm on Sunday as the team either plays in prime time or on Saturday the remainder of the season. Simply a result of a successful football team. We’re in the final stretch of the season and I’m looking forward to a potentially deep playoff run to start off 2021.

Top Photo Credit: Bills Wire USA Today

2020 Week 10 Bills Injury Review- Cardinals

Is Brown and Jackson alright? What’s going on with Morse?

The football gods giveth, they also taketh. The Hail Mary pass from Kyler Murray to DeAndre Hopkins was truly something else. Those are the kind of plays that demonstrate why the Cardinals traded for him and gave him a big contract extension. I understand he isn’t making those plays week in and week out, but to know you’re never out of a game because a player like him can’t be discounted. Bills fans saw the exact same thing with Josh Allen to Stefon Diggs for the go-ahead touchdown just moments before. 

The loss sucks, but sometimes that’s just how things are. For every loss like the Cardinals, we can get a win as we did against the Rams. The Bills are still 7-3 heading into a much needed and deserved bye week with the ability to get a lot of key players back very soon and others to get healthy. I understand that after years of suffering through the drought, we want every win, we want the ability to leave no doubt in our minds who is the better football team in the NFL. I would also rather take this loss now and have a deep postseason run when compared to the Ravens 14-2 record last year and getting bounced in the divisional round of the playoffs. 

As we head into the bye week, there are several new injuries to monitor that may impact the injury report next week.

DE AJ Epenesa (Concussion)

Epenesa missed the second half of the game due to a concussion possibly sustained with 3:32 left in the 2nd quarter when he took down Kyler Murray from behind to set up 4th down. The play below shows how Epenesa attempted to knock the ball out of Murray’s hand as he took him down, regrettably slamming his head into the turf. He stood up quickly and appeared to be momentarily unsteady before walking off to the sideline motioning to his head. 

He was quickly taken to the locker room for further evaluation of a head injury where he was later ruled out with a concussion. He will enter concussion protocol as does every other NFL player, but time will tell how long it will take him to return. According to what I could find from his injury analysis this summer, this is Epenesa’s first publicly documented concussion. 

There is potential he could move through the protocol quickly, but no guarantees either. Fortunately, he has the bye to work through things to get right for the Chargers game.

CB Dane Jackson (right knee)

Jackson went down with a right knee injury tackling Christian Kirk in the 3rd quarter. He completed the tackle and rolled over, holding his right knee. It’s still not clear what he did to the knee even on the film below. I had initially thought he suffered a hamstring strain as he extended his leg out to grab Kirk, but I’m not certain that is the case. 

It’s very possible he hit the knee on the ground as both he and Kirk were falling. There is also the possibility that Jackson got a cleat to his knee, though slowing down the film, I personally couldn’t see anything. Jackson was observed later on the exercise bike appearing to keep the knee loose to prevent any potential swelling which also dissuades me from considering a hamstring. 

Jackson did return in the final moments of the game as DeAndre Hopkins caught the game-winner. Either Jackson gutted it out because the coaching staff knew he was the best option over Daryl Worley or the injury wasn’t as significant as originally thought. I am going to go with the latter in this case. 

I am also not certain that Jackson will show up on the injury report next week for two reasons. While he is continued to be used as a regular call up or COVID replacement call up, he is not officially on the active roster. Practice squad players are not placed on the regular injury report released through the week. Sometimes they are acknowledged as former Bills offensive lineman Evan Boehm was earlier this season, but I do not believe the team has any obligation to publicly release these details. 

If Jackson gets signed to the open roster spot available due to Del’Shawn Phillips going to IR, then Jackson could be on the injury report. I also don’t believe that the injury is serious enough without more information to determine that he will be on the report.

WR John Brown (right ankle)

Brown suffered yet another lower-body injury, this time on a 24-yard catch midway through the 4th quarter. The play was ultimately negated due to a Brian Winters holding penalty, but Brown made a great catch before coming down hard on his right ankle. Per Sean McDermott, Brown tweaked his ankle.

In the video below, you can clearly see that Brown lands on the right foot, the ankle bows inward before the rest of Brown’s momentum drags him down to the turf, lifting his heel up off the ground before being officially downed.

I had initially thought of an MCL sprain due to how he fell and the valgus angle with the knee pointing inward as he fell, but his medial ankle took the brunt of the injury it appeared. From the video alone, it looks to be a medial eversion ankle sprain, similar to what Tre’Davious White suffered last week. I would say this one was more severe when comparing the two, but Brown may have escaped a worse fate.

When the ankle bows out like that, there isn’t a lot of room for the ankle to move outward, potentially leading to a fracture of the lateral malleolus. However, Brown was able to walk around later under his own power on the sidelines indicating that not to be the case and the fact that the team said he tweaked the ankle. Right now, it seems as though he suffered a medial eversion ankle sprain and may need some time to rehab. 

Thankfully he has the bye next week to allow him at least a full week off to allow for healing. There’s potential that he shows up on the injury report with the ankle injury, but we will have to wait and see. At worst, there is the possibility that he misses 1-2 games which include the Chargers and 49ers games which appear winnable without him. However, there is also a very good chance he suits up against the Chargers and plays if the injury is mild. Next week will tell us much more.

Other injury thoughts:

DT Justin Zimmer (right elbow)

I bring Zimmer up because I noted that he had a hinged brace on his right elbow that I had not noted before Sunday’s game. Looking back at game footage, he has had a brace on the area going back to Week 7 against the Jets. The reason it wasn’t noticeable then was due to the fact that he would wear a sleeve over the area or had a long sleeve shirt on, downplaying the brace.

Prior to the hinged braced, he was wearing a compression sleeve on the area in the Chiefs game. If he had suffered an injury, it’s not publicly known and he still appears to be playing well. I have seen a lot of linemen wearing various bracing on their arms and legs to likely manage general complaints and provide some stability to the area as they play. 

C Mitch Morse (concussion)

Morse did not play despite being active for Sunday’s contest. It was termed as coach’s decision by Sean McDermott. Jon Feliciano played the entire game at center in his place. There are some possible theories that I have behind why Morse ultimately did not play that I will address below.

Due to several other injuries and open roster spots, Morse may not have had the ability to be a healthy scratch. However, they could have scratched Morse and had Cody Ford active and not play. They have had injured players active before and not play.

The Bills may have also wanted Jon Feliciano to get more reps at the center position as he acclimates back to game action. McDermott did state that they are going week-to-week with offensive lineup combinations and wanted to get another look at them. But Feliciano is better suited at the guard position from what we’ve seen.

His risk to sustain another concussion following this most recent one is higher, but I have not found an exact number that says a person is at X% more likely to suffer another concussion within X days/weeks from the last one after full recovery. He’s at greater risk to suffer another concussion, just like he was prior to the latest head injury. I also see this study and say it has some value, but the research is nearly 20 years old, I do question how accurate it is now.

There has been speculation that Morse needed extra rest and to use the bye along with not playing in order to make sure he’s healthy. Looking at the NFL return to play concussion protocol, from my interpretations, once you pass through the NFL concussion protocol, you are cleared for play. There isn’t any gray area when it comes to this decision. Either you are cleared or not. Extra rest would not necessarily reduce his risk even further.

There are concerns for second-impact syndrome and post-concussive symptoms. I can say with some confidence that neither are in play here. If he was to have the second-impact syndrome, that would imply that he was not fully healthy as he tried to return. That would go against how the protocol’s purpose. The same thing goes for the post-concussive syndrome. If he was still having symptoms, he doesn’t pass through the protocol. Even if he suffered another concussion in warmups, they would have reported it, similar to when Quinton Spain had his foot soreness as a surprise inactive.

The only reason I can consider is that Morse is a veteran player, I am sure he is dealing with the effects of a physical season and it’s possible that McDermott wanted to give him the day off to preserve him for the playoff push. Not allowing Morse to play also eliminates a chance to sustain another concussion or injury in general. However, if a player is healthy enough to play, he was per the concussion protocol, then he should have played. I don’t believe Morse was benched either.

Bottom line, he was deemed healthy per the concussion protocol, he should have played based on that logic. If McDermott wanted to give him the game off, then he probably should have made him a healthy scratch, they have done that in other games for other players when it did not matter. If they wanted to avoid Morse suffering a further injury, then you inactivate him. Extra rest from a head injury could make sense, but not when applying it to the NFL concussion protocol.

Overall, the Bills head into a much-deserved bye week with the ability for most of the team to address some of their injuries as they prepare for the final stretch. There are a lot of injuries to fix along with a lot of game strategies including the anemic run game. Hopefully, there is more news that comes out regarding these injuries and more over the next week and the injury report will be something to watch with regards to how many players are on it and who is on it. I hope the Bills enjoy their week off as they prepare for the final stretch of the season.

Top Photo Credit: DraftKings Nation

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