Bills Injury Review- Quarterbacks

Bills positional injury review- Quarterbacks

The off-season has begun! With a record of 6-10 following the 2018 NFL season, the Bills are slated to pick 9th in the 2019 NFL draft. Fortunately, one position the Bills will not have to worry about is quarterback. The starting job and room for that matter has already been locked down and demonstrates one of the most stable positions on the roster. Today’s post begins a series of articles reviewing the 2018 regular season from an injury standpoint, players that were injured, their outlook, and whether they will come back in 2019. Today’s topic is quarterback.

There were a total of 4 starting quarterbacks to take a snap under center for the Bills in 2018 in the regular season. They were: QB Nathan Peterman, QB Matt Barkley, QB Derek Anderson, and QB Josh Allen. A fifth, QB AJ McCarron was slated to be the starter in preseason before an untimely injury derailed his chances. As a collective whole, the Bills passing game put up stats as follows: 271/499 for 54.3% completion for 2794 yards, 13 TD’s, 23 INT’s, and 41 sacks ranking 31st in the league.

Never making to the regular season for the Bills was QB AJ McCarron. He was signed from Cincinnati as a free agent in the off season, expected to be the starter and before his injury, was trending in that direction. Unfortunately, McCarron suffered an injury to his collarbone during a hard sack that was initially diagnosed as a hairline fracture against the Browns. However, he had a second opinion which reversed the original diagnosis and it was re-diagnosed as a contusion. He was able to return after several days, but as he was healing, this allowed Peterman to move forward and take the season opening job, leading to the trade of McCarron to Oakland for a 5th round pick in 2019.

QB Nathan Peterman began the season as the starter but quickly played himself out a job. The 2nd year player out of Pitt earned a second chance despite his inauspicious start to his career last year. His 2018 season stats were as follows: 44/81 for a 54.3% completion, 296 passing yards with 1 TD, 7 INT’s, and 7 sacks along with 2 starts. Peterman started the forgettable home opener, losing 47-3 to the Ravens followed by a Week 9 start, losing to the Bears 41-9. While Peterman was not injured during this season in Buffalo, he was wholly ineffective which led to his eventual release on November 13th. He eventually did find his way to Oakland Raiders practice squad but his release thankfully ended the Peterman experiment here in Buffalo.

Next is QB Matt Barkley. The veteran journeyman started the year with the Cincinnati Bengals before being released with an injury designation with a Grade 3 MCL sprain in the preseason. On October 31st, the Bills signed Barkley to a one year deal as insurance while Allen was recovering from his injury. Unfortunately, the starting QB at the time, Derek Anderson was unavailable due to injury and Peterman wasn’t trusted to play, leading to Barkley to start. He lit up the Jets defense in a 41-10 win with his stat line as follows: 15/25 for 60% completion, 232 yards, 2 TD’s, 0 INT’s, and 1 sack. With that performance, Barkley earned himself a 2-year contract as the backup to Allen going into next season. Overall, his injury risks appear minimal, his preseason injury will not be a concern moving forward, and he has shown he is a capable back up in spot starts.

QB Derek Anderson was able to come out of semi-retirement to help mentor Josh Allen as he progressed through his rookie season. Unfortunately for him, he was forced into playing several games including against the Colts and Patriots. His stat line was as follows: 42/70 for 60% completion, 465 yards with 0 TD’s, 4 INT’s, and 5 sacks. In addition to the rough stat line, Anderson suffered a back and calf injury against the Colts which appeared to be more bumps and bruises after not starting for several years. Regrettably, Anderson also suffered a concussion at the end of the MNF game against the Patriots after a sack from LB Kyle Van Noy which sidelined Anderson for 5 games.

While concussions are all too common in football, most resolve after a short amount of time. Each concussion is unique and has its own timeline for healing, it is concerning that Anderson took this long to recover from his injury. It is not uncommon to see concussions take that long to fully recover in the normal population, but considering that he was out that long during the NFL season makes me question his availability for the future. We already know that once a player sustains a concussion, that increases the chances that they suffer future concussions. Prior to this, he had one documented concussion during his time with Arizona. Normally, a concussion lasting that long would have forced him to the IR to clear up a roster spot. However, his role has been defined as assisting in developing Josh Allen into a franchise quarterback and that appeared to be the case which is why they avoided placing him on IR which would have prevented him from tutoring Allen. While he can play in spot starts and will be back on next year’ roster having signed a one year deal, he is far from the answer if a long term need is required. He is one player that I hope never sees the field next year. I hope he helps to continue to mentor/coach, and rides off into the sunset next year before another concussion or serious injury forces him to retire.

The big injury of the season was QB Josh Allen. As it has been widely reported, Allen suffered a sprained elbow, more commonly referred to as a UCL injury. He suffered the injury during the loss to the Houston Texans. To recap, this was the result of a bang bang play as Allen got hit from the left by Clowney, followed by Mercilus hit from the right, coming up underneath, hyperextending the rookie’s elbow. As a result, he missed 4 games with the injury but was able to return a more complete player and with bracing to the area to provide protection and support. This injury overall will not be something that will cause problems in the off season, it will not require surgery, and it will almost certainly not affect him as his career progresses.

At this point, the injured tissues in the elbow have mostly healed up and he should be asymptomatic with regards to all his throwing activities. With further rest and strengthening in the off season, he will come back 100% and should not have to wear a brace in the fall. It’s quite possible that this may become an injury that will be forgotten as his career progresses. How he injured his arm was unfortunate, but the recovery and response moving forward is calculated and ensure his long term health. Despite the injury, Allen still put up respectable stats for the season. Allen’s stat line for 2018 was as follows: 169/320 for 52.8% completion, 2074 yards with 10 TD’s, 12 INT’s, and 28 sacks. In addition, he had 89 rushes for 631 yards and 8 TD’s. Expect him to start next season, continue to grow as a quarterback, and eventually lead the Bills back to the playoffs.

Overall it was a very rough season for Bills quarterbacks for injuries. The QB carousel should stop next season with Allen, Anderson, and Barkley all under contract and the established starter in Allen. In addition to the stability at the quarterback position, there is a lot of optimism that the front office that they will shore up the offensive line to provide the protection that is desperately needed in order to help make the offense flourish along with some receiving weapons. This is the first time in a long time that things look good at the quarterback position for the Buffalo Bills.

Continue to follow Banged Up Bills on Facebook, on Twitter at @BangedUpBills, on Reddit u/BangedUpBills, and online at www.bangedupbills.com. Look for off season position injury reviews, additions to the NFL Injury Series, any pressing injury news/surgeries, and anything else that Bills fans need to know. Thank you for reading and GO BILLS!!

Week 17 Bills Injury Review- Dolphins II

Read the latest Bills injury news following the Week 17 win over the Miami Dolphins & final thoughts going into the offseason!

The season is finally over. The Bills have finished 6-10 with a exciting win over the Miami Dolphins 42-17 and lots of hope going into the 2019 season. QB Josh Allen was recently named AFC Offensive player of the week, the first time a Buffalo QB has been given this honor since QB Drew Bledsoe in 2002. The front office has stability moving into the offseason with both coach and GM in place with a solid game plan stacked with draft picks and cap money to contend with a favorable schedule next year. The only downside to the season ending is the retirement of DT Kyle Williams. Sunday’s win marked the last game for him in a Buffalo uniform and he made the most of it. He was able to get in on several offensive plays including a reception and continued to be a force up front until his curtain call late in the 4th quarter. To make his retirement even more memorable, he proceeded to circle the entire stadium, giving thanks to everyone before entering the end zone tunnel one last time. While he didn’t win a Super Bowl or have the team accolades that veteran players can accumulate over time, he still was able to lay the foundation for potentially greater success in the coming seasons. Personally as a fan, I am happy to have seen him give everything he had in a Bills uniform and leave on his own terms.

With all the positivity coming out of that season finale win, the only injury noted on Sunday was CB Tre’Davious White (head). He suffered this injury with 1 minute left in the 2nd quarter during a collision with a Dolphins offensive player. This was right before the 2nd scoring play for the Dolphins which allowed them to even it up going into halftime. The Bills announced that White was later downgraded to out with a head injury which is typically reserved for concussion protocol. It was not announced that he suffered a concussion but as it was the season finale, there was no purpose to re-insert him back in the game with 2 quarters left. If White was indeed diagnosed with a concussion, this would be his 2nd documented NFL concussion after last season’s hit by Patriots TE Rob Gronkowski. Regardless, the season is over; White will be able to go through the concussion protocol if needed and recover during the offseason with no long term concerns.

Overall, it was another decent year for injuries. We did lose a lot of man games due to injury with several starters lost late in the season, but major injuries such as ACL’s, Achilles, Bicep tears, and pectoral tears which could affect next season continued to avoid the Bills and allowed the team to grow further. It is expected to see the roster turn over considerably with a host of draft picks & free agents brought in along with several veterans moving on due to ineffective play or team unfriendly contracts. The 2019 Bills will come out guns blazing and begin to make some noise!

Continue to follow Banged Up Bills on Facebook, on Twitter at @BangedUpBills, on Reddit u/BangedUpBills, and online at http://www.bangedupbills.com. Look for offseason position injury reviews, additions to the NFL Injury Series, any pressing injury news/surgeries, and anything else that Bills fans need to know. Thank you for reading and GO BILLS!!

Week 15 Bills Injury Preview- Lions

Analyzing the latest Bills injuries prior to the game against the Detroit Lions.

For what it’s worth, after that rough loss to the Jets marred by numerous injuries, the injury report for the upcoming game against the Lions is relatively short. Granted, we are missing several starters over the past 2 weeks with CB Taron Johnson, C Russell Bodine, and LB Matt Milano all going to IR with their respective injuries. These are the kind of injuries that if suffered earlier, could have scuttled a promising season had the Bills had several games go their way. However, these injuries only allow these and other on IR to recover appropriately in time for next season. Today’s post will assess the injuries going into Sunday’s tilt against the Detroit Lions.

Already ruled out is CB Ryan Lewis (concussion). Lewis is still working through the league concussion protocol and as he is DNP, he is still in stage 1-2 of the protocol. However, we typically do not see most concussions clear this quickly and Lewis will miss Sunday as he continues to work through the concussion protocol.

Those questionable are K Stephen Hauschka (hip), RB LeSean McCoy (hamstring), TE Logan Thomas (hamstring), and RB Chris Ivory (shoulder). Hauschka has already been ruled available to play Sunday by coaching staff and has been sitting out all week to rest in order to be ready. Thankfully, his skill set does not require constant practice which allows him to get the treatment he needs in order to be 100%. Why he is questionable may be just how the injury list designates how you rule someone based on practice participation.

Things are looking promising for McCoy as he was reported participating in individual drills which is an excellent sign for his overall recovery. However, he is still limited which indicates that he is not able to participate in the entirety of practice and does not appear to be ready for Sunday. As he is a 30 year old running back with a lot of yardage on his legs along with one of his roughest seasons in his career, it would not make sense to get back out there quickly to play for a lost cause. He may be ready but he would be better served taking a week off and coming back against 2 divisional opponents to leave his mark on the 2018 season going into 2019.

Thomas may have tweaked his hamstring in Thursday’s practice which led him to report the injury but as he practiced in full Thursday but limited Friday doesn’t bode well for his availability Sunday. As there is not video of what exactly happened, it is hard to speculate whether he will play. Hamstrings are tricky and this may truly be up to Thomas on whether he feels he can perform. Considering it will be cold and the injury is relatively fresh, it may not be wise to try and playing unless he had a good warm up and feels loose.

Ivory exited the game this past Sunday and did not return after falling to his left shoulder hard after an 8-yard run. I believed that he suffered a re-aggravation of his AC joint sprain originally sustained against the Bears. As he is practicing in full, this is an excellent sign in the likely event that Shady is unable to play. However, he was still ruled questionable. Frequently, if someone has practiced in full all week, they are always good to go for Sunday. My only theory that I can formulate is that he was able to participate in practice going through plays and drills but still dealing with pain in the shoulder. Whether he plays may be whether he feels he can absorb the pounding that a running back takes during a game. If Ivory is ruled inactive, the Bills still have RB Marcus Murphy and newly signed RB Keith Ford to handle the run game.

Those cleared to play or Sunday are TE Jason Croom (groin) and QB Derek Anderson (concussion). Croom required a week off after tweaking his groin possibly late in the game against the Dolphins. As he practiced in full this week and was not made a game time decision, expect him to participate fully and potentially take Thomas’ snaps if he is unable to play.

Anderson is finally cleared from the concussion protocol after 7 weeks of not playing or fully practicing. He is expected to be the 3rd string QB and continued mentor to QB Josh Allen. Anderson has been an enigma for the Bills this season. He came in halfway through the season, started 2 games, suffered a concussion during Monday Night Football, and then has been out since. Now, having post-concussion symptoms for this long is not abnormal overall. I have personally worked with patients that have had post-concussion symptoms for months after the initial injury. We have also seen other examples of players dealing with post-concussion symptoms for long duration’s of time, most famously Pittsburgh Penguins star Sidney Crosby. So, its possible that he was dealing with recurring symptoms but my concern was why was he still on the active roster? He will not supplant QB Josh Allen as a starter; QB Matt Barkley is the backup, which leaves Anderson as a body taking up a roster spot. The only theory that I could come up with is that Anderson was still dealing with post-concussion symptoms and still on the active roster for the sole purpose to help prepare Allen each week. If he had been placed on IR, then he would have been able to be around the team but not participate in practice in any form according to IR rules. I suppose having Anderson available during practice to critique Allen during practice acting as a psuedo-coach to assist QB coach David Culley. Regardless of reasons behind his recovery, the important thing is that Anderson is finally healthy, can appear in another NFL game if the opportunity arises, and can finish out the season on hopefully his terms.

The Bills had been hovering around the 50% mark with regards to players with questionable designation playing but that number has since increased to 66% playing recently over the course of the season. Based on these numbers, I expect that McCoy and Thomas to be inactive with Ivory truly questionable and Hauschka playing. This fits the numbers but these are simply trends through the season and not a prediction model. We will see what happens Sunday.

The Bills should be able to handle the toothless Lions with effective ball control and clock management. If they minimize mistakes on special teams and prevent turnovers, then they have an excellent shot to move to 5-9 on the season. Hopefully the Bills can continue to stay relatively healthy and avoid more season ending injuries over the coming weeks. While these games are meaningless, the overall health of each player is still important going into the off season.

Continue to follow for the latest updates and news coming out of One Bills Drive. Follow Banged Up Bills on Facebook, on Twitter @BangedUpBills, on Reddit u/BangedUpBills, and online at www.bangedupbills.com. As always, thank you for listening and GO BILLS!!

Week 13 Bills Injury Review- Dolphins

Analyzing C Russell Bodine’s fibula fracture and other injuries sustained in the Bills loss to the Dolphins.

That loss hurt. We lose to the Patriots all the time, but we lose to the Jets and Dolphins more than we should. The NFL is “Any Given Sunday” but to lose in that fashion to the Dolphins stings. While there was an opportunity to win on the Bills final offensive play with that pass to TE Charles Clay, there were still many glaring mistakes that cost the Bills that game. Whether you thought QB Josh Allen could have thrown it better or Clay should have caught that, it doesn’t matter. There were other opportunities to win the game and that’s where the Bills have to improve on. While there were minimal injuries again this game, the injuries sustained were more significant than usual. Today’s post will review injuries in Sunday’s loss.

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Credit: teachmeanatomy.info

C Russell Bodine (fibula fx) is done for the season after breaking his fibula (seen above in red) midway through the 1st quarter on Sunday. Video is limited but Bodine is observed going down with DT Davon Godchaux falling on his leg while his knee is on the ground. The direct blow to the area from a 315 lb human will do some damage, in Bodine’s case, resulting in a fracture. Bodine was able to walk off the field without assistance because these guys are tough and won’t let pain stop them unless it’s truly unbearable. Add in the fact that the fibula is a non-weight-bearing bone which allowed him to still walk despite being part of the lower leg. The fibula makes up the outside portion of the ankle and goes up to the lower outside portion of the knee. This bone provides many attachments for the lower leg bone but does not have any actual weight bearing function in regards to walking.

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Credit: http://www.raynersmale.com

Bodine will miss the rest of the 2018 season, going to IR to have surgery with what is expected a full recovery for 2019. The surgeon performing the operation will be performing an ORIF which is short for open reduction, internal fixation on a fracture similar to the picture above. This means they will surgically open his leg, re-align the broken bone, and reinforce the fracture with screws and a plate to ensure proper healing to the area. Once the surgery is complete, Bodine will be non-weightbearing for at least 6 weeks. Despite the above statement that the fibula is not involved in walking or weight bearing, the leg still must avoid weight through the area due to the possibility of disrupting the healing process. If weight bearing were to occur, excess stress from the attached muscles performing their actions during walking could lead to weakness/instability to the healing bone. Other concerns would be a potential fall directly on the area or sudden jarring movements could lead the hardware to loosen or shift leading to the bone not healing properly. If he does indeed have the syndesmotic injury as Dr. Chao theorizes, then he could be non-weightbearing for 8-12 weeks according to this protocol which would require removal of the hardware. We will not know which type of surgery he will have and it may come down to surgeon preference or the amount of damage. Regardless, this will not affect recovery time which is about 12+ weeks. Seen below is a picture of what his ankle may look like on x-ray once surgery is completed.

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Credit: podiatrytoday.com

12 weeks will not allow him to be ready for football related activities, but will at least allow him to work towards getting back in shape. The timeline to return to football specific activities and return to full form is longer, but not exactly known. My best guess is ~6 months to fully regain what he has lost and resume activities as though he never suffered the injury. Everyone responds differently and Bodine is no exception. The Bills have begun working out centers but have not appeared to sign anyone at this point. It is likely that C/G Ryan Groy will step up and take over the starting role for the rest of the season.

Other injuries sustained were LB Tremaine Edmunds (knee/ankle) and CB Jordan Poyer (finger). Edmunds suffered an injury to his right leg midway through the 3rd quarter in which his foot got caught in the turf and he got hit from a falling body. The knee looked structurally fine as it was going into a varus position. This is when the knee is buckling out as the foot moves inward. This is opposite of the dreaded ACL/MCL mechanism of injury but Edmunds mechanism of injury could still cause damage to the knee under the right circumstances. Thankfully, the rookie LB was checked out by the medical staff, missed a few plays and was able to return rather quickly. He may be dealing with at most, a sprained ankle with the foot having been caught in the turf and rolled inward. He may show up on the injury report but it does not appear to be anything that will limit him next week.

Poyer suffered a right finger injury shortly after Edmunds sustained his injury in the 3rd quarter. He was attempting to secure an interception by QB Ryan Tannehill but was unable to come up with the ball. He appeared to be shaking his hand out as though he jammed his finger. He was able to return playing immediately and may or may not show up on the injury report. Even if he does, it is unlikely to affect his ability to play next Sunday.

Overall, the Bills did not lose much injury wise and should continue chugging along to next Sunday where they have their 2nd game against the Jets in what should be a winnable game. I am encouraged by how this offense is starting to click with the progression of QB Josh Allen & WR Zay Jones and optimistic how the team can upgrade with the cap money they have for 2019. Only time will tell how things play out.

Continue to follow Banged Up Bills on Facebook, on Twitter @BangedUpBills, on Reddit at u/BangedUpBills, and online at http://www.bangedupbills.com for the latest news and updates coming out of One Bills Drive. As always, thank you for reading and GO BILLS!!

 

Week 12 Bills Injury Preview- Jaguars

Read on the latest injuries coming off the bye as the Bills get ready to face the Jaguars.

I hope you all enjoyed your week free of Bills football along with Thanksgiving! As a devoted Bills fan, make sure you are recharged and ready to hunker down to take on the last 6 games of this season. This season has been a dramatic step back from last season’s successes and while it is tough to see that the Bills lose more than they win, they are still building towards something greater than the 2018 season. Regardless of outcomes, I do I enjoy watching the Bills every Sunday and today’s post will review the injuries going into the Jaguars game.

Those coming off injury from the Jets game include LB Matt Milano (concussion) & CB Taron Johnson (shoulder). Milano has cleared the concussion protocol and practiced in full which is an excellent sign and should continue his stellar 2nd season as an integral part of the defense. As for Johnson, unfortunately suffered another injury to his right shoulder in where he continues to sublux/dislocate his shoulder during direct blows to the area. He was observed to not wearing his shoulder harness during the Jets game which reduces the shoulder movement in order to limit dislocation which may have resulted in the most recent re-injury. The direct hits to the shoulder continue to dislodge the humerus from the socket, causing pain, weakness, and limited strength. This in turn has caused him to miss short stretches of the season. This is something that he will continue to play through until he feels he cannot anymore or until the end of the season, whichever comes first. He was limited in practice this week and will continue to play at less than 100% until he gets surgery to correct the problem. To note, we have full confirmation of his shoulder injury based on GM Brandon Beane’s appearance on One Bills Live this afternoon, outlined in this tweet here. I expect that Johnson will still suit up come Sunday.

Others practicing in full include RB Chris Ivory (shoulder) and QB Josh Allen (elbow). Ivory was dealing with a left AC joint sprain that caused him to miss the Jets game after suffering the injury during the loss to the Bears. He should have no limitations on Sunday and relieves RB LeSean McCoy as a change of pace back. Allen has been a big talking point when it comes to injury this season, missing 4 games due to the sprained right UCL suffered in the loss to the Texans. He has progressed as expected; Allen himself has reported that his elbow continues to feel better and news reports are showing him making all his passes without obvious compensation. Interestingly, he is still wearing a brace on his right elbow which does concern me, but he may play with the bracing on the elbow as he may be comfortable with the throwing motion with it on. I would prefer to see him play without it, but the medical staff knows best and will ensure that he will minimize re-injury. The only benefit to the brace would be to provide protection in case of a direct blow to the area. While he could re-injure it throwing, the chances are significantly reduced as he has given himself an appropriate time to heal to where he is able to play at a high level. He may not be 100% healed but enough that the medical staff feels he can perform without causing further injury. 

Others limited in practice include: C Russell Bodine (shoulder), QB Derek Anderson (concussion), and DE Trent Murphy (knee). I am not sure what Bodine did to his shoulder as he did not appear to require medical attention during the Jets game but this could be an injury sustained in a previous game with re-aggravation or could be a new injury. Until we have more information, I cannot even speculate what he is dealing with.

Anderson continues to battle back from the concussion sustained late in the 4th quarter of the Patriots loss on MNF. He has been slowly working his way back into shape with his limited designation, but is clearly not ready yet. Based on being limited, he appears to be in Stage 3-4 of the concussion protocol, allowing him to go through sport specific activities and perform aerobic activities. Unfortunately, he has since been ruled out for Sunday’s game, dealing with concussion symptoms for nearly a month now. While this is atypical from what we usually see during a concussion recovery, this would be considered normal for concussion management outside of the NFL as not all concussions are mild with a quick turnaround time. Hopefully he continues to improve and help Josh Allen develop.

Murphy continues to battle back from injury after injury. The latest injury is a right MCL sprain suffered halfway through the 4th quarter in the loss to the Colts. He has since missed 3 games and is slow to return but the vibe is that he will be ready come Sunday to help contain the rushing attack. The veteran DE has had 4 weeks to fully recover which is within the expected recovery times for an MCL injury. With his recent injury history, the Bills training staff were not in a position to rush him back and cause further complaints.

Those not practicing are TE Charles Clay (hamstring) and DE Shaq Lawson   (elbow). Clay pulled his hamstring running a route early in the Bears game and was unable to return. He since missed the Jets game and right now could potentially miss the Jaguars game. Lawson suffered an elbow injury during practice early in the week which makes it nearly impossible to diagnose. Reports indicate that he tweaked his elbow and is considered day-to-day. Until we get further information, I will not speculate as to what he is dealing with at the moment. 

Overall, while the list does look long, with QB Derek Anderson ruled out, TE Charles Clay is doubtful, and those questionable include: C Russell Bodine, CB Taron Johnson, DE Shaq Lawson, and DE Trent Murphy. Clay will not play and even if he somehow suits up, he will not be effective. Those questionable that I expect to play are Murphy and Johnson. We do not know whether Bodine or Lawson are ready to play based on the fact that we do not know the extent of their injuries. If they do indeed sit out, this fits with the roughly 50% of questionable’s not playing this year. I do have a feeling Lawson will be available.

With injuries beginning to take their toll, this is also the time of year where we begin to see players go on IR quickly if they have an injury that will take longer to heal than the remainder of the season so that the team can roster healthy players or guys they want to take a longer look at in game action. Do not be surprised if we see players such as QB Derek Anderson and CB Taron Johnson go on IR in the near future so they can fully address their medical complaints in order to be healthy next season.

Continue to follow for the latest updates and news coming out of One Bills Drive. Follow on Twitter @BangedUpBills, on Facebook at Banged Up Bills, on reddit u/BangedUpBills, and online at http://www.bangedupbills.com. As always, thank you for reading, and GO BILLS!! 

Week 10 Bills Injury Review- Jets

Analyzing the latest Bills injuries following the beat down of the Jets and how the roster looks going into the bye.

This team, one week you’re ready to swear them off for good, next week, can’t get enough. What a complete win by the Bills over the Jets 41-10 to move to 3-7 sliding into the much needed bye week! There are so many positives coming out Sunday’s game, I will leave that to the pundits who know football more than I do to diagram the X’s and O’s. It was a fun win and reassures me that there is talent on the team, the coaching staff does have a plan, and hopefully next year they begin to bring personnel in to turn their grand plans into solid results. However, I am always here to assess the injuries sustained in the blowout and how they affect the Bills going into the Jaguars game two weeks from now.

Going in chronological order of injuries, starting off with WR Robert Foster (thumb). The rookie wide out sustained some type of left thumb injury early in the 1st quarter which required an assessment by trainers. At one point he was questionable to return, eventually returning to haul a huge pass from QB Matt Barkley in the 3rd quarter and finish with 105 yards on the day. As to the specific injury, he may have suffered a dislocated thumb.  He was observed going to the locker room with a trainer stabilizing the left hand at the carpometacarpal joint which is the lower portion of the thumb that connects to the wrist. While that does sound nasty, it is relatively minor. My guess is he somehow injured it on the fake punt play, it appeared he may have hit his thumb against a Jets defender coming down with the ball or he suffered it where there is no video available. In the event of a thumb dislocation, the thumb would be reduced and put back into place, he would be fitted with a thumb spica which is a small brace which would allow him some mobility to the area but reduce further injury. Foster was wearing gloves on both of his hands which prevent us from identifying if there is bracing under for support next time we got a close up. As he was able to return to the game, the week off should be good enough to allow him to heal effectively.

DE Jerry Hughes suffered a right knee injury during a tackle in the backfield and was able to walk off midway through the 2nd quarter. Upon review, he was pivoting up on his toe and rotating to the left, the mechanism suggested a minor MCL sprain but Hughes was observed jumping around and shaking his knee out, also grabbing at the front of the knee. He also did come down hard on the knee which then we are considering a contusion to the area which would explain the limping. Either way, he was able to return and continue to provide pressure on QB Josh McCown all day. The injury appeared to be minor and something that does not concern me moving forward.

CB Taron Johnson (shoulder) exited the game once again midway in the 2nd quarter and did not return. It appears that he suffered a re-aggravation of his right shoulder injury he has been dealing with all season. It is quite possible he subluxed the shoulder once again despite bracing to the affected area, though I was not able to see him wearing it Sunday. He suffered the injury on a hard tackle midway through the second quarter, tackling the offensive player with his left shoulder, and coming down hard on his right. After the play he was able to move it around, giving several high fives after shaking it out briefly. Interestingly, despite the upbeat activity after the play, Johnson did not return to the game which makes me suspect a subluxation as there is already laxity in the joint from previous injury. This means that less force is required to disrupt the joint, leading to easier and easier injures. This is something that he has experienced previously and may require rest and rehab in order to get ready for Week 12. It may be realistic that the Bills shut him down later this season if he continues to re-injure the area so that he can have surgery and be ready for OTA’s.

OG John Miller suffered what appeared to be a right knee injury on the scoring play by WR Zay Jones late in the 3rd quarter. Video is limited but he was pancaked and rolled back onto his own leg, appearing to twist his knee going down. He was able to walk off with a minor limp but yet another injury that does not appear to be serious. In the event that he needs to sit out any time, the coaching staff have been working in additional lineman to find the right scheme fits to spring the running game which appeared to be the case Sunday.

The most serious injury of the day is LB Matt Milano (head). The stalwart linebacker suffered a hard hit early in the 4th quarter that snapped his neck to the left upon contact with Milano going down instantly. It is unknown whether he lost consciousness but he was eventually able to stand up and enter the medical tent. On broadcast and initially getting up, he was favoring his left arm which may indicate that he suffered a stinger based on how he hit and the angle of his head/neck upon impact, but the more concerning injury is the blow to the head. He was eventually brought to the locker room for further evaluation but looking at video, there is cause for concern with a concussion. Whether he actually sustained one is not known yet, but in the event that he did, he will enter the concussion protocol as QB Derek Anderson is currently working through. Time will tell how he responds and hopefully he is cleared as he is having another standout season after a stellar rookie campaign.

Those that were questionable today going into the game were LB Tremaine Edmunds (concussion) and WR Andre Holmes (neck). Both appeared to play with full effectiveness and did not appear to be limited in their availability during Sunday’s win. I do not anticipate that they will continue to deal with their recent complaints and use the bye to rest up.

Overall, the Bills are in good shape going into the bye. While they are missing a lot of starters now, everyone with the exception of QB Derek Anderson appear to be ready to come back 100%. After the performance of QB Matt Barkley, there is question whether he should continue playing or to hand the reins over to QB Josh Allen. If Allen is 100%, play him and see what he can do. If there is any lingering issues which are possible considering the injury, rest him until he has no complaints or concerns. Barkley will eventually get figured out by opposing defenses which supports the idea that Allen should start, but at least the Bills have options moving forward. Personally, I would like to see Barkley or Allen starting Week 12 against the Jaguars, Anderson tutoring Allen as the 3rd QB, and QB Nathan Peterman cut and brought back on the practice squad to develop and be available if things go south.

As a fan, I am looking forward to having a week off from football. I do love the Bills, but they are mentally fatiguing at times and we all need rest. I suggest you all do the same. Over here at Banged Up Bills, continue to look for new content to help gear up for the remainder of the season. Feel free to ask questions or engage in discussions, I want you, the reader, to learn and understand these injuries so that you are a more educated fan and not a mindless lemming that is confused by clueless media reports regarding the health of the Buffalo Bills.

Continue to follow for the latest news and updates coming out of One Bills Drive. Follow on Twitter @BangedUpBills, on Facebook at Banged Up Bills, on Reddit u/BangedUpBills, and online at www.bangedupbills.com. As always, thank you for reading and GO BILLS!!

Week 10 Bills Injury Preview- Jets & Why Josh Allen Shouldn’t Play

Read the latest Bills injury prior to the Jets game including why Josh Allen shouldn’t play this week despite being listed as questionable.

The bye is rapidly approaching and the Bills are welcoming it with open arms. Over the past month, injuries have been rapidly piling on, the team is on a 4 game losing streak, and analysts openly questioning whether the Bills could even beat Alabama in a theoretical match up. As fans, while we do support our team though thick and thin, we need a break. Having a showdown against a Jets team that is also having a down season could allow the Bills to secure their 3rd win and rest up for the final 6 games to gain some respectability going into 2019. Today’s article will detail the injuries going into the Week 10 showdown, why QB Josh Allen shouldn’t play, and how things may look after the bye.

Those already ruled out of the Jets game include QB Derek Anderson (concussion), TE Charles Clay (right hamstring), and DE Trent Murphy (right knee). The veteran QB Anderson is still working his way back from a concussion suffered in the MNF loss and has been unable to practice since then. As we have no video of his presence in practice, I can only assume that he is still in Stage 1-2 of the concussion protocol. This would mean that he’s still not at baseline cognitive testing or if he is, he would be in stage 2 which would be a light aerobic graded exercise program which is possibly still bringing on symptoms. It has been noted he has been working with trainers off to the side, but that has been the extent of his activity so far. Until he is able to tolerate his exercise program, he will not be able to progress in his protocol. It is too early to tell whether he will end on IR with his concussion but it is not trending in the right direction.

Murphy is missing his 3rd straight game with a right MCL knee sprain suffered late in the loss to the Colts. While he has not practiced since the injury, it is expected that he is rehabbing daily and working hard to return to the field. The team is taking it slow with his recovery as he has dealt with a multitude of injuries since training camp and do not want to experience further serious injury. When healthy, he is effective, but he must rehab properly in order to be available. Barring any setbacks or unknown information, he should be back after the bye for the final stretch of the season.

Clay is ruled out due to suffering a right hamstring injury early in the 1st quarter of the loss to the Bears. He appeared to tweak his hamstring decelerating, then attempting to change direction, eventually limping off the field. While it is difficult to identify the severity of the hamstring strain on video, it appears to be minor as he did have it stretched out and at one point have his helmet on during the game, implying that he may have wanted to return. As a precaution, not practicing all week along with the bye should allow him to return fully healthy.

To note, WR Kelvin Benjamin (knee) appeared on the injury report with a knee injury but was limited only Wednesday, but practiced in full Thursday & Friday. He did suffer a shot to the right knee in the Bears game but only sat out 1-2 plays before returning. This does not appear to be anything more than soreness and should not be a factor in his abilities to play this weekend.

Those ruled questionable are: RB Chris Ivory (left shoulder), WR Andre Holmes (neck), LB Tremaine Edmunds (concussion), and QB Josh Allen (right elbow). Reviewing injuries, Ivory suffered a separated shoulder or AC joint sprain during a failed goal line plunge in the 4th quarter and was ruled out the remainder of the game. While Ivory was limited the past 2 days, it does not appear that he should be ready to take the brutal hits of the NFL. Plus, being limited in practice on Friday is typically not a good sign to play Sunday.

Holmes was dealing with a neck injury that was not apparent in Sunday’s game but it worth noting that he suffered a neck injury that sent him to IR at the end of last season. There was nothing on video that stood out so it is rather difficult to identify specifics of his malady. This may be an injury we have to watch moving forward and see if it limits his reps or abilities on the field. However, the fact that he was able to practice in full the past two days indicates that this may be a minor injury and should suit up come Sunday.

Edmunds is dealing with a concussion suffered at some point in the first half of the MNF game against the Patriots. He did take several shots to the head, most notably against FB James Develin which may have brought on a delayed response in concussion symptoms. As he did not practice last week and was limited this week, he is truly a questionable decision as he will need to be cleared by an independent neurologist before returning to the field. He has been practicing without a red jersey which prohibits contact which is a good sign but no guarantee for clearance. I would estimate that he is in stage 5 of the concussion protocol but has not been cleared yet. We have seen concussions cleared the day before or day of the game such as in the recent case of RB LeSean McCoy. This will truly be a game time decision and whether he clears protocol.

Finally, QB Josh Allen as we all know, injured his right throwing elbow during the Texans game. His absence during the past 3 games along with his rehab has been intensely scrutinized on when he will be ready to return and how he will perform. It was only this week that he began throwing, albeit with a brace and on a limited basis. During the limited video available, he was making a variety of throws around the field which is fantastic to see. However, while he does appear to be ahead of schedule with his rehab, it does not mean that returning to game play ahead of schedule is always recommended. We hear all the time how this player and that player are doing well in their recovery and ahead of schedule. We hear timelines with recovery from injury and always expect to take the under on weeks for them to return. As fans, we then get upset when they’re not back by what could be perceived as unrealistic outcomes for that player as every injury is unique.

Most protocols do state that this particular injury takes 6-10 weeks to heal, much less play at full efficiency. Coming off the bye will be 6 full weeks of recovery. While I have stated he appears ahead of schedule due to his throwing program, this doesn’t mean he is ready to fully play. He does have the advantage of highly skilled doctors, physical therapists, and athletic trainers treating him daily which may explain why is moving faster plus his youthful age does help.

Despite performing the ability to throw and go through all his motions, Allen still has not completed a full practice which means he has not gone game speed consistently. We have also have not seen him throw without a brace which currently provides stability and compression to the affected area. Most players do not want to wear any bracing on game day as it affects their movement. The bracing that he is currently wearing in practice would be limiting the ability to naturally move during throwing and could alter his throwing mechanics if he plays long term with it on. Rushing back into the game with a brace may do more harm than good as he may perceive that he is protected from injury from the brace and do more than he should.

From a therapist perspective, it is important to load the injured area and slowly stress the tissues to build up tolerance towards the activity before going full speed. Going too hard, too fast can and does lead to further injury. At this point in his healing process, he would not severely damage the ligament with his current activities unless he were to sustain similar trauma such as the original injury or a fall onto the elbow or outstretched arm, both of which are uncontrollable at game speed. Unfortunately, he could irritate the still healing ligament in his elbow or injure other areas of his arm attempting to compensate for the elbow if he returns too soon. This could lead to a potentially chronic complaint rather than the acute injury that it is currently.

He would benefit from another two weeks off, his body will be two weeks healthier and stronger to withstand the demands of his position to reduce his injury risk. If this were not his throwing elbow, he would have been back much sooner. As a physical therapist, I would want to see that he can make all his throws, that he can make the throws without bracing, that he has no pain up to several days after throwing, and that he has no compensation patterns as a result of the injury. I would also want to see consistency in all areas over a set timeline. One day things can look great, another day, it can be awful. In the video above, we may have just seen a great day; we’re typically not privy to the bad days during practice. At this point in time, there is just too many questions surrounding his abilities and a full week of participation in practice would prove that he’s ready to come back 100%.

This is already a lost season and rushing the future of the franchise out there in meaningless games does nothing for Allen. This would be a prime way to ruin a young quarterbacks development and set the stage to rush back from future injuries before he really understands how his body recovers from injury at the NFL level. I believe the Bills only listed Allen as questionable was due to the public relations angle plus forcing the Jets to consider game planning for him which may get them to overthink their strategy. Just because he looks good, doesn’t mean he is good yet. I expect the Bills to roll out their 4th starting quarterback of the season in QB Matt Barkley with QB Nathan Peterman as backup with a heavy emphasis on the running attack by RB LeSean McCoy & Co.

To add facts on facts, so far through Week 9, 53% of players listed as questionable on game day have been ruled inactive by the Bills. So based on those listed as questionable this week, theoretically, just over half will be ruled inactive; my bets are Ivory and Allen. Edmunds is a wildcard and could go either way but I’m leaning towards him playing. Based on what we know about everyone’s respective injuries, the extra week of rest during the bye will allow everyone in today’s article to come back to play in the Jaguars contest. As for the game prediction, I believe the Bills will get a much needed win over the Jets, moving to 3-7 which will allow them to regroup for the rest of the season.

This wraps up another Bills injury preview here at Banged Up Bills. Continue to follow for the latest updates and news coming out of One Bills Drive. Follow on Facebook at Banged Up Bills, on Twitter @BangedUpBills, on Reddit u/BangedUpBills, and online at http://www.bangedupbills.com. As always, thank you for reading and GO BILLS!!