2020 Week 7 Bills Injury Preview- Jets

The injury list is long, pick your poison.

The Bills 4-0 start seems like ages ago following two straight losses to the two best teams that the AFC had to offer last season. Sitting at 4-2, the Bills are still in a prime position to win the division and host a playoff game for the first time in a quarter-century. Despite being in the driver’s seat, it doesn’t feel like they can field a healthy team in order to keep the march going strong. 

In the time writing these weekly injury reports, this is one of the more taxing ones that have been completed. There are simply a lot of injuries. There have been other weeks within a season that have had a lot of designations, but the list thins out or guys get healthy. We are now feeling the effects of injuries piling on top of injuries with multiple guys already ruled out prior to Sunday’s matchup against the Jets. Fortunately, the depth that the Bills have is still sufficient in the short term to get through this week. Below is the extensive list of injuries.

OUT

G Cody Ford (right knee)

Ford is ruled out for Sunday after sustaining what appears to be an MCL sprain to his right knee as the result of getting rolled upon in the 4th quarter. He was able to walk off under his own power before requiring the cart to head to the locker room. I had thought he would benefit from a short term IR stay but the team has not elected to go that route quite yet. Considering he was playing through a groin, possible left shoulder/elbow, and now knee, he could use the break. Regardless of the IR decision, Ford will be out Sunday.

WR John Brown (left knee)

Brown was ruled out for Sunday due to a left knee injury sustained in the Chiefs game. This occurred in the first series as Brown was trying to catch a cross route when he fell onto the left knee. He was hobbled by it the rest of the game and was largely ineffective.

Based on the latest injury alone, he probably could play through it, but considering all the injuries he’s been dealing with including the previous knee injury along with calf and foot issues, he could use a week off and that’s what appears to be happening following a week of DNP’s. The week off should do him some good in order to get ready next week for the Patriots. 

TE Dawson Knox (calf)

Knox will miss his second straight game with a calf injury originally sustained in the Titans loss. The severity is unknown but considering he will now miss two games, this says that it isn’t minor. The literature does show that these can take some time to heal, on average, 17.4 days which means he’s not quite there yet. At this point, he will need full practices 2 out of the 3 days in order for me to be convinced he plays. The more time Knox misses, his 3rd game total due to a concussion, the less he can be relied upon as a weapon for Josh Allen.

Update: Knox has since been placed on the COVID/Reserve list along with Lee Smith, Nate Becker, and Tommy Sweeney.

CB Josh Norman (left hamstring)

Norman reportedly tweaked the same hamstring from training camp, which according to records, was the left side. He has since been ruled out and we do not know the severity of the hamstring which will make a timeline tough to establish. 

Due to the previous hamstring strain, he was at greater risk of re-injure the area with the literature showing a 33% recurrence rate. Hopefully, the injury was minor and he comes back in time for the Patriots game. If he can’t go, CB Levi Wallace will come off IR, giving the team some options.

LB Tyrel Dodson (right hamstring)

Had Dodson not been injured, we possibly would see Milano sit another week due to the lack of need. However, since Dodson injured his right hamstring on a punt return, Milano may be pressed into service Sunday. Dodson has already been ruled out and may miss the Patriots game as well. Hopefully, Dodson is not out too long to give this team depth and versatility in the second half.

Update: Dodson has since been placed on IR.

QUESTIONABLE

LB Matt Milano (left pectoral)

Milano continues to battle back from a left pectoral strain suffered against the Raiders in Week 4. He appeared to be on track against the Chiefs to play but the research didn’t support a return that quickly with him ultimately missing another week.

He is far more likely to play in the Jets game considering the lack of depth available at the linebacker position. With any injury, he would benefit from additional time off but he is probably healthy enough to play and be effective. I expect him to play with the shoulder harness and give the defense a needed shot to get right for the coming weeks. 

CB Cam Lewis (left wrist)

Lewis continues to practice with a club on his left hand following Sunday’s injury attempting to tackle Chiefs RB Clyde Edwards-Helaire. It’s not clear what he did to the wrist but it’s significant enough that he has to wear a club on his left hand and that he was ruled week-to-week. The one upside to his injury is that he can go out to perform all the duties of the cornerback position with the exception of catching interceptions. Considering the lack of depth, Lewis may be forced to be active but available only in case of an emergency. 

CB Tre’Davious White (back)

White appeared on the injury report again with his back injury that has been bothering him since the lead up to the Titans game. Outside of it being a pain-related issue, we still don’t have details as to what is flaring things up. 

While he is not playing quite at the level he was last year, he is still playing at an above-average level which makes him still one of the best options on the team even not fully healthy. I expect he plays or at worst, is active but only in case of emergency. It’s unfortunate that the team has to resort to suiting up injured players, but such is the case with the Bills this week. 

ACTIVE

QB Josh Allen (left shoulder)

Allen continues to practice in full with the left shoulder injury sustained in the Raiders game. I have thought his throwing mechanics have changed due to the injury which could explain some of the misses over the last two weeks. I expect him to come off the report soon but to linger on the report as long as he has is important to note later on. I still suspect he tore his labrum or injured his rotator cuff, but I will be looking to see if he continues to wear a brace on Sunday for stability. 

S Jaquan Johnson (back)

Johnson popped up on the injury report Friday with a back designation but practiced in full. There is absolutely no idea what he could be dealing with unless we get more information. Due to the issues in the secondary, any nick or bruise draws concerning responses from the fan base.

Other Injuries:

G Jon Feliciano (pectoral tear)

Feliciano has been discussed in the game plan this week for the first time since before his injury occurred. His 21-day window to practice without counting towards the active roster is rapidly closing and the team will have to make a decision by October 28th.

By the time you’re reading this, Feliciano will likely have been activated from IR. I do not expect him to take all the snaps in his first game back but he should see a decent amount to get live game reps to prepare for the second half of the season. A corresponding move to bring Feliciano back will either mean someone is cut or someone is placed on IR, hopefully, Cody Ford.

TE Tommy Sweeney (foot)

Sweeney is mentioned because he is now eligible to return from PUP following a six-week stay. The team has five weeks to activate him to practice and from there, they have a 21-day window to activate him to the roster. I had thought that he suffered a stress fracture and is still working back from the injury. Considering the struggles that Dawson Knox has had, Sweeney could be a nice addition in the coming weeks. I will be interested to see what the plan is moving forward.

Update: Sweeney has since been placed on COVID/Reserve list.

G Quinton Spain (foot soreness/released)

Spain was a surprise release following two games where he was declared inactive due to foot soreness. While he was a good player last year and had recently signed a contract extension, it simply did not appear to work out due to the team wanting to develop Cody Ford at the guard position. Details aren’t exact with regards to the reasoning of the release, but I would expect it was because he wasn’t happy with his playing time.

While it is not a great look to release a former starter, it is better to cut loose a player who does not want to be there rather than let any potentially negative attitudes fester in the locker room. Best of luck to Spain in his NFL journey as he looks to find a new home.

As a result of this move, the Bills elevated DT Justin Zimmer to the active roster and signed LB Ahmad Gooden to the practice squad.

Inactives:

TE Dawson Knox* COVID

CB Josh Norman

G Cody Ford

LB Tyrel Dodson* IR

QB Jake Fromm

WR John Brown

RB TJ Yeldon

Call ups:

CB Dane Jackson

CB Lafayette Pitts

The only upside is that the Bills are playing the Jets this week. Had we been forced to play another team such as the Patriots or Seahawks, this game could have been rough. Along with having a lesser team in the Jets, they are also dealing with their own injuries seen below. 

Those are some key players that are injured that could make an already depleted team even more susceptible to a loss. But according to Tom Pelissero, QB Sam Darnold is expected to play.

While there are questions about whether the Bills are the real deal following two losses, these are the kind of games where a winning team must come in and do their job, beating a lesser opponent. Ideally, the Bills take care of business and move onto the Patriots in addition to getting healthier as the team enters November and the second half of the season.

Top Photo Credit: BillsWire USA Today

2020 Week 5 Bills Injury Preview- Titans

Which of the questionable players will suit up?

Heading into Tuesday’s unusual matchup against the Tennessee Titans, the Bills are fairly beat up with injury designations already determined on Saturday afternoon. While the injury list looks dire, things actually aren’t all that bad. Check out the details below. Let’s hope this game gets played & put in the rearview mirror.

OUT

LB Matt Milano (Left pectoral)

Milano has since been ruled out for Tuesday’s contest which isn’t a surprise considering he did not practice all week.

Milano is coming off what appears to be a left pectoral strain. Based on the literature, it’s no surprise that he will be out for the short term. In my article at Buffalo Rumblings, I had detailed that he would be out at least 2 games and potentially more. The fact that he hasn’t been placed on IR also hints at the timeline the team thinks he may return sooner than later.

QUESTIONABLE

WR John Brown (Left knee)

Brown has been battling calf and foot problems all season, none of which have been serious enough to miss any time. Brown did appear to tweak something on the left side as shown in the video below.

Per the injury report, he is dealing with a knee injury now. While there is video of the injury, it’s hard to discern what he exactly did. In the video, he planted his left foot and pushed right before taking another step and then began hopping in pain.

He took several hard steps on his left leg to turn back to the right to catch the pass. His knee appeared to bow out on the next step, but it’s possible he could have tweaked the MCL or inside knee ligament on the prior step, felt it, took an uneven step which where we saw the bowing out, and then the final hopping off the field.

Credit: PTHealth.ca

If this injury was in isolation, I would say he’s alright to play especially with the few extra days off. But considering he’s dealing with foot & calf injuries, he may be best suited to take a week off. May come down to how he feels. This is one position where the team has healthy depth.

G Cody Ford (Groin/left shoulder)

Ford is battling a groin strain apparently suffered in the Raiders game. Sean McDermott did note that Ford was battling through some things during the Raiders game. I believe he was referring more to the left shoulder which could be anything at this point. There is nothing definitive on film & would need more information for a specific injury. There is a possibility that he’s dealing with a rotator cuff issue or labral injury due to the brace, but something to monitor.

As for the groin, also not sure when he injured it which makes it difficult to determine how it will affect him. The one upside is that playing on the interior part of the line; he will not have to use as much lateral movement or sprinting which can reduce strain on the area. If he doesn’t go, then G Quinton Spain would likely get the start.

RB Zack Moss (Toe)

Moss continues to be limited with a toe injury that appears to be turf toe. He was potentially able to play Sunday against the Raiders, but he ultimately did not suit up.

He has missed the last 2 games which fits in the timeline for a turf toe. The hope is that he returns for Tuesday’s game with a few extra days rest & is more of a factor than RB TJ Yeldon. Considering all the questionable players & that he practiced in full leads me to believe he will play.

LB Del’Shawn Phillips (Left quadriceps)

Phillips has returned to practice & began practicing in full which is an excellent sign for the special teams linebacker. He has missed the last 3 games following a quadriceps injury that appeared to be a strain by video.

I expect most of his playing time to be on special teams once again unless he is called upon to play on defense if injury occurs. I also expect that he will continue to be slowly worked back in as he acclimates to not playing football for nearly a month.

Update: Phillips has since been placed on IR. The team promoted LB Deon Lacey in his spot.

WR Andre Roberts (Ankle)

There is no information on Roberts other than he injured his ankle. Nothing on film indicates that he suffered an injury and nothing in the media reports indicate the type of injury he is dealing with. The fact that he hasn’t practiced all week isn’t a great sign either.

The only two instances I could find for a possible injury came in the 1st quarter. The first was a right end around where Roberts lost 3 yards when he was flipped upside down by S Johnathan Abram. The other, three plays later, when Roberts caught a 6 yard pass to the left and was taken down by CB Nevin Lawson.

He had his left ankle get clipped on the first tackle and on the second, he was twisted down. Hard to identify if this is when he hurt his ankle or what the exact injury could be.

This will be something to monitor as the season progresses.

CB Tre’Davious White (Back)

This has been a mystery. White played in every defensive snap on Sunday & has been fairly durable throughout this season & career. He has not practiced this past week & it’s not clear whether he is even at the facility.

Watching film from Week 4, he appears to move well around the field and is not labored or slow to get up. As this is a back injury, these are harder to identify the injuries as there is typically not bracing or specific movements that are limited by the injury.

More information would be needed in order to identify what he’s dealing with. I could list a bunch of injuries & conditions, but trying to identify this injury is like throwing a dart in the dark at the dart board. The only reason that he could possibly be questionable after not practicing is if it’s a pain related issue where the team is hoping that things can calm down before Tuesday. But even that doesn’t narrow things down.

I have heard severe people say that he got his money & is not playing as hard anymore or that he is attempting to opt out because of the COVID concerns with the Titans with the team saying he has a back injury. Sure, there’s always that possibility that he is phoning it in now that he got paid. If he was, then that was a poor decision by the team to sign him to an extension. If he is not trying anymore, that’s on him. I don’t believe the Bills want guys on the team like that. I personally don’t believe this to be the case.

The COVID concerns are real, but to have the team say he has a back injury in order to keep him away from the facility, that’s a stretch. They could list him with an injury, we do see guys on injury reports often every week and don’t appear to have anything wrong. If I recall, Tom Brady was notorious for that with his right shoulder.

But to fake an injury would go against the competitive balance & intention of the injury report. To use it to cover up for something else makes me think the NFL wouldn’t take too kindly to that.

Right now, I am going with the fact that he has a back injury, details are not available, and the hope is that it isn’t serious. If he doesn’t go, the team has CB Dane Jackson they can call up for depth.

G Brian Winters (Right knee)

Winters appeared to injure his right knee on the same play that Josh Allen injured his shoulder. He fell hard on the right knee and was labored upon getting up and trying to get back into the play.

It appears to be a generalized contusion, but considering he hasn’t practiced in the past week, there’s potential it could be other things. He could have injured the bursa which is a fluid filled sac that helps lubricate the joint. A direct blow to that could cause inflammation to the area, limiting range of motion.

There are other possible injuries that he could have suffered but without more information, hard to establish a timeline. Considering the team has a bevy of offensive lineman, he could afford to sit this week.

INJURED RESERVE

CB Levi Wallace (Left ankle)

This move was a possibility but not certain as low ankle sprains can be played through, depending on the severity. Unfortunately for Wallace, he appears to have suffered a Grade 2 low ankle sprain early against the Raiders. This is due to the fact that he was placed on IR on Wednesday which requires a 3 week stay indicating a timeline for severity.

Credit: Medium.com

According to this picture sent in by a fellow Twitter user, Wallace appears to be off crutches and the swelling in the left ankle looks minimal. However, there is still likely instability due to the ligaments getting stretched out from the injury.

What we also don’t see in this picture is if he is on crutches and he put them down for the picture. We also don’t see how much weight he is putting through his left foot. Both feet could be down but he could be leaning more to the right to off weight the leg. Whatever he’s doing, he can rest for the next 3 weeks now that CB Josh Norman has returned from IR.

ACTIVE

WR Cole Beasley (Left foot)

Beasley continues to battle with numerous injuries including previous injuries to his thumb and hip. After being limited in practice earlier this week, Beasley was a full participant which signifies that he is healthy enough to play. The extra days off will certainly help his foot to heal further which will allow him to make those cuts over the middle effectively and use his speed to work around the field.

QB Josh Allen (left shoulder)

Allen practiced in full every day despite the left shoulder designation from Sunday’s injury. The injury designation officially notes that he does have an injury and that it could affect his ability to play. The concern is that he has either an AC joint sprain, rotator cuff injury, or labral tear.

He did have a brace on for Wednesday’s practice and kinesiotape on for Thursday’s practice. The hope is that he has the AC joint sprain & it’ll heal on its own. My worry still remains that he had more damage in there as mentioned above. I would anticipate to see some bracing on for Tuesday regardless of the injury.

As the season progresses, the injury will become more clear if he takes further hits to the shoulder or if he continues to wear bracing.

Inactives:

LB Matt Milano
TE Lee Smith
G Brian Winters
QB Jake Fromm
RB TJ Yeldon

A bye week would be beneficial like it was last year at this time, but the Bills are not due for one for some time. These kinds of weeks will really test the depth at each position and the training staff’s ability to get each guy ready. It is important to note that a player may be active but may not get much play, only available for depth if needed. The team was forced to do this several times last year.

While the Titans are healthier as evidenced by the list below, they also have not had the ability to practice as a team in the last 2 weeks, unless you could the unauthorized practices after their facility closed. They also still have a number of players on the COVID reserve list.

Even if they’re healthier, I would be concerned about in-game injuries due to the sudden ramping back up of game play. I do not wish injury on anyone, but there is a greater risk. That along with not having the ability to fully implement their game plan may help be an equalizer in the game.

Remember, this is a team that was an AFC finalist last year. This team is no slouch. I would expect the Bills to win because I am biased and believe we have the better team. But if they lose, they are a worthy opponent. I’d like to see a win, but more importantly, minimal injuries as the Bills prepare for a short week against the Chiefs in Week 6 at home.

Top Photo Credit: Bleacher Report

2020 Week 4 Bills Injury Review- Raiders

Is Josh Allen going to be ok? What happened to Levi Wallace? How long will Matt Milano be out for?

The Bills are 4-0 for the first time since 2008 and the fanbase is buzzing! That was about the time I began to sink my teeth into what is now my full-fledged Bills fandom & totally embraced it. While the beginning of the season was fun, the later half clearly wasn’t. However, this 2020 team is something else! 4-0 including two wins over division opponents in the Dolphins & Jets and two more wins over playoff contenders in the Rams & Raiders. 

While it’s unrealistic to run the table to a Super Bowl, the Bills are showing they know how to win games that they are expected to win. There are still several games on the schedule that aren’t automatic & realistically, they will suffer some losses. But for now, the Bills are getting stacking wins as they continue to march forward in the season.

In light of the win, there were several injuries to note of varying concern. Below you will find my thoughts and expectations for each injury moving forward.

CB Levi Wallace (left ankle)

Wallace injured his ankle with 8:22 left in the first quarter with what appeared to be a calf/ankle injury. Upon review & just prior to falling to the turf, Wallace changed directions suddenly, going backwards in order to get the tipped ball. As he was going backwards, he rolled his ankle inward. That sudden weight through the rolled ankle likely worsened the severity of the ankle sprain observed on film. He was down on the ground in obvious pain and required assistance to get back up and off the field. Regrettably, he was unable to return.

Noted above, following the game, he was on crutches as Coach McDermott was giving his post game speech. From the video, it isn’t determined whether he had a boot on, but considering the possible severity of the sprain along with the crutches, it’s very likely he did. 

McDermott has since stated that he is week-to-week which translates out to several weeks missed. Grade 1 ankle sprains can usually be played through. Grade 2, which I believe is what Wallace has, is anywhere from 3-6 weeks. Considering they have not put him on IR yet, I believe he can come back after missing 2-3 games, barring setbacks.

They do have Josh Norman available and may be the only option until Wallace is ready to return. 

WR Cole Beasley (left foot)

Beasley suffered what he termed a foot sprain on his TD catch when he got flipped into the air before coming down hard for the score. As he came down, his left foot smashed into the turf.

This appears to be a generalized foot sprain, more specifically to the midfoot. He had it taped up and returned later in the game, at times labored. He’s a guy who could benefit from some time off but he’s a baller and he’s going to play. I expect him to be limited in practice or have a day off this week. Unless the foot gets much worse Tuesday & Wednesday, I expect that he’ll have it taped up for next Sunday.

QB Josh Allen (left shoulder)

Allen scared the entire NFL when he got tackled scrambling out of the pocket before getting taken down from behind, falling with his arm outstretched, hitting at the elbow then rolling onto his left side, grabbing at his non-throwing shoulder. 

There’s a lot to unpack with the injury so stick with me here. It initially appeared that he injured his hand due to shaking it out with noticeable discomfort. Due to the elbow striking the ground, he likely hit the ulnar nerve that runs on the medial portion of the elbow, aka, the funny bone. 

That would explain the hand component. When the elbow struck the ground, he immediately grabbed at the shoulder. There are several things that he could have injured with that fall including an AC joint sprain, rotator cuff, or labrum tear due to subluxation/dislocation.

I would take the above order of injury based on severity. Best case he could have injured his AC joint with the fall. He can wear a brace for a few weeks and have no lasting effects, especially considering this is his non-throwing shoulder. 

The rotator cuff could have been strained due to the elbow hitting the turf, jamming the humerus up into the acromion, causing injury. This injury would also take several weeks to recover from. Think QB Drew Lock of the Broncos from Week 2 below.

However, the worst and I feel is most likely is the labral tear due to a subluxation/dislocation. The elbow hitting the turf and forcing the arm up and into the shoulder socket could have forced the head of the humerus away from the labrum which helps deepen the socket for the shoulder to articulate.

Credit: https://link.springer.com/article/10.1007/s00167-015-3979-8

If this is the case, I see a scenario where he wears the brace the rest of the season as he rehabs in order to keep the shoulder strong and as stable as possible. My hope is that he subluxed the shoulder, it caused a small tear in the labrum that he plays through and then the team can evaluate if he needs to undergo surgery in the offseason. There is concern that he injures the shoulder further if he falls on it.

Check out Bears QB Mitch Trubisky’s shoulder injury from two years ago for similarities.

My biggest worry if he continues to sublux or dislocate the shoulder, leading to missed time. This could cause further damage to the labrum or a significant dislocation could lead to a brachial plexus injury which is the bundle of nerves that supply the arm for sensation and movement. This is less common, but still possible. A non-throwing shoulder injury isn’t as big of a deal, but if he takes further shots, this could take him out of games even temporarily.

As it’s not his throwing shoulder, the team will unlikely give any further information and we will have to read the tea leaves. 

RG Brian Winters (right knee)

Winters suffered what appears to be a right knee contusion on the same play that Josh Allen got injured on. He was engaging his block before getting shoved down way behind the line of scrimmage, falling directly onto his right knee. He was able to get back up & finish the play, but was laboring to get back towards the action. 

He was later ruled questionable with a right knee injury & did not return. This isn’t something that should linger outside of dealing with pain. He could have played through, but considering that the team has depth & still wants to get reps for all their guys, it was a smart move to avoid having him continue to play. This might show up on the injury report but it doesn’t appear to have lasting concerns.

LB Matt Milano (left pectoral)

Milano injured his left shoulder/pectoral area attempting to tackle RB Josh Jacobs near the line of scrimmage. As he went to wrap him up, Milano’s momentum kept him moving upfield as Jacobs began to run downfield. In the process, his left arm was pulled away by Jacobs running. Milano got up, having his left shoulder/pectoral muscle checked out by the team doctor on the sidelines.

This is the exact mechanism of injury for a pectoral tear, maximal eccentric contraction of the muscle, leading to overload and tearing. However, it does not appear that a full tear is the case. This appears to be more of a strain by how Milano responded and how quickly he fell to the ground, allowing the ground to stop some of his momentum. This could be an injury that he does miss some time for, but isn’t something that I expect to hinder him all season. 

He has since been termed as week-to-week, which isn’t promising. Most of the literature I found spoke more of the pectoral tendon rupture, exactly what G Jon Feliciano is recovering from. There are some resources that note that this strain could be a 2-6 week recovery.

Considering they’re not placing him on IR at the moment, this leads me to believe that he’ll be out 2-4 weeks. Not quite enough to be placed on IR but not a quick return. I will say he’ll miss probably 2 games which will put him on track to return for the Jets game. Unfortunately, that second game missed would line up with the Chiefs game which would be vital for him to be available. More information will have to be available in order to change my mind on the timeline.

Already this season we have seen Eagles DT Javon Hargrave miss almost 4 weeks with the injury before returning to play in Week 2. Raiders LB Nick Kwiatkoski missed 2 games with a pectoral injury and returned to play with bracing. So to put him on track to return after 2-3 games should be reasonable. Had he outright ruptured, this wouldn’t even be a discussion. This is highly unfortunate considering he already missed one game with a hamstring strain. This will be another injury he simply has to battle back from. 

S Jaquan Johnson (right lower leg)

Johnson continues to show why he is active every Sunday as a special teams contributor. He successfully recovered the onside kick that the Raiders attempted to try and recover to get one more shot at the end zone. During the recovery, he was kicked hard in the lateral lower leg area during the scramble for the recovery. That kick, along with at least a dozen grown men landing on him would make even the toughest of men hurt.

Like Winters, there will be pain, but outside of that, he should be alright for next week.

Other observations:

G Cody Ford (left shoulder)

Ford was noted wearing a brace on his left shoulder signifying some type of instability. This was first noticed by Erik Turner over at Cover 1.

Looking back at the Miami game, there wasn’t any apparent instance of an AC joint sprain or even a labral tear. You could make the case for some pectoral strain possibilities, but nothing was definitive and I would have expected he would miss some time.

I then also grew concerned for a labral tear. These are highly common in NFL lineman & something that can be played through. Finding that on film would be difficult due to repeated blocking with the arms extended & I’m not certain that he even suffered this during a game. He could have injured the shoulder at practice In between the Rams and Raiders game.

Like all the others, something to monitor. To note, he had surgery on the opposite shoulder last year but details were never made public on whether it was a labrum or rotator cuff. We are once again left to speculate. 

All these injuries, most of them aren’t things that could have been prevented with preseason. These are just unfortunate and the reality of the Bills returning to the mean in regards to injuries. None of these injuries are season ending and most can return to full health. Football is a physical sport, there are injuries, I am glad that we are not seeing season ending ones yet. Looking forward, the Bills move on to play the Titans in Week 5 as they continue to maintain control of the AFC East. 

Top Photo Credit: larrybrownsports.com

2020 Week 4 Bills Injury Preview- Raiders

What is going on with Ed Oliver’s knee? Will Zack Moss play Sunday?

The Bills are getting healthy. Despite the injury list being longer than we would all like, several players are set to return & several more are expected to play despite dealing with injury. While the Bills are not fully healthy, they are in a far better position than the Raiders as seen below who are missing many key contributors which may make the Bills job on Sunday far easier. Below are the Bills injuries heading into Sunday’s matchup.

OUT

LB Del’Shawn Phillips (left quadriceps)

Phillips will miss his 3rd straight game following a quadricep strain in the season opener. Originally, I could not find when this occurred but after further review, I found on the All-22 film that he suffered a quadricep strain with 6:48 left in the 2nd quarter on the kickoff following the Bills 3rd score. He ran down the field and appeared to strain his left quadricep, having difficulty slowing down, occasionally hopping it off.

Since then, he has not practiced with the exception of Thursday & Friday in which he was limited. He likely suffered a Grade 2 quadriceps strain which can take anywhere from 4-6 weeks to recover based on the already established timeline. His status poses the question, why didn’t the Bills place him on IR since it is only 3 weeks now? That’s a good question. It’s possible that he was trending towards coming back sooner and had a setback or simply did not respond to rehab as expected.

While he only has 7 special teams snaps as a Bills to his name, the team clearly likes him and is keeping him around despite the ability to stash him on IR. I would need to see a string of full practices out of him before I could even consider him to play in a game.

QUESTIONABLE

DE Mario Addison (knee)

Nothing is known about Addison & his knee that popped up on Friday with a DNP. His status is officially questionable. There wasn’t anything in particular on film Sunday that suggested a knee injury. He did exit the game for cramping in what appeared to be his right leg, but this should not cause knee problems several days later.

He did have a knee injury back in 2017 that he didn’t miss any time with, but I do not believe this is connected nor do we know which side. It’s possible that he hurt his knee Thursday after practice, but any specifics are non-existent. I have to assume he doesn’t play based on the questionable diagnosis, but that guess is as good as flipping a coin and calling heads.

RB Zack Moss (toe)

Moss appears to be trending up from a toe injury sustained in the win over the Dolphins in Week 2. He likely suffered a turf toe injury which can be played through but does benefit from some time off. Fortunately, he’s not a bell cow back for the Bills and he can split carries with RB Devin Singletary and if needed, use RB TJ Yeldon like they did last week.

Moss will probably have a stiff sole and possibly tape to prevent excess movement at the big toe so that he can have that explosive first step. If he doesn’t play, then I expect him to be full-go for Week 5. Without more knowledge to sway either way, I’m leaning towards him playing.

ACTIVE

WR John Brown (calf/foot)

Brown continues to be limited with foot issues since the beginning of the season, adding in a calf strain from the Rams game that caused him to miss the 2nd half.

The foot is more of a pain issue and a nuisance more than anything. The calf strain can linger but if he took himself out Sunday in the second half as a precaution and was DNP Wednesday, limited Thursday, and full Friday, it’s likely that he is healed enough.

The team may also be conservative in his approach during practice due to the heat expected in Las Vegas. This could exacerbate a strain if he gets dehydrated, however, they are in a climate-controlled stadium which may neutralize that factor.

Brown also has sickle cell trait which could place his body under extra stress and pain if he overworks his body or becomes dehydrated. This is merely a factor the team has to account for but does not limit his abilities. Sean McDermott appeared fairly confident that Brown would be available Sunday which is a ringing endorsement from a coach who says very little.

LB Tremaine Edmunds (right shoulder)

Edmunds finally was able to practice in full following a shoulder injury in Week 1 that caused him to miss Week 2. He did return in Week 3 and was less than effective with a shoulder harness.

Another week of rest & rehab should do him well & he should improve his play. The hope is that he eventually ditches the shoulder harness which would support the AC joint sprain which makes more sense & is less severe than a labral tear. He’s not 100% yet, but I expect him to slowly continue to improve towards a Pro Bowl level. I will also be watching closely how he engages his tackles and if he accepts more hits to the right side.

TE Dawson Knox (concussion)

Knox is slated to play Sunday following a concussion in Week 2 that forced him to miss the Rams game. He has since practiced in full and only has to pass his independent neurological consult if he hasn’t already. He is at a higher risk to suffer another concussion since he has already had one but playing football, he’s at risk regardless.

T Dion Dawkins (right shoulder)

Dawkins took a hard spill on Sunday as the result of trying to avoid Rams CB Troy Hill, somersaulting over him and landing on his right shoulder. The hope is that this is a contusion and is more pain limiting. There is a possibility that he suffered a minor AC joint sprain, but Dawkins was fairly jovial and hanging around following the win Sunday while not appearing to favor the arm.

One benefit of this being his right shoulder is that he plays left tackle. He will have to engage his left arm more, blocking the defensive end around the edge, allowing Dawkins to keep the end in front of him. He will use his right arm, but he can get through the game a lot easier because of this. I really don’t expect much drop off in the quality of play Sunday.

S Micah Hyde (left ankle)

Hyde sprained his ankle going in for a blitz Sunday and rolled it engaging the Rams tackle. Low ankle sprains are painful but easily played through with bracing or tape. My only concern is if he continues to re-injure the area that he misses time. I’m not all that concerned about damage in the short term, it’s easy to manage, but he is an older player and continues to require occasional days off to recover.

DT Quinton Jefferson (foot)

Little is known about Jefferson other than that he’s an older player with a previous Jones fracture from last season. He did have foot soreness in the preseason and is dealing with this again. There are other possibilities such as the plantar fasciitis that John Brown could be dealing with or that Jefferson had his foot stepped on.

This is something that I’m aware of but not concerned about right now, but something to monitor as the season progresses. I will be looking for patterns on the injury report and if he begins to miss snaps/games. For Sunday, he will be good to go.

DT Ed Oliver (right knee)

Oliver’s knee injury appeared pretty innocuous during Week 2 when he attempted to trip the offensive player, getting hit directly at the knee and then hit on the shin.

He was limited Wednesday due to the knee continuing to bother him followed by a DNP Thursday. This sent out a lot of concern to the masses thinking he wouldn’t play, but Ian Rapoport of NFL Network indicated that it was a bruise and that the knee was structurally sound. But considering the DNP’s on Wednesday, this was probably done to stagger all the various players out. He likely hyperextended the knee during the original hit which led to the brace, but overall it does mean that the knee is sound as the knee does have some leeway with extension.

However, this picture above began making the rounds late Friday evening which makes me believe something more is going on. Clicking on the picture below, you can see that there is a bandage of Oliver’s medial right knee. Considering this is the location that he was hit, I got to wonder if he got his knee drained due to excess swelling.

This is a common procedure and the knee would be drained in that area. This picture highlights how severe the bruising may actually be. If you compare the right versus left calf, you can also see less definition on the right calf as compared to the left which would further show overall swelling in the knee and lower leg. I reached out to several Bills fans who have greater expertise in those areas and supported my thoughts. Really appreciate their input!

I wouldn’t be surprised to see both a compression sleeve on the knee and hinge brace for support Sunday. This will be something to monitor in the coming weeks.

CB Josh Norman (left hamstring)

Norman is slated to return to the active roster following a 3-week stay due to a likely Grade 2 left hamstring strain suffered during the first week of real training camp. He appeared on the mend but had a setback at the end of August, forcing him out of practices prior to Week 1.

He has since returned to practice Wednesday and has not been on the injury report. As of publication, he has not been activated, but the Bills waived CB Cam Lewis, later re-signing him to the practice squad. Considering the position and roster move, it appears a foregone conclusion that Norman will make his debut with the team Sunday. I expect him to work into a split role with CB Levi Wallace to keep the Raiders off balance and to help him adjust to game speed.

Ideally, the time off helped reduce his risk to re-injure the hamstring, but it is not completely absolved. Hopefully, he can find the fountain of youth and rekindle some of his stellar play from his days in Carolina.

Inactives:

QB Jake Fromm
DE Mario Addison
OL Ike Boettger
RB TJ Yeldon
TE Lee Smith
LB Del’Shawn Phillips

There doesn’t appear to be any surprises for the inactives, more personnel inactives than injuries besides Phillips & Addison. Based on my thoughts that Addison doesn’t play, that allows both DE Darryl Johnson & DE AJ Epenesa to get out there as they have been inactives in past weeks.

The Bills are far healthier heading into this game than the Raiders and I believe more talented. The injuries that we do have are on the mend which can help continue to develop depth in place until the starters are healthy. This is a game the Bills expect to win as they have much greater competition farther ahead, making each week more important than the last. Despite the early injuries, the rust appears to be shaken off and ideally, the quality of the defense continues to improve in order to support the hot start by the offense.

Top Photo Credit:

Chris Benoit Facebook/Nate Mendelson Twitter

2020 Week 3 Bills Injury Review- Rams

What are the latest updates on Brown, Edmunds, & Dawkins?

WHAT. A. GAME. 

I’m not sure there’s appropriate words in the English language that explain what happened Sunday. From a near meltdown to bad calls to final play heroics, this game had it all. Fortunately, the Bills ended Week 3 with a win to move to 3-0 as they prepare to face the Raiders at their new stadium. I could write an entire article on the emotions of the game. But you’re not here for that. Below, a recap of the injuries from Sunday. 

WR John Brown (calf)

Brown’s day ended early following halftime with a calf injury. Reviewing the film, there isn’t anything particular that stood out regarding his calf. He didn’t appear to be limited with any of his routes or come up limping even at the very end. 

I’m considering this injury as a wait and see, he could have hurt the calf, been fine and then halftime, everything tightened up. He could have hurt the calf and it just wasn’t on broadcast film and All-22, this could have also been a injury that isn’t spotted on film. He could also have had a previous strain that was not reported that worsened on Sunday. 

I also want to note that the foot soreness that could be plantar fasciitis could have contributed to this. Some of the interventions to address the plantar fasciitis include stretching out the calf/Achilles to reduce stress on the fascia. But I question if it did contribute because I would tend to believe they were stretching out the area already.

HC Sean McDermott wouldn’t go into specifics with the injury nor would he say which side the calf injury was on and if it was the same side as the foot soreness. I don’t have any insight as to which side is which at the present time. 

T Dion Dawkins (right shoulder)

Dawkins took a tumble prior to the 2 minute mark in the 4th quarter and was in obvious pain, requiring trainers to assess his shoulder. He tripped over CB Troy Hill, landing with his right arm extended to brace the fall. However, the heel of his wrist hit, followed by the elbow bending to break the fall and then hitting the shoulder on the ground. 

He did try to come back in immediately after an assessment by the trainers which may indicate that it isn’t serious. I am concerned about the labrum or AC joint, but this could have been simply a contusion. Considering he tried to come back in suggests that it may not be serious because some of the other injuries would have required further evaluation or time away from the field. 

S Micah Hyde (left ankle)

Hyde appeared to suffer a low ankle sprain early in the 4th quarter when he attempted to go in for a blitz and got blocked by the Rams tackle Andrew Whitworth. He attempted a spin move, turning to his left before going down in obvious pain but was able to walk to the sidelines under his own power. 

He had his ankle taped up and returned to play shortly afterward. He did suffer the same injury back in Week 1 against the Jets and it appears he re-injured it. Overall, this isn’t a concerning injury and he can play through it, but I am worried about further instances with him missing time during the games if he tweaks it. Hopefully he can continue to tape it up and avoid re-injury to the area to allow it to heal properly. 

LB Tremaine Edmunds (right shoulder)

Edmunds returned following a week off and clearly was not himself. He struggled to wrap up his tackle, he had difficulty engaging the blocks with his right arm, offensive players got by him on the right side and he just wasn’t himself. He exited the game on the final Rams TD when he hit directly on the shoulder by Rams RB Darrell Henderson. 

He did have a shoulder harness on the right shoulder which usually indicates some type of shoulder instability. I’ve seen these used more for labral tears, similar to what we saw with CB Taron Johnson in 2018.

However, I still do not think he suffered a torn labrum. The mechanism simply isn’t there from Week 1. Either he injured the shoulder another time we didn’t see or this is something else. Based on how he fell in week 1, this is worse than a contusion. This could be a Grade 2-3 AC joint sprain. There is much more instability in the area due to the damage and he would have difficulty engaging the right side due to weakness from the clavicle not providing support with arm movement. These can take anywhere from 4-6 weeks for a Grade 2 and 6-12 for a Grade 3.

I understand I keep flip flopping on the possible injury, but the idea is that my opinion changes based on new information. If this is an AC joint sprain, the hope is that he can avoid further contact to the area and provide stability in order to allow things to fully heal.

Rarely do these require surgery and can be managed, but he will be limited in the short term. I wouldn’t be surprised if Edmunds wants to continue playing and avoid the IR. The team obviously knows more than we do and is managing this as best they can.

The coaching staff is aware of the pain & restrictions he has with his shoulder in playing through it during Monday’s press conference. Hopefully Sunday’s hit did not set him back more in his recovery process.

Injury Roundup:

DE Mario Addison was noted to have cramping that caused him to miss several snaps, but he was able to return shortly after getting fluids. It was a warm day with strenuous physical activity, it’s no surprise that he was dealing with cramping. There’s no concern moving forward, just a reality of playing football.

DT Ed Oliver looked good Sunday and was noted to be wearing the right knee brace mentioned in the previous article. He did not appear to be limited with the use and the injury appeared to be a non-factor.

CB Tre’Davious White & WR Cole Beasley both looked effective despite their respective injuries they were dealing with last week. They may continue to manage these complaints into practice this week, but it does not appear concerning at the moment.

LB Matt Milano & CB Taron Johnson both looked like they didn’t miss a step with their respective soft tissue injuries. Both are still at a higher risk to re-injure, but the hopes that they continue to get the proper rehab and rest in order to reduce those risks are ideal.

G Jon Feliciano, WR Isaiah Hodgins, & WR Josh Norman are all eligible to return from the IR list this week. I could see Feliciano & Norman return to practice but only Norman possibly getting activated after a week or two ramp up. Feliciano could wait longer and they could stretch this out longer than returning immediately.

They all do have a 21 day window to practice without taking up a roster spot before they need to return to IR or go active. I don’t see any need for Hodgins unless Brown misses extended time. 

The big question marks moving forward will continue to be the health of Tremaine Edmunds & Dion Dawkins. We will see how this week’s practice goes, but these will be closely monitored. The Bills continue to avoid the season ending injuries, but this does not mean that they are immune. Hopefully these guys can return and continue to be effective.

Top Photo Credit: BillsWire

2020 Week 3 Bills Injury Preview- Rams

Make sure to scroll down to the players you’re interested in. It’s a long one.

Heading into Week 3, we got a long injury report here folks. But the Bills have been through this before. They have quality depth and the ability to call up practice squad players that have been in the system before rather than street free agents who don’t know the system. 

While there are a lot of players in today’s report, everyone is still adjusting to the regular season with hitting, conditioning, and getting back into game shape. This is where some preseason games are beneficial to prime their bodies rather than going from 0-100. Ideally we see this drop off as the season progresses. But until then, this week’s injuries are below. 

OUT

RB Zack Moss (toe)

Moss was ruled out of Sunday’s matchup due to a toe ailment suffered in Sunday’s win. This was likely the result of the catch & run midway through the 4th quarter. He eventually returned to the game later, albeit briefly before the game finished. 

Based on the designation of a toe, it sounds like it could be turf toe. There are other possibilities such as a fracture, but he was observed off to the side on the exercise bike and doing individual activities.

PTEducator.com

Turf toe is an injury where the big toe is suddenly hyperextended due to a fall or some other force such as a tackle when the foot is planted into the ground that pushes it past its normal range of motion. Like any other joint in the body, this too can be sprained. The risk for this can be increased with flexible shoes which reduce support around the area of the foot.

Any other toe injury can be conservatively managed and isn’t a problem even in day to day life. But the big toe is vital to walk a heel toe gait pattern; strike with the heel, push off on the toe. The toe is even more vital during running as sprinting is done up on the balls of the feet, placing further stress on the toe. 

The timeline for a turf toe injury can be 2-4 weeks or even more based on severity. Look back at Packers WR DaVante Adams last year for reference. Due to the demands of the big toe, especially with high end athletics, it can be easily re-injured if not managed properly. This is something that can linger for weeks and limit production. 

He is obviously missing this week and potentially next week. Once he returns after the area has had a chance to heal, he can use a stiff sole to help reduce toe extension during push off and taping/bracing to support the area. He may lose some explosiveness after coming back, but if he gives it proper time to heal, then he may be fine. It will be important not to rush back because then he will lose that first step explosiveness and top end speed if he cant push off his toe effectively.

It’s important to note that he had a toe injury back in 2016 during his freshman year at Utah. It’s not certain that it was a turf toe injury, but he missed 2 games as a result. The injuries are not directly related as we don’t know specifics or even side l along with the time span in between. But if this is another bout of turf toe, he may be able to understand his body better and rehab more effectively. I expect TJ Yeldon to get a rare crack at the game day roster. Remember, he’s a 3 down back according to Brandon Beane.

TE Dawson Knox (concussion)

Knox is out with a concussion following Sunday’s win. He has since had 3 straight DNP’s at practice and right now appears to be at about Stage 3 due to participating on the exercise bike and drills. He will now have to go through football specific drills and a full practice without symptom reproduction before he can be cleared by the neurologist. 

It’s rare that a guy is able to return from a concussion in a week’s time and hopefully he can return for Week 4. There were a lot of people who sent video of hits he sustained to the head that game. I do appreciate every one of you for doing that, but it is nearly impossible to diagnose a concussion on video alone unless the individual has been knocked unconscious. Let’s hope he’s back for Week 4.

LB Del’Shawn Phillips (quadriceps)

Phillips continues to be out with a quad injury sustained in the season opener over the Jets. He has not practiced since then and video does not exist of the injury that he sustained on special teams. 

This is appearing to be more of a quadriceps strain and literature for quadriceps strains is more limited than hamstrings, but from what I found, timelines are similar to that of hamstrings. There’s a possibility that this could be a tendonitis as well, but that is something that can be played through more than a strain.

It’s important to note that WR Andre Roberts missed the first two games of the season last year with a quadriceps injury. This may be the same course of action that the Bills take with Phillips or this could be an injury that we don’t have all the facts on yet. We continue to wait and see. 

QUESTIONABLE

LB Matt Milano (hamstring)

Milano has been able to practice in a limited fashion all week after missing Week 2 with a hamstring strain. Hamstrings can take 13-18 days on average to return to play, but his injury may have been truly minor; a term that I’ve come across is “niggle”. I believe Milano had a niggle. 

Could he benefit from another week off? Sure. But if he’s feeling good and he can play, then I can live with that. He is questionable, but a hamstring is not an automatic out for 2-3 games. Some guys can come back the next week, others take much longer. We are seeing that with the setback with CB Josh Norman & this shows that each hamstring is unique. With how practice has been this week, he is still 50/50, but I’m leaning towards him playing Sunday. 

LB Tremaine Edmunds (right shoulder)

Edmunds has been tricky for me these past 2 weeks. I initially had him as a contusion, possible AC joint sprain. Then he missed the last game which leads me to believe he may have had more of a SC joint sprain or bruised rotator cuff. I’ve studied the film, watched his practice and without a physical examination, I am stumped.

This could be Occam’s razor and I’m overthinking this. The fact that he has had a red non-contact jersey for the last two weeks is concerning, but that may be more to prevent further injury. He may have benefitted from the week off and be ready for Sunday. 

From what I’ve seen, it’s very possible he plays. Especially with the benefit of his skill set against the Rams, it’s an important game to get up for. He’s also 50/50, leaning towards seeing him playing. 

CB Taron Johnson (groin)

Not much is known about Johnson. He has a long history of injuries dating back to his rookie year with the shoulder labral tear followed by a hamstring strain last year. Now he has the groin strain which isn’t great for a defensive back with all the cutting & pivoting he has to do as part of his position. 

He did not exit the game and was a full participant on Friday which is a good sign. However, groin strains, like many other soft tissue injuries can linger and cause problems later. We do have depth at the position, he will probably play, but considering Johnson’s penchant for injury, he may be best served to sit this one out. 

ACTIVE

WR Cole Beasley (hip/right thumb)

Beasley is active despite dealing with two separate injuries. The hip is not all that concerning, it could be more of generalized hip soreness or bruising due to the fact that he had several hard falls during his catches on Sunday. 

However, the injury I am more concerned with is his right thumb injury. He had it heavily taped in practice on Thursday and was in visible pain when catching the ball. 

He may have suffered a mild/moderate thumb sprain, also known as skier’s thumb. He could have fell on the thumb during one of his catches, forcing it into extension and abduction. He could also have gotten it tangled up with a defender, it wasn’t clear on film. He’ll be able to play & still be effective, but with how hard Josh Allen throws and the injury, I hope we don’t see a drop or two due to the pain and resulting weakness in the thumb region. This will be something to monitor on Sunday. 

DT Ed Oliver (right knee)

Oliver suffered his knee injury as the result of a leg block that fortunately was not flagged on Sunday. During replay, his knee gets struck by the Dolphins offensive player and then his shin strikes the player again once the leg kicks forward.

It initially appeared that he suffered a shin contusion which would have been more pain related. But since he struck the knee, it forced the knee into hyperextension. What’s beneficial is that the leg was swinging freely and not in a fixed position. There was some stretching of the knee capsule and overall pain, but structural damage to the area appears non-existent save for maybe bruising due to the hit itself. Fortunately, the knee does have several degrees of hyperextension available in the human body, giving the knee some pliability to reduce the risk of injury. 

He was spotted by The Athletic’s Joe Buscaglia wearing a knee brace at practice. I asked Joe for clarification on the type of brace and he said that it appeared to be more hinge like. This would support that his knee was hyperextended and that he is wearing the brace for support. These braces don’t outright prevent injury, but the idea is that the side supports do lock out in full extension and if he were to get hit directly over the knee, the brace would take the forces of the hit and lessen the impact on the knee itself. In addition, the side supports limit medial/lateral movements so if they get hit from the side, the entire leg goes down rather than the valgus force that we see in ACL and MCL tears.

It will be interesting to see if he plays Sunday with the brace on or if this brace was simply used to help give him some confidence with the knee during practice. If you look closely, fellow DT Harrison Phillips wears one as well when he plays following his ACL tear last year. Overall, I don’t believe Oliver’s quality of play will be affected by the knee injury nor is he at a higher risk to suffer further injury due to Sunday’s hit.

CB Tre’Davious White (shoulder)

Virtually nothing is known about White’s shoulder ailment that had him limited at Wednesday’s practice. He is getting older, he’s a highly paid player who knows he’s valuable to the team, this may have been more of a maintenance day than anything. I could not find anything specific on film to support a shoulder injury and he was able to practice in full Thursday & Friday. I can’t even speculate what he could be dealing with because there is no mechanism of injury. Right now, this is a wait and see approach. 

He did deal with a neck injury last year that caused him to wear the red non-contact jersey for about 2 weeks last year but he did not miss any games or appear to have his play suffer as a result.

WR John Brown (foot, possible plantar fasciitis)

Brown popped back up on the injury report this week with what the team described as “foot soreness”. He was on the injury report last week briefly with the same issue. The fact that he is able to practice in full certain days and then has to be limited others indicates that this may be more of a chronic issue which I believe is plantar fasciitis.

The plantar fascia is a tough band of fascia that connects from the heel to the balls of the feet. This acts as a shock absorber and helps keep the structural integrity of the foot intact during walking and running. This effect is known as the windlass mechanism. This allows the foot to stay rigid as the foot goes into push off moving from stance to swing phase. If we did not have the plantar fascia to help keep the foot rigid, then the big toe would not have the leverage to push off as effectively and drive the entire foot forward.

ChoosePT.com

The area of the irritation of the plantar fascia is at the base of the heel, where the fascia originates. Microtears occur due to overuse or excessive running which appears to be in the case of Brown. This appears to be more of a problem this year than other years because of the change in training camp with less ramp up time. If he wears shoes that are not supportive, this could cause the foot to excessively pronate which means the foot rolls inward when walking versus maintaining support during heel toe walking. The overpronation would pull on the plantar fascia during push off using the windlass mechanism and the excessive running could cause microtears, causing inflammation.

Functionally, he will not be greatly affected by this, but it is a painful condition to deal with. He likely wakes up in the morning and has difficulty bearing weight through his foot due to the tissue tightening up throughout the night, making those first few steps during the morning painful. He can rehab to stretch the calf, Achilles, overall improve the range of motion in the ankle and big toe mobility to take stress off the area. He can also get injections to help manage the pain, but this is not something the doctors like to do often because too many injections can increase the incidence for rupture of the affected tissue. These rates are fairly low, but injecting and numbing pain is not an effective solution to manage a condition. It can be an intervention that assists with taking care of a problem, but not the only solution. 

It’s possible that Brown battles with this off and on throughout the season, using rest days and rehab to address the matter. As a treating Physical Therapist, I have found plantar fasciitis to be a stubborn diagnosis, but this does not mean that Brown will not be able to overcome this. The team does have a lot of interventions with the possibility of cupping, laser therapy, acupuncture, injections, iontophoresis with medication, stretching, using night splints, strengthening, taping, footwear modifications, among others. There are far worse injuries that can be played through, but plantar fasciitis is still a troublesome injury. This sounds all doom and gloom, but he will be alright.

Final thoughts:

The team is banged up. This is why I believe some preseason games are good to get the live reps out of the way rather than going from practice and limited contact to full blown games. Even if the starters were playing for two series a game in the preseason, it helps them acclimate slowly to game speed versus full speed right away. The Bills have been through this before with the lengthy injury report. The tweet below shows how things looked last year prior to the Titans game and how things look going into Week 3. 

You’ll also notice that the team does a fairly good job of dealing with injuries in that they don’t become a chronic issue. The training staff likes to address the injury, give it time to heal if possible, and then return to play. We are not seeing the walking wounded out there like some other teams around the league. 

I did note last year that injured players may have been active, but their snap counts significantly reduced in that particular game to prevent further injury. Two instances I can think of were WR Isaiah McKenzie during Weeks 4 & 5 last year and G Cody Ford during Week 8. This team has a plan to get guys healthy and have them available if needed, but not to rely on the walking wounded to play a full game. 

It’s also important to note that CB Josh Norman was observed on the exercise bike this week as he prepares to hopefully get activated from IR following Sunday. He may still not be 100%, but he can begin practicing with the team as they have a 21 day window where he doesn’t count against the roster. If he’s ready, they can activate him, if he’s not, he can be shut down and go back to IR. He can also just stay on there longer and activate his window later, so it’s not certain that he will begin practicing next week.

The same can be said for G Jon Feliciano. Coach McDermott even came out and said that he didn’t want to put guys out there that weren’t ready. Feliciano had said he wanted to come back by Week 4, but I have maintained that he would benefit coming back closer to Week 7 or 8 where he could be more effective. This will be something to continue to monitor.

Inactives:

QB Jake Fromm

RB Zack Moss

TE Dawson Knox

LB Del’Shawn Phillips

OL Ike Boettger

DE AJ Epenesa

The team will get through this. Years past, injuries would have decimated a promising season, see the 2011 Bills. But the team has quality depth and lots of experience to withstand some of these bumps and bruises. I would grow more concerned if we get a rash of season-ending injuries like in 2011. This is still a talented roster despite the Rams coming to town. Hopefully next week, this report will be a little shorter.

Top Photo Credit: WKBW

2020 Week 1 Bills Injury Review- Jets

How serious is Edmunds & Milano’s injuries?

The Bills showed up and did their job. That’s the most important take away of Sunday. But there were several injuries that really had the fan base shook up, specifically at the linebacker corps. There were also some concerns about the Bills ability to pull away in the second half, letting the Jets get back into the game, albeit briefly. Below are the injuries & severity.

S Micah Hyde (left ankle)

Hyde went down late in the first quarter while attempting to change directions to bat down a Sam Darnold throw & came down with a lower leg injury. Video isn’t the best, but an explosion of rubber pellets as Hyde jumped from the turf shows him attempting to bat the ball to his right. He came down and was having issues with his left ankle, hopping off briefly before returning. He later had it heavily taped up for the second half.

He may have tweaked the ankle just prior to jumping by quickly changing directions. It appeared it was more of a pain issue than anything else because he was moving fairly well the rest of the game. This appears to be a garden variety sprain, whether its lateral or medial, based on how he was jumping, possibly medial. This could change though with other video angles. This is probably not an injury that will end up on the injury report; he may feel the effects of it for a few games but it’s not something that typically causes long term issues despite his position unless he suffers a re-injury which I am not concerned about. 

LB Matt Milano (right hamstring)

Milano was a surprise addition to the injury report during the game with a hamstring due to him being shown on the sidelines talking to trainers and then walking slowly into the tunnel later. The initial incident wasn’t apparent until going back to the game footage. With just under a minute left in the 2nd quarter, Milano managed to tackle Jets WR Jamison Crowder out of bounds with his body swinging towards the sidelines as he took down Crowder. He attempted to stay on his feet, keeping his right leg up, landing in a half kneeling position. Considering he was trying to stop the forward momentum, it’s possible this is when he injured the hamstring trying to stop. This may be more of a proximal strain, which means that it’s closer to the buttocks.

The other possibility is the next play where he once again took Crowder down but the tackle doesn’t appear to suggest that he would have strained the hamstring on this play. He may have felt it starting to tighten up and pulled himself out. 

Considering the game was just about out of hand, it appeared wise to pull him out of the game. This was also an opportunity to get some of the backups vital reps that they simply did not get during the preseason. 

He has since been classified as day-to-day and it’s very possible that Milano misses the next game against Miami. He could return as soon as after 1 game or could miss 2-3 based on severity. Once he strings together some limited and full practices, then we will know how severe the injury was and when he will return. If I had to pick a game to miss, I’d be alright with this one. I’d expect LB Andre Smith to be called up from the practice squad for Sunday. 

LB Tremaine Edmunds (right shoulder)

The entire fanbase grew really concerned when Edmunds went to the injury tent midway through the 3rd quarter following the Crowder TD. He fell hard on his right shoulder while trying to make the tackle. He was in on the extra point but didn’t have to do much in the backfield. 

He had to remove his shoulder pads to receive a full assessment, eventually going to the locker room before returning without his pads. Based on video, it looks like he suffered a hard fall onto the shoulder. His arm wasn’t out to brace the fall, he didn’t require immediate attention and he did not require any wrap or sling on the shoulder. 

He was also observed later in the locker room with the arm at his side but not supported or in obvious distress. He may have fell hard onto the shoulder and it simply be a contusion or it could be an AC joint sprain. 

A contusion is more pain limiting, same goes for a mild AC joint sprain. He could get an injection for the AC joint if it’s bothering him next week but it’s something that can be played through.

There are other possibilities such as a labrum tear or rotator cuff sprain, but that won’t be known without further information. The only way we know if there is greater damage is if he’s wearing bracing or reports stating otherwise. 

Right now, it appears that Edmunds dodged a bullet and is currently day-to-day. 

LB Tyrel Dodson (not specified)

Dodson was the last linebacker to go down with an injury though it isn’t quite apparent what he was dealing with. From the video, it appeared that he simply got the wind knocked out of him trying to complete the tackle. He was down while trainers tended to him but he was able to get up under his own power. This may have been more of a scare due to the lack of depth at the position by that point, but unless more information is released, this doesn’t appear to be of any concern. Once again, he is also day-to-day.

LB Del’Shawn Phillips (quadriceps)

Little is known about Phillips, reports came down shortly after Hyde’s ankle injury that he was questionable to return with a quadriceps injury in the 2nd quarter. It is not readily apparent on broadcast when he suffered the injury. Typically I’ve seen quad injuries as either a strain or contusion. This is just a very meaty portion in the upper leg that can absorb some contact. He has since been listed day-to-day. I believe practice will tell more of his availability for next week. 

Injury Roundup:

CB Josh Norman (left hamstring)

A lot changed from my last article when Norman was ruled out of the game to when he was placed on IR. Fortunately the rules are different and allow a player to return after 3 weeks rather than the normal 8 weeks. Had this occurred in a normal season, the team likely doesn’t make this move. 

He will have the time to rest & rehab at this point. If this hamstring was more of a Grade 2, then 6 weeks total is more appropriate for him to return closer to 100%. It must be noted that Grade 2 hamstrings can take up to 8 weeks to fully heal. If it was a Grade 1 with reaggravation, then he could also get healthy within the timeframe which could be the more ideal situation. I am concerned for re-injury regardless of each scenario. We will have to see when he gets reactivated & his practice participation to when he can realistically play.

DT Vernon Butler (hamstring)

Butler was held out of the season opener likely as a precaution due to the weather since the rain could have exacerbated the hamstring. He did practice in full last week which is a great sign, but this also likely means that he should be able to play next week in Miami. The big thing for Butler will be to stay hydrated in order to avoid a re-injury due to the heat.

Final Thoughts:

Each injury in itself wasn’t all that concerning when isolated, but seeing 2 out of 3 starters and 4 of 6 total linebackers go down with injury is expectedly scary. All with the exception of Milano should return to play Sunday. Despite the team being conservative with hamstrings, there may be a possibility that Milano suits up. Impossible to determine until the practice report comes out later this week. Even with these injuries, the Bills still have excellent depth to overcome these brief deficits as they head into Week 2 against the Dolphins.

Photo Credit: AP

2020 Week 1 Bills Injury Preview- Jets

How are the Bills looking heading into the season opener?

FOOTBALL IS BACK!!

The Bills face the New York Jets on Sunday in a much-needed distraction from what 2020 has become. As expected due to the truncated offseason, both teams are entering the game with several injuries. Fortunately, the Bills appear to be the healthier of the two teams. Today’s post will focus on the Bills injuries as they always do. If time was to be spent on the Jets, we would be getting into making this a chapter book. For easy reference, see the Jets injury report below.

As for the Bills, there are several injuries on the defensive side of the ball that could challenge the depth that the front office has worked so hard to build up. Below is each player’s status & injury.

OUT


CB Josh Norman (left hamstring strain)

He has officially been ruled out of Sunday’s matchup against the Jets despite injuring his hamstring more than 3 weeks ago. This is regrettable as he appeared to be on track up until this week.

This tells us several things about the injury.

  • It was possibly more severe than originally thought. This strain could be a Grade 2 which can take 4-8 weeks on average to recover.

  • He may have suffered a Grade 1 but re-injured it on Monday, the last practice that he participated in. He had looked well in video running through drills, but still had the leg wrapped.

  • This also potentially resets the timeline of when he will return. 1-3 weeks is a typical timeline for Grade 1 strains, but if it’s a Grade 2, he may only be half better by now. Or if it was a Grade 1 with reinjury, he may have to restart his rehab which could mean that he misses 2-3 weeks.

Defensive backs make up 23% of hamstring strains when compared to other positions and 12% of all training camp injuries are hamstrings. Norman was just outside the 2-week window where re-injury is at its highest but that window is still open for up to 4 weeks from the onset of the injury. Next week will show where he may be in terms of recovery and availability.

These are frequent injuries seen in training camp & occur even without abnormal preseasons. He may not be 100%, but considering he has a specialized role on special teams, he could be effective in limited action. It will be important to note how effective running & cutting can be, especially when cutting to the left, pivoting off the right knee. could be continuing to deal with issues especially cutting, could limit his return ability. Jones has dealt with numerous injuries before, this will be yet another injury he plays through.

QUESTIONABLE

DT Vernon Butler (hamstring)

Not much more can be said about hamstrings that haven’t been mentioned already for Butler. He practiced in full which indicates that he is likely to play Sunday. He has the added benefit of being in a rotation on the defensive line which will limit fatigue & overuse throughout the game.

He won’t have to work up to top-end speed like Wallace & Norman do but he will have the responsibilities of trying to drive through and around his blocker which will force the hip into extension. This is a primary function of the hamstring which could cause problems if he does too much. He will likely play but there is concern that he re-injures it.

ACTIVE

CB Levi Wallace (hamstring)

Fortunately for the CB2 position, Wallace is active & will get the start Sunday. He suffered his hamstring strain shortly after Josh Norman went down with an injury.

The only difference between Wallace & Norman was the designations upon injury. Wallace was listed day-to-day whereas Norman was week-to-week. Hamstrings continue to be a common injury early in training camps & early-season games. Hopefully, Wallace does not suffer a re-injury due to fatigue & puts this injury behind him.

RB Taiwan Jones (right knee)

Jones has been dealing with the injury since August 26th as camp was wrapping up. Reports indicated that he stepped awkwardly and went down, requiring trainers to tend to him. Without video, it’s hard to get a true gauge on the injury. But based on the wording, he could be possibly dealing with an MCL sprain or meniscus tear. I’m leaning towards the MCL due to the shorter timeframe that he has been limited.

Remaining injuries on IR:

G Jon Feliciano (left pectoral tear)

He continues to work back from his injury, recently ditching the sling early last week indicating that he is on track with rehab. Based on his timeline, he has one month to get in NFL shape & strength which is a really tall order. If the Bills get off to a great start, then this can allow Feliciano to take the time he truly needs to return & not rush back, risking the possibility of re-injury.

TE Tommy Sweeney (left foot fracture)

Sweeney is on the PUP list with the foot fracture & is not able to come back until Week 6 at the earliest. As midseason gets closer, we will have an idea of a Week 7 return is realistic or if he will need more time to fully get back into shape.

INACTIVE LIST

This is incredibly tricky due to the fluid nature of the practice squad list. However, there still has to be several inactives.

CB Josh Norman
G Ike Boettger
QB Jake Fromm
RB TJ Yeldon
TE Reggie Gilliam
WR Isaiah McKenzie

Fortunately, the Bills are in much better shape than the Jets coming into the game. The true test will be managing the workloads of all the players & not exacerbating or creating any new soft tissue injuries. I expect a Bills win not only due to talent but overall health. It is simply wonderful that football is back & can provide some sort of normalcy in an already crazy world.

Photo Credit:

Niagara-Gazette.com

CB Josh Norman Injury Profile

#29 Josh Norman
Position: CB
Height/Weight: 6’0”/200 lbs.
Age: 32
College: Coastal Carolina
Year joined Bills: 2020
Acquired: Free Agency from Redskins

College Injuries:

TBD

Pro Injuries:

2012 Panthers:

No publicly reported injuries

2013 Panthers: 

No publicly reported injuries

2014 Panthers:

Concussion, Week 5, missed 2 games

Leg injury, Week 17, missed 0 games

2015 Panthers:

Concussion, suffered in preseason, missed 0 games

2016 Redskins:

Concussion, Week 7, missed 0 games

Wrist injury, Week 7, missed 0 games

2017 Redskins:

Shoulder injury, Week 2, missed 0 games

Rib injury along with an injury to his lung lining, Week 4, missed 2 games

2018 Redskins:

No publicly reported injuries

2019 Redskins:

Knee injury, Week 4, missed 0 games

Thigh injury, Week 6, missed 1 game

Hamstring, Week 11, missed 0 games

2020 Bills:

Left hamstring strain, preseason, sent to IR, missed 3 games.

General links:

Buffalo Rumblings Josh Norman Injury Profile

Buffalo Bills Training Camp Injury Review- Week 2

The Bills are still dealing with injuries, what ones are concerning?

Another week of Bills training camp is completed! Fortunately, the list of injured players has shrunk considerably from last week allowing the Bills to stay healthy & participate in training camp. For last week’s recap, check out my article at Buffalo Rumblings.

New additions to the injury report:

WR Stefon Diggs (knee/back soreness)

Diggs gave everyone a scare when he went down briefly on Monday when he stayed down for a moment while trainers tended to his knee. Specifics were not given regarding how the injury occurred, but he did not stay down long and returned to practice quickly, not appearing to give it any further attention the rest of the week. This is likely nothing but still important to note.

The more concerning of the two injuries is the back soreness that caused him to miss Thursday’s scrimmage. He was observed on the sideline tossing a football with noticeable limitations. In the video below, he doesn’t exhibit any trunk rotation, he throws purely from his arm and he appears very stiff indicating the low back pain.

This may be true soreness, he may have strained muscles or a sprain, impossible to discern from the video alone. The training staff will be focusing on managing and eliminating the pain and keeping him moving to prevent this from becoming a chronic issue. Like the knee, I do not anticipate this becoming a long term issue, but simply to note.

RB Taiwan Jones (knee)

Jones went down in practice on Sunday after he stepped awkwardly followed by trainers tending to him before ending practice early. Like the Diggs injury, little is known regarding the mechanism of injury. He did not participate in practice the rest of the week and was observed in street clothes during the scrimmage.

My speculation is that he suffered a knee sprain, possibly his MCL. These are quite common during training camp and can hold him out for 1-3 weeks. Until he returns to practice, hard to establish an accurate timeline without more information.

RB Christian Wade (quadriceps)

Wade has missed the last week of practice with a quadriceps injury that appears to be a strain. He could be dealing with a contusion which can be very painful, but not even practicing in a limited fashion indicates more of a strain.

While this could tank most players’ roster hopes, Wade still has his practice squad roster exemption that the Bills will likely use again this season. He simply is not ready to yet contribute to an NFL roster yet which means this injury is a minor issue.

LB Corey Thompson (knee soreness)

Like all the other injuries, we can only go off of what is reported by the team on Tuesday. Knee soreness is a vague term that limits any timelines to be established. He doesn’t have any previous known knee injuries which reduces the possibility that this is a chronic issue.

Injury updates:

WR Robert Foster (concussion)

Foster exited the concussion protocol on Wednesday. He was able to participate in Thursday’s scrimmage but due to media restrictions on reporting, his performance was not known. Foster has a week to show the Bills why he needs to stick around on the roster, but his chances appear to be dwindling.

G Jon Feliciano (pectoral tear)

Feliciano is still out with his pectoral injury & is not expected to be ready for some time. But it’s important to highlight that he was observed out of his sling by Spectrum News’ Jon Scott.

This indicates that he is on schedule with the rehab protocol but does not indicate that he will be back as soon as Week 4. I still maintain that he will be back around mid-season which will allow him to be fully ready rather than limited.

CB Josh Norman (left hamstring)

Despite his aging vet status, Norman still commands a lot of attention for the fan base. He has been out over a week with a left hamstring strain suffered while returning an interception & tackle.

DC Leslie Frazier is hopeful that Norman will be back in time for Week 1 and he still appears on track for that. Barring any setbacks or change in severity, I anticipate that he will play but CB Levi Wallace is available to start if Norman isn’t 100%.

No changes:

FB Patrick DiMarco (neck), TE Tommy Sweeney (foot) are still not practicing & are uncertain to return anytime soon.

LB Vosean Joseph (undisclosed) was dealing with an injury last week which DC Leslie Frazier acknowledged but details were not given.

DT Ed Oliver, LB AJ Klein, & LB Tremaine Edmunds returned to practice & hopefully will not have any recurrence of the injuries sustained last week.

Housekeeping:

CB Ike Brown retired and posted his statement regarding his reasoning below.

In his place, the Bills signed CB Brian Allen after spending time with the Steelers & Seahawks. His injury history is limited but detailed below.

The Bills also settled their special teams competition with the release of K Stephen Hauschka & P Lachlan Edwards.

The Bills continue to stay in excellent shape regarding injuries & should have nearly everyone available for Week 1 besides Feliciano and Sweeney.

Image Credit: BuffaloNews.com