Bills Offseason Injury Updates

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

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

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

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

Jerry Hughes

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

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

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

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

https://www.baycare.net/media/2727/scapholunate-ligament-repair.pdf

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

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

Ed Oliver

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

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

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

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

Jon Feliciano

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

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

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

Levi Wallace

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

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

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

Cody Ford

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

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

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

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

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

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

Jon Feliciano’s Rotator Cuff Repair

How did Feliciano manage to play all season with a torn rotator cuff?

The injuries continue to pile up! The latest injury comes Wednesday afternoon when a tweet dropped from OG Jon Feliciano. The tweet shows him in a recovery room with a brace on his left arm with bulky padding on the shoulder. Considering it was at a lower angle, it was initially hard to determine if there were other telltale signs that could be observed signifying the specific procedure. 

This surgery is another in a line with DT Ed Oliver Tuesday with his core muscle surgery & Wednesday morning’s tweet of OT Cody Ford with a right shoulder surgeryShortly after the Feliciano tweet, Matt Parrino from NY Upstate reported that Feliciano had a rotator cuff repair Wednesday & that the original injury occurred during the Blue & Red scrimmage on August 2nd.

I noted back in August that he suffered an injury during the scrimmage after I attended, but the actual injury was unable to be observed due to the vantage point of the stadium & the multitude of activity going on at the time. What wasn’t known at the time was that Feliciano suffered a rotator cuff tear to his left shoulder that he managed to play for  5 months. 

To understand why he was able to play that length of time, the anatomy & function of the rotator cuff must be understood. The rotator cuff is made up of 4 muscles that include the supraspinatus, infraspinatus, teres minor, & subscapularis. These muscles assist in shoulder abduction, internal & external rotation. These motions are vital for a variety of activities that we perform daily from washing hair, putting a shirt on, throwing objects, reaching behind the back, & general overhead activities. The rotator cuff also helps keep the humeral head depressed and against the labrum so that it can create enough space within the joint for the humerus to move & not ram into the acromion during elevation. There are other muscles that assist with all these functions, but these are primary movers for the above-mentioned functions. 

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Credit: Physio-pedia.com

We tend to hear more about rotator cuff injuries in baseball but they can & do occur in football at a variety of positions. The mechanism for injury to the rotator cuff can happen in a number of ways. It can occur as a result of landing on your arm outstretched, jamming the head of the humerus into the scapula. It can occur with a fall directly onto the shoulder area, throwing an object either with increased frequency or if the object is too heavy. It can also occur from an overload of the area such as a sudden pull on the area. Finally, it can occur over a period of time with impingement due to weakness in the area with altered biomechanics leading to a wearing down on the tendon insertion.  

There are two types of rotator cuff tears that can affect any of the muscles in the cuff area: Partial-thickness and full-thickness. Based on the names, the partial-thickness is a partial tear to the tendon that can be small & can even heal on its own at times. Full-thickness is when the tendon tears completely through & there is a significant loss of function noted in the area. Any of the muscles in the rotator cuff can tear but the supraspinatus is the most commonly torn muscle. It is anchored at the top of the humerus head & is more likely to bear the brunt of an injury or become worn down. 

Size-of-Rotator-Cuff-Tear-do-I-need-surgery-or-can-physical-therapy-help-300x138
Credit: physioworkshsv.com

There are also varying grades of partial vs full-thickness tears which further indicate the severity as seen above. The tear is measured in both size & depth. So it’s possible that there could be a big superficial tear that could be managed conservatively or there could be a tear that is deep that requires surgery as seen below. Most surgeries are indicated for tears medium & above.

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Credit: Google Images

Feliciano likely suffered a partial thickness tear to at least the supraspinatus & possibly others as the rotator cuff covers the humeral head like a blanket. The injury could have started out as a partial thickness tear, potentially progressing towards closer to a full-thickness tear as the season wore on. The other possibility is that the partial-thickness tear just never got better, requiring surgery.

I don’t believe that he initially had a full-thickness tear as he would have missed some time due to profound weakness in the area and positive signs of several special tests. In the clinical setting, a full-thickness tear is quite apparent & even the toughest of people have difficulty moving the shoulder. If his shoulder were to be assessed during the season, there would have likely been a painful arc noted in the picture below. This is due to the activation of the rotator cuff muscles assisting in elevation of the humerus during the range of motion from 60-120 degrees

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Credit: pivotalphysio.com

There was likely pain during every movement that Feliciano encountered throughout the season due to this tear. Between rehab, strengthening of the surrounding muscles & medications, he was still able to suit up for every game & at times play center. Thankfully, he didn’t have any issues with snapping the ball due to being right-handed. 

Feliciano’s glaring weakness would have been forcing to move his arm in abduction and external rotation, both of which would have been more difficult as a tackle, trying to keep the defensive end from bending around the edge. Thankfully, he was able to play inside & keep his arms closer to his body, taking stress off the cuff. Despite the rotator cuff not directly assisting with shoulder flexion, he still would have likely had pain with a general elevation of the arm due to the imbalance of the rotator cuff due to the injury. This could cause impingement where the rotator cuff gets pinched between the acromion & greater trochanter due to decreased space during shoulder elevation.

It will be curious to see if he did get beat more often on the left side when the pocket broke down & he was forced to use that shoulder more. It would also be interesting to note if Feliciano’s punching ability when engaging with his block was decreased due to not being able to put as much power through the left.

Either way, to play through this injury isn’t unprecedented in the NFL, but it is difficult. Cam Newton, Drew Brees, Kawaan Short, Alshon Jeffery & Johnathan Abram are just some of the examples that have torn their rotator cuffs & either tried to play through it or had their seasons end as a result. However, most of the names on this list continued to have incredibly productive careers, indicating that the injury alone isn’t a game-changer. 

To add insult to injury, the rehab for a torn rotator cuff isn’t fun either. It’s roughly a 4-6 month recovery & in some cases, take up to a year with severe tears. This is a tough surgery due to the variety of movements of the shoulder. In addition, the area where the rotator cuff attaches to the humerus contains a poor blood supply which means that it does not receive the needed nutrients to heal as quickly as other parts of the body. Reports indicate that Feliciano will take between 4-6 months which further supports the partial thickness tear that I had mentioned earlier.

The surgery is typically done arthroscopically unless there is a massive tear & they need to open up the shoulder to fully address the issue. Once inside, the tear can be further assessed, cleaned out & repaired. The repair is done by placing anchors that reconnect the tendon back to the bone to allow for proper healing of the area. Based on the severity of the tear will determine how many suture anchors are required.

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Credit: Physio-pedia.com

Rehab protocols dictating the specifics of the timeline for rehab can be accessed here & here, but to simplify it, it is tedious having worked on a number of these during my career. The first 4-6 weeks are spent in a sling with PROM initiated to work on the motion but avoiding any strengthening directly to the shoulder area. Motion is slowly progressed to stretch the tissue but not place stress on the healing area with range of motion limitations set by the doctor.

Once the patient has been cleared to begin strengthening, isometrics are initiated which is when the muscle tensed up but is not actively moving, like pushing with all your might against a wall. As strengthening progresses, higher-level activities are incorporated to increase stability in the joint. The rotator cuff has to improve with strength, but the surrounding muscles also have to strengthen in order to help move the scapula up and out of the way in order to allow the humerus to elevate. 

Eventually, the muscles are all moving properly with scapulohumeral rhythm, there is full ROM/strength and no pain, this allows the ability to return to sport-specific strengthening & activity. Rotator cuff repairs do have overall good outcomes, up to 95%, but they need a lot of patience to get there. Fortunately, delaying surgery does not appear to have negative outcomes, hence why Feliciano likely chose to play the season with the injury.

Risks for re-tear are as high as 26% in the literature, but is relatively lower in younger patients as the quality of the tissue is improved compared to older patients with more chronic tears. Furthermore, there is a correlation that for every 1 cm the initial tear increases in size, the risk to re-tear increases two-fold.

As a PT, these repairs are rewarding to observe the improvement, but there is a distinct process to them. There may be areas where a patient progresses faster & can shave some time off the overall recovery time, but you can’t speed up the biology & healing portion of the surgery. These can be successful surgeries, but they just require a lot of time & patience in order to maximize the results. 

Feliciano will be around during OTA’s but expected to be limited. He should be able to perform cardio activities & perform non-contact drills as long as he’s cleared by the MD, which is very possible. There is a chance he would be able to perform at mandatory minicamp in June during Phase 3 of the OTA’s but may be held out as a precaution as he is a veteran. Barring any setbacks, he should have no concerns going into training camp for 2020.

This sort of injury is just the reality of the game of football & is a look into how tough these guys really are when it comes to suiting up every week. The only benefit to having an early exit to the playoffs is that these injuries can get addressed sooner. However, I believe most, if not all of the players in that Bills locker room would go through hell if it meant hoisting that Lombardi trophy in February. With how this team is built, the chances for that increase daily. 

Top Photo Credit:

Kiss985.radio.com

Week 16 Bills Injury Review- Patriots

Will Morse play Week 17?

Tom Brady has to retire soon right? He’s now 32-3 against the Bills despite many, many close losses by the Bills over that timeframe. I want to be mad, but Tom Brady has to retire soon right? I can’t even be that mad because the Bills already locked up a playoff spot which gave this game little to no meaning with an AFC East title possible, but unlikely. Plus, there have been 7 instances since 1970 where a team sweeps a division rival in the regular season & loses in the playoffs. 

Why not make it 8 if we get them in the divisional round or AFC Championships? Anyway, the Bills came out of the Patriots loss again with minimal injuries. Check them out below.

DE Shaq Lawson (left hamstring)

Lawson suffered what appears to be a minor hamstring strain at the beginning of the 4th quarter on a tackle for loss in the backfield. He came up ready to celebrate and immediately grabbed at his left hamstring, limping slightly around the field. However, he continued to play & maintain his regular rotation on the line, not immediately appearing limited.

The tackle itself didn’t appear concerning, which is why I didn’t feel that he suffered any injury upon the initial replay. On later drives, I was able to see that he occasionally motioned to the left side, but not really favoring the side too much. Sad to say, his celebration may have caused the strain.

The team has been incredibly conservative with hamstrings, but considering that he continued to play through the injury, it may not be a concern. I believe that the injury is hurting him more after playing in where the muscle has tightened up due to the injury from inflammation rather than during the game in where he was able to stay loose. The Bills only have 4 defensive ends on the roster & I expect that he continues to play unless he is dealing with a moderate strain. I believe he may be limited somewhat in practice this week but this will be a non-issue by Sunday.

C Mitch Morse (right ankle)

Morse suffered a right ankle injury as the result of Patriots DE John Simon falling on the back of his ankle, forcing it to twist out with a few minutes left in the 4th quarter. He came up hobbling, appearing to try to shake out the ankle before completing one more play in where Josh Allen converted the 4th & 1. Morse was evaluated by trainers on the field & required some assistance to walk off. He did not return & his absence was noticeable as the Bills drove down the field to attempt to tie the game. 

His injury appears to be a routine low ankle sprain which really isn’t all that concerning. I am sure he is hurting but it was later reported that if the Bills had another drive, he probably would have been able to come back according to The Athletic’s Matthew Fairburn. 

 

Considering the Bills do have some depth on the line, I could see a scenario where Morse is active but does not play. This isn’t implying that he won’t be healthy enough, but I believe he would be an emergency option in case G Jon Feliciano or even G Spencer Long go down if they play in his place. 

WR Andre Roberts (unspecified)

I wait until the Monday afternoon press conferences for reports such as these. More often than not, there are these injuries that aren’t apparent during the game & then they appear on the injury report. Reviewing the game film, Roberts was involved in 13 offensive snaps & 8 special teams plays. From my viewpoint, he stayed pretty clean during the game. There were a few instances where he got hit or bumped from behind, ankles got clipped on a return, but no glaring instance where he came up limping, appeared limited, or took a shot. 

It’s interesting that they note that the injury is unspecified. I wonder if it’s gamesmanship on the Bills part here. Even though they are playing a meaningless game against the Jets, they still need to safeguard the players for the playoffs & limit information coming out. To delay even a few days what Roberts could be dealing with could be a competitive advantage. They will eventually have to reveal it on the injury report, but my guess is he’s dealing with some type of strain or contusion, leaning more towards strain in the lower body.

I suspect this because he’s unspecified, his moneymaker is his legs & on special teams, and the injury isn’t obvious. My immediate guess is a calf or hamstring strain. To note, Roberts did deal with a quadriceps injury that kept him out of the 1st two games this season, but it’s unlikely that these are related. 

It’s simply too soon to tell whether he will suit up Sunday or if he will be a person that gets some much-needed rest. 

Other Notes:

DT Corey Liguet played after being ruled questionable for the 2nd straight week with a knee injury. I still don’t have specifics & likely won’t for some time. He did not appear to be limited, playing in 29% of the snaps, which has been on par for him the past few games. His knee continues to be something to note, but until more information is available, then speculation is all we have.

I do not recall a time when the Bills had a meaningless game to play. This is fantastic to note that there are games still to play but the Bills do not have to rely on the outcomes of games to secure their fate. I expect that the team treats this as a pre-season game in that the starters will get some playing time, but will quickly be pulled where able. I know that the team only suits up 46 for game day, but any backups should be playing considerable time to give the starters a rest & prevent injury. 

I did want to note a retweet that I received from a follower, Ned Hunt, the other day stating that the Bills have used the least amount of personnel this season, indicating their health. It’s great to see that they can keep their core players healthy & not have to continuously bring in new guys who have to learn a new system.

One more regular-season game to play. The Bills just have to get through this game against the Jets & then begin preparing for a likely matchup against the Texans. Here’s to hoping that the Bills escape yet another game with minimal to no injury before the playoffs. 

Top Photo Credit:

Yardbarker.com

Week 15 Bills Injury Preview- Steelers

What is going on with Liuget & Feliciano?

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

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

OUT

OT Ty Nsekhe (right ankle)

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

QUESTIONABLE 

DT Corey Liuget (knee)

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

OG Jon Feliciano (illness)

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

CLEARED TO PLAY

DT Jordan Phillips (knee)

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

QB Josh Allen (left ankle)

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

Probable Inactives:

TE Tommy Sweeney

OG Ike Boettger

RB TJ Yeldon

OT Ty Nsekhe

DT Corey Liuget

S Dean Marlowe

WR Duke Williams

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

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

Top Photo Credit:

Sportsbookreview.com

Week 12 Bills Injury Review- Broncos

Are Morse & Beasley going to play Thursday?

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

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

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

C Mitch Morse (right 5th digit)

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

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

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

WR Cole Beasley (left ankle)

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

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

WR Robert Foster (right hamstring)

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

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

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

Other notes:

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

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

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

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

Top Photo Credit:

Rochesterfirst.com

Week 5 Bills Injury Review- Titans

Will the Bills survive Sunday’s injury massacre?

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

Those ruled inactive prior to the game included: 

WR Robert Foster (groin/turf toe)

TE Tyler Kroft (ankle)

LB Corey Thompson (ankle sx)

CB Taron Johnson (hamstring)

RB Devin Singletary (hamstring)

OG Ike Boettger 

OT Ty Nsekhe (ankle)

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

C Mitch Morse (ankle)

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

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

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

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

C/G Jon Feliciano (right leg)

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

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

QB Josh Allen (left hand)

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

OG Cody Ford (concussion)

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

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

LB Matt Milano (left hamstring)

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

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

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

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

DE Trent Murphy (concussion)

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

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

S Jordan Poyer (head)

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

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

DT Ed Oliver (left foot/ankle)

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

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

Top Photo Credit:

Syracuse.com

Week 5 Bills Injury Preview- Titans

Will Allen be cleared to play in time?

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

RULED OUT:

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

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

 

QUESTIONABLE:

QB Josh Allen (concussion)

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

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

S Dean Marlowe (concussion)

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

FB Patrick DiMarco (concussion)

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

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

Author’s Note:

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

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

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

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

WR Robert Foster (groin)

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

CB Taron Johnson (hamstring)

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

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

RB Devin Singletary (hamstring)

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

OT Ty Nsekhe (ankle)

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

 

CLEARED

OG Spencer Long (ankle)

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

CB Tre’Davious White (ankle)

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

WR Cole Beasley (ankle)

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

 

OTHER’S TO NOTE

OG Jon Feliciano (neck)

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

WR Zay Jones (shoulder)

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

WR Isaiah McKenzie (ankle)

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

OT Conor McDermott- waived

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

Possible Inactives:

TE Tyler Kroft

LB Corey Thompson

S Dean Marlowe

CB Taron Johnson

WR Robert Foster

OG Ike Boettger

OT Ty Nsekhe

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

Top Photo Credit: CBS Sports