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!!

Week 9 Bills Injury Preview- Bears

Read up on the latest Bills injury news & why Josh Allen is still not ready despite practicing this week.

The Bills enter the 2nd half of the season in the friendly confines of New Era Field with 5 of their next 8 games at home and hopes that the 2nd half is better than the first. We all knew that this season would be a step back, but none of us are ever truly ready for the enormity of the situation when a season goes off the rails. However, with a favorable schedule and home field advantage, this is the opportunity that the Bills can use to regain some respect and build for the future. Today’s post will break down the injuries prior to Sunday’s game.

The past several weeks has been tough dealing with several key injuries which has made this season harder to digest. Ruled out already as a result of Monday’s loss include QB Derek Anderson (concussion) & LB Tremaine Edmunds (concussion). Anderson suffered his late in the 4th quarter with the game essentially over and Edmunds sustained his sometime in the first half. Both were unable to practice during the week which is standard protocol while in the concussion protocol until they have worked their way up to tolerating mild exercise without symptom reproduction. The fact that they haven’t practiced doesn’t always equate to a more severe concussion, but rather that each concussion is unique and is on its own timeline. As it was a short week, both players will have another week to recover. It stands to reason that they could be ready next week against the Jets. Starting in place is QB Nathan Peterman & LB Julian Stanford, respectively.

Others ruled out include DE Trent Murphy (knee) & QB Josh Allen (elbow). Murphy suffered a right MCL sprain in the waning minutes of the Colts loss and has not practiced in two weeks. He may be practicing on a limited basis at best this coming week but I really don’t expect to see him return until after the bye. These types of injuries take 2-6 weeks to heal and considering his previous contralateral ACL injury, the training staff is not rushing him back. Thankfully the defense is playing lights out and can absorb his loss until he is ready to return.

The biggest change in the injury report is by far that QB Josh Allen is practicing on a limited basis. If you are reading my articles, you will have seen that he will not be ready until after the bye. This still stands true at this time. The reason he is limited is due to the fact that he is cleared for conditioning as outlined in rehab protocols for conservative management. He is most likely not having pain at rest or with simple movements which would let him to run with a normal motion, allowing the upper body to move naturally. In between this conditioning, he still continues to perform activities and exercises that encourage strengthening of the wrist and shoulder with healing to the medial elbow.

Within the next two weeks, Allen will ideally begin a throwing program, allowing him to slowly ramp up the speed and distance of his throws. If he begins having pain, training staff would back him off and reduce activity until pain is gone with activity and resume the program when ready. At no point will there be an opportunity for Allen to air it out to “see how it feels”. There is a systematic approach towards his recovery and the training staff will not deviate from this. I expect the rookie signal caller to be practicing on a limited basis into the bye. Pending his progress, he could be ready to play but not be 100% for the Jaguars game. The team may also continue to limit him until they are comfortable that he can perform to his maximum ability potentially causing further missed time. Overall, I believe he will return after the bye and regain his starting job.

It does not appear that there are any other injuries that were not on the injury report but could limit player effectiveness. RB LeSean McCoy is still recovering from his cracked rib cartilage from earlier this season, but his ineffectiveness is more due to the offensive line and play calling rather than his maladies. Many other players are dealing with minor injuries that they continue to play through, minimizing their time missed.

The Bills have to get through the bye, heal up a little bit, and can hopefully attack the rest of the season to end on a high note. Injuries are a part of the game, but thankfully we continue to avoid the ACL’s, Achilles, fractures, and freak accidents that can destroy a season. The Bills will get through this, they always do. As the front office build for the future, these losses now will begin to turn into wins in future seasons as their core players continue to gel and they get players to execute the game plan. This season will come to define “The Process” when we look back years from now, hopefully with a Lombardi trophy in view. I believe the Bills will snap this 3 game losing streak and send the Bears to a 4-4 record. Despite its offensive shortcomings, the Bills still have talent that can produce.

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

Week 8 Bills Injury Preview- Patriots MNF

Brush up on the latest Bills injury news prior to the MNF game against the New England Patriots.

How things have changed! Two weeks ago, the Bills demonstrated a true rarity in today’s NFL: an injury report devoid of injury. Fast forward and they are beginning to show some cracks in their base heading into a huge matchup against the vaunted New England Patriots in a rare Monday night game in Western New York. Today’s post will dive into the injuries and how they impact Monday night.

Those already ruled out for Monday’s game are QB Josh Allen (elbow), DE Trent Murphy (knee), and RB Taiwan Jones (neck). Do not expect to see Allen before the bye and possibly until he is 100% which may be towards the very end of the season. Jones continues to be a mystery dealing with a neck injury that has prevented him from participating in any football activities since the Texans game. The only information I have found is that he suffered the neck injury during the Texans game which was finally revealed Thursday. As to what he is exactly dealing with remains unclear. I have reviewed film twice watching every special teams play and while Jones did get hit several times, he never required medical attention after the play, he was never slow to get up, and appeared in 71% of special teams plays which is near the top of the reps on special teams. If anyone out there sees something that I missed, I would look forward to that conversation.

Murphy is dealing with a right knee injury that he suffered late in the loss to the Colts which ended his day. I had speculated that he suffered a right MCL sprain and that still appears to be the case. There has not been any reports that he had to have any imaging or surgical procedures which indicate that this is indeed only a sprain. To note, his sprain is in the right knee; he tore the left ACL last year. As he has battled injury all season, the Bills should be cautious to rush him back. He would benefit from sitting out the next 3 games and using the bye to get back to 100% which would be a reasonable timeline for this type of injury. There would be concern if he came back too quickly that he could place undue stress on his left leg as a result or further injure his right leg leading to injured reserve. He should be able to come back healthy but time is not on his side.

Those limited in practice this week include RB LeSean McCoy (concussion), T Jordan Mills (knee), QB Derek Anderson (back/calf), & RB Chris Ivory (hamstring). We already know that Anderson will play Monday as he’s been named the starter and is limited due to shaking off the rust as he returns to form. Ivory suffered a left foot injury Sunday that does not appear to be an issue but suffered a hamstring strain on Wednesday that thankfully will not cause him to miss the game.

Mills has a knee injury that is new to Friday’s practice but does not appear to be a concern as he practiced in full on Saturday. Going forward, the big question is RB LeSean McCoy’s concussion suffered early in Sunday’s loss. He appears to be going through the concussion protocol very well, appearing to be in stage 4 or 5 of the 5 stage process, but still needs to be able to perform full contact and activity without reproduction of symptoms for 24 hours. While he was limited in practice, it is far from a guarantee that he will be cleared. Until the team says he’s clear, there is no way to speculate the severity of the original injury and whether he will be cleared.

As of Saturday, he has been ruled questionable with things trending towards that he’ll play Monday. If he is cleared, I believe that he will be able to perform close to his expected level though may need extra rest breaks due to fatigue. He may also not be as sharp cognitively but depending on the severity of the original concussion will determine his recovery to baseline.

While it is not opportune for key players to be injured during any portion of the season, this one appears to hurt worse going into a key primetime game against the Patriots. I am sure that ABC/ESPN executives did not envision QB Derek Anderson leading the charge against Tom Brady & the Patriots when they scheduled this game. However, this is what the Bills are working with and have shown depth at all positions to allow them to stay competitive. An interesting note: the two previous numbers that the Bills have retired, they have lost each game. 2001 saw the Bills retire Jim Kelly’s #12 with the team losing to the Seattle Seahawks 23-20. 2016 saw the Bills retire Bruce Smith’s #78 with an awful loss to the Jets 37-31. We can only hope when the Bills retire Thurman Thomas’ #34, they find a way to win on the big stage that is MNF.

While I am not anticipating a win, anything can and does happen in the NFL. These Bills have a fight in them despite some of the lopsided losses this season. This is a division game, the Patriots are our most hated rival, and we will not be embarrassed! I look forward to going to the game and enjoying the atmosphere that is New Era Field & Bills Mafia.

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

Week 7 Bills Injury Review- Colts

Read up on the latest Bills injuries and how they impact the upcoming MNF game.

Bills fans, we’ve been though this before. That 3 week stretch last year, yes, this feels a lot like this. No I do not anticipate that we will go on a tear and win and make the playoffs by some miraculous play. But 5 out of the first 7 games were on the road and the team did much better at home last year. There is still much football to be played and winnable games later this season. However, these wins will be harder to come by as starters begin going down with injury. Today’s post will review these injuries sustained in the brutal loss to the Colts.

Prior to the game, QB Josh Allen (elbow) and RB Taiwan Jones (neck) were ruled out. Allen’s issues are well documented and Jones is a mystery. The injury report this week will shed some additional light on Jones’ complaints. According to reports, Jones is week to week, but that doesn’t tell us much more than its something more serious than neck spasms. We already know that Allen has been ruled out for Monday’s game.

Those injured during Sunday’s tough loss to the Colts include RB LeSean McCoy (Head/ankle), RB Chris Ivory (left foot), and DE Trent Murphy (right knee). McCoy managed to injure both his head and what appeared to be his medial right ankle during a tackle out of bounds on the 2nd play of the game. Assessing the ankle, he appeared to tweak his deltoid ligament on the inside portion of the ankle. This is known as a medial eversion sprain and this is a very difficult ligament to injure due to the biomechanics of the ankle with greater mobility on the outside portion of the ankle compared to inside. It has also since been reported that McCoy also suffered a concussion on the same play and was ruled out for the day. It can take anywhere from 7-10 days for a player to return to play but players have returned quicker, but have also taken longer. They must pass through 5 stages successfully prior to returning to playing and be symptom free following full contact. (Do check out the previous link as it details the NFL concussion protocol and what it entails.) As it stands right now, McCoy may miss the MNF game but if he gets cleared, then there’s no question about his ability to be ready. Only practice and his progression through the protocol will determine whether he will be available for Monday night. As for his ankle, he could get that taped up for support if there is pain present and this does not appear to be potentially a long term issue. This is also an injury that should heal up fairly quickly. Considering that he will be doing little to no athletic activity until the end stages of the concussion protocol, it will only give his ankle more opportunity to heal.

RB Chris Ivory injured his left foot while being brought down early in the 3rd quarter after a run up the middle. He was observed grasping at his midfoot after the play but was eventually able to return. He had stated that the injury was minor and that it was no big deal. It appeared that he may have suffered a midfoot sprain due to the foot being pointed down or in plantar flexion and the foot twisted up underneath. This injury may be worse than it appeared and he truly is alright or this may be something that lands him on the injury report. We will have to wait and see whether it will but considering that he was able to return to play and described it as minor leads me to believe that this will not affect him going into Monday night. It is possible that this could be something he has to deal with as the season progresses, but video does not make me think otherwise and he is reporting that he feels good. If he is unable to go, RB Marcus Murphy would get the start.

DE Trent Murphy injured his right knee late in the 4th quarter with the game already out of hand. He was in the process of engaging an offensive player during a block when another player got thrown into his knee with his knee bent and foot on the ground. The blow did have the makings of a potential ACL tear mechanism; fortunately, we know this not to be the case as it would have been reported by now. Based on video, it appears as though he suffered a Grade 1-2 MCL sprain, similar to what DT Kyle Williams suffered in the preseason against the Browns. As mentioned in previous articles, the MCL is the ligament that runs on the inside portion of the knee and is commonly injured when a blow to the outside of the knee occurs or when a player is pivoting and the foot gets caught in the turf and the knee is overcome by the forces of changing direction. Recovery time takes between 2-6 weeks to return fully without compensation in ideal cases but as in football, players do attempt to come back sooner.

Murphy is week to week according to HC Sean McDermott and this is expected based on the suspected severity. He will most likely miss the Monday night game and may miss the next several games, using the bye in Week 11 to return to full health. As this is the opposite side of his ACL tear from last year, the team will be more cautious to let him back out on the field before he is fully healthy. He also requires more agility out of his position than Kyle Williams which would explain why he will most likely require a longer healing time compared to others with the same injury. There is also a possibility that he may have suffered a minor meniscus tear as the mechanism of injury is similar to that of the MCL, but initial evaluation by medical personnel and Murphy’s reaction on the field indicates that this is more MCL related. The mechanism fits MCL, he had difficulty bending the knee with assistance, and from the video angle, there did not appear to be a rotational component unlike TE Charles Clay’s knee injury from last year. However, I cannot rule out meniscus tear until the team releases further information. Regardless of outcome, I expect Murphy to miss the next 2-3 games, favoring the over due to his previous injury history.

This may be the Bills toughest stretch in regards to injuries as several major names are on the mend at this point. Thankfully, the depth is still strong at most positions and season ending injuries have been at a minimum compared to others in the league. The good news is that all the players should be able to return rather quickly to give the Bills the best chance to win. While I am not expecting a Bills win come Monday night, I expect the Bills to show up for national TV, I expect them to give QB Tom Brady and Co. a dogfight, and I expect it to be a competitive game. Considering all the pomp and circumstance of former Bills great RB Thurman Thomas jersey retirement ceremony, Bills Mafia will be out in full force providing home field advantage.

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

Week 7 Bills Injury Preview- Colts

Read up on the latest Bills injury news heading into Week 7 against the Colts!

Things are finally starting to calm down after an eventful start to the week. Between the regrettable loss to the Texans, initial speculation about QB Josh Allen’s elbow injury, followed by the hysterical fallout of the details following the injury, it’s been a week. Today’s post will review the Bills injuries going into the Colts game.

Those already ruled out at QB Josh Allen (right elbow) & RB Taiwan Jones (neck). We know all the nitty gritty details of the Allen injury along with reports are indicating he is expected to miss 2-3 weeks. I believe the team should use the bye week to its advantage and shelve him for 4 games with rest for 5 total weeks. Time will tell how he responds but the extra time can and will help him heal to prevent further issues or complications of the injury. As mentioned in my previous article, it can take 6-10 weeks for a ligament injury such as this to heal properly.

RB Taiwan Jones (neck) is however, a mystery. Jones presented on the injury report with a neck injury and did not practice all week. Reviewing film from the last game, he did not appear to suffer any jarring hits or injuries to his head/neck that would have led to an early exit from the game. He was also able to play in most of the special teams snaps, having one of the highest percentages on the team. We also know that he did not suffer a concussion, fracture, or any injury publicly reported. So at this point, things get tricky. There is no video to even consider a diagnosis, no reports to identify what is specifically going on with the complaint; only “DNP” & “neck”.

The next section is entirely speculation and does not infer or imply that this is what is he is dealing with. Just trying to identify possibilities so as to give a timeline for a return. Reviewing injury reports since Jones came in the league did not reveal any previous neck injuries which could identify chronic conditions. There also has not been any reported concussions during his time with Oakland & Buffalo. This leads me to believe this neck injury is more acute in nature. We also know that not all injuries are always reported which means he may have been dealing with a neck injury that finally became painful enough to sideline him. This could have been something a hit could have aggravated a minor injury, another possibility that something could have occurred in practice we are not aware of, or something totally unrelated. We did see last year that C Eric Wood suffered a now career ending neck injury that was largely unknown until a season ending physical. This is not to imply that Jones is dealing with an injury or situation as dire as Wood’s, but I am stating that we never quite know the whole story. Jones may be having localized neck pain limiting his ability to move his neck; he may be having pain along with numbness going down his arm classified as radiculopathy; he may be having cervicogenic headaches related to neck pain; just a small sample of issues that could be possible, though far from exhaustive. This neck pain could also be related to the horrific shot he took against the Chargers resulting in his gnarly head wound. He may only miss a week and return without limitations, or this may leave him sidelines for several weeks if symptoms persist. Without more information, I cannot confidently state what he may be dealing with. This will be something that we will have to wait for more information to come out or if the front office begins making roster moves as a result.

Others that dealt with injury from Sunday include DE Trent Murphy (ankle) and OG Vladimir Ducasse (left knee). Both are cleared to play and their injuries were relatively minor. Based on film, I can’t even quite specifically identify the exact injuries they sustained. Murphy took what appeared to be an awkward step which slowed him on that particular play and as a result, missed several plays after but was able to return. Ducasse was hit from behind and had another lineman fall onto him but was able to jog off though with a mild limp. He may have just fell on his knee directly, plus adding in ~300 lbs from another body could certainly cause some type of discomfort. We know the defensive line is on a rotation, it’s possible that Ducasse may be on rotational play if he continues to experience issues.

Others to watch out for is CB Taron Johnson (shoulder) and P Corey Bojorquez (shoulder). Both have some type of right shoulder instability evident with bracing. This could continue to limit their effectiveness, though much more apparent in Johnson’s case due to his position. Both have not been on the injury report recently and hopefully can continue to play until the end of the season when they can address the issue with possible surgery.

This wraps up another Bills injury preview with the Bills continuing to stay healthy. On the opposite end of the spectrum lies the Colts, who have been beset by injury which helps explain their 1-5 start. Here is a link to an overview of their injury report; they are still missing key contributors at this time. Despite QB Derek Anderson making his first start for the Bills, I expect the Bills defense to contain the Colts offense, forcing turnovers, and pulling out a win to move to 3-4.

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 at u/BangedUpBills, and online at www.bangedupbills.com. As always, thank you for reading and GO BILLS!

Week 6 Bills Injury Review- Texans & Allen’s Elbow

Read about the latest Bills injury to QB Josh Allen and what this means going forward.

Well this isn’t good, this isn’t good at all. The ultimate form of adding insult to injury, though reversed. The Bills lost a very winnable game, dropping to 2-4 on the year, losing to the flawed Houston Texans 20-13 on a QB Nathan Peterman pick 6 to give the Texans the lead and the game. Adding the injury part, QB Josh Allen suffered what appeared to be a rather innocuous elbow injury, glancing his elbow off DE Whitney Mercilus’ helmet. However, he was able to attempt one more pass before exiting the game. Unfortunately, recent news has shed light on the severity of the injury. Today’s article will assess what Josh Allen did to his elbow and what it means going forward.

Credit: physio-pedia.com

To give a brief anatomy lesson, the elbow is made up of 3 bones: the ulna, radius, and humerus. The elbow is primary comprised of the capitulum on the humerus fitting inside the semilunar notch which is part of the olecranon process on the ulna to make a hinge joint. Surrounding the joint are ligaments that provide support to the joint to provide support. These ligaments are the lateral collateral ligament, the ulnar collateral ligament, and annular ligament. The lateral collateral sits on the outside portion of the elbow, mostly injured due to fracture or dislocation. The annular ligament holds the head of the radius in place along the elbow joint, and the ulnar collateral ligament sits on the inside of the elbow. This is similar to the MCL of the knee in its function. It is more of a stabilizing ligament due to the throwing motion required in the human body. This ligament is made up of 3 bundles that spread out like a fan to cover the entire inside portion of the elbow. The elbow is a rather stable joint as compared to the shoulder or ankle, but as with any joint, can be injured with the proper forces.

In true Bills fashion, QB Josh Allen suffered a UCL (ulnar collateral ligament) injury to the elbow. 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. Initial thoughts were that he hit his funny bone off the helmet and had some residual numbness, similar though, to a lesser extent of the QB Marcus Mariota injury. However, later video review showed the arm in hyperextension which was worse but not terrible injury. At that point, I began thinking maybe he can come back this week or miss one game. However, recent video from Thad Brown revealed ironclad proof that this is an injury more severe than anyone thought.

The ulnar collateral ligament helps to provide medial support to the elbow so that the ulna does not shift off the humerus during elbow flexion/extension. This ligament also provides support during the throwing motion seen in many sporting activities. Injuries occur to this area as the result of acute hyperextension, excessive external rotation of the shoulder leading to chronic issues such as pitching, or a sudden forceful lateral stress to the joint during elbow extension which was the case with Allen.

Credit: eorthopod.com

In the video above, you can see the medical staff performing a milking technique or moving valgus stress test. The arm is put into full external rotation and the elbow is moved throughout its range, attempting to assess whether there is a painful response. In the video, there is clearly a painful response indicating a positive test. This test would not specify which band is injured, only the area in general. Due to this testing along with the mechanism of the injury, an MRI was performed to determine the severity of the injury. At this point in time, we know that this is not a season ending injury and we know that he will not require surgery as reported by Dr. James Andrews following a second opinion.

The reason it was the UCL that was injured was due to where the force came from. It came from below and outside the arm, pushing the inner portion of the arm up and out via the hyperextension, partially tearing the ligament. The reason everyone is hyper-concerned is that this is a rather famous ligament made popular by Dr. Frank Jobe and baseball player Tommy John in 1974. This is the ligament that stabilizes the inner elbow when a pitcher is throwing a baseball 100 mph. Dr. Jobe was able to surgically repair the ligament that Tommy John had torn and John was able to return to playing, racking up more wins in the process than he had prior to the injury. Today, this is known as Tommy John surgery and is typically a death blow to a pitcher’s season, hence the concern with Allen. Incidentally, many pitchers have since tore this ligament as a result of being bigger, faster, stronger along with overuse and sport specialization.

According to Dr. Andrews, Allen does not appear to require surgery nor will he be sidelined for the remaining season with the information that we currently have. This is something that many of us in the medical community believed prior to the Andrews report. This is an injury that like any ligamentous injury, will take some time to heal. Many conservative rehab guides along with medical professionals are looking in the neighborhood of 6 weeks for this to heal to the point of playing which would take the Bills past the bye week. I believe within this amount of time, he would be able to come back and while not 100%, would be close enough to be effective and continue to grow as a player. There are reports that he could miss 2-3 games but I think the Bills would be foolish to rush him back that quickly. It is likely that he will have some type of bracing on the elbow for protection.

While this is incredibly terrible, this will allow the Bills to let Allen rest and learn until he is ready rather than rushing him back out there and causing further damage to his arm. If this had been his non-throwing elbow, it would be more likely he would have been back by next week with bracing. This is an injury that despite best prevention, could not have been avoided. It was a collision and even with padding and protection, forces can still overcome the preventative measures.

Overall, UCL injuries are relatively rare in the NFL. Studies show that from 1994-2008, there were 10 UCL injuries with 9 taking 26.4 days to return and not requiring surgery. In addition, from 2010-2018, there were 12 UCL injuries with only one requiring surgery. Based on the past 25 years from those two studies, there has been 22 UCL injuries to QB’s in the NFL with only 2 requiring surgery. These numbers are smaller due to the relatively small sample size available. This is evident in the difference of the style of the throw, the amount of times the player is throwing, how many consecutive times a throw is performed, and the speed of the throw; all significantly less in football compared to baseball. While it is the same injury, the incidence is drastically different.

Thankfully, from baseball, we know how to treat this effectively. The non-operative rehab will consist of regaining full, pain free ROM in the elbow. They will also begin light resistive training to the area involving bicep/triceps work and grip/wrist exercises to build the muscles up around the area to give support as the muscles that perform flexion in the wrist and hand attach very closely to the UCL on the medial epicondyle of the elbow. As the ligament heals, he will begin to work on dynamic stability with grip and weight bearing through the arm. He will progress towards throwing progressively weighted balls along with strength training all while managing pain before resuming football activities. This injury, along with all other injuries, DOES NOT fit the motto of no pain, no gain. That motto doesn’t fly in therapy and will only delay his return to the field. The limited NFL research along with what we know about the baseball injuries will dictate when he returns. As he is young, he can heal quicker than an older QB, but this is not an injury that he should play through before he is ready as greater damage may occur as a result.

While this was a majority of the article as it is a major topic, there were other injuries that occurred during the game. DE Trent Murphy injured his left ankle late in the 2nd quarter. He appeared to take an odd step and came up limping slightly, missing several plays. He was able to return and it does not appear that he sustained any noteworthy damage at this time.

OG Vladimir Ducasse suffered what was reported a left knee injury early in the 4th quarter and was questionable to return. He was able to jog off the field with a small limp and was seen after the game walking in the tunnel without apparent pain. On video, he got hit from behind and got rolled up on. My initial reaction thought maybe mild high ankle sprain with how he fell or some type of contusion to the calf region. He could have also came directly down on his knee due to getting hit, causing discomfort. Either way, it doesn’t appear to be serious and we will know more once the injury report comes out tomorrow.

While this was an incredibly lengthy article, I hope that you walk away from this knowing that Josh Allen will be ok, not all injuries are avoidable, and the Bills are still relatively healthy compared to other teams in the league.

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 at u/BangedUpBills, and www.bangedupbills.com. As always, thank you for reading and GO BILLS!!