Week 16 Bills Injury Preview- Patriots

Assessing the rash of Bills injuries prior to the Week 16 matchup against the New England Patriots!

The end of the season is rapidly approaching and the Bills roster is showing its cracks. The Week 16 injury report is quite lengthy and while there are positives coming out of this week, the players are clearly hoping to get through these last two games despite giving it their all for Coach McDermott. One player who will be giving his all for another 2 years is QB Matt Barkley who signed a 2 year extension which will give the Bills an effective veteran backup to QB Josh Allen as he matures. Today’s post will review all the injuries with greater clarity and determine how these injuries affect Sunday’s game.

A total of 11 players found their way onto the injury report, 6 alone from this past game. All the players listed are available to play besides CB Ryan Lewis (concussion) ruled out and RB Chris Ivory (shoulder) ruled questionable. However, each week at Banged Up Bills, we will still assess the injuries sustained from this week and how it will affect Sunday’s contest. First up is FB Patrick DiMarco (ankle) who suffered an ankle injury during a punt return in Sunday’s game. I had originally thought that he suffered a thigh/knee injury but it appears as though he tweaked his ankle as a result. As he was able to return to the game Sunday plus practice this week doesn’t concern me in his performance this Sunday or worry for long term issues.

K Stephen Hauschka (back) was able to practice in full this week after being limited all last week with his performance still clearly limited. This was most evident when the Bills were forced to punt early in Sunday’s win despite being in Hauschka’s normal range. He was still able to complete kickoffs and extra points but the team currently doesn’t have faith that he is able to make the long kicks right now. I still believe that he is dealing with a hip pointer injury which is essentially a contusion to the area. He may also still be dealing with back soreness following the hit which will affect his kicking motion secondary to the muscles pulling on the painful area when planting and kicking. This is an injury that takes time along with stretching and slow resumption of activity in order to heal properly. As he was practicing in full this week, there is hope that he is healed enough that he is able to resume making the long kicks that has allowed him to be one of the best in the NFL.

RB Chris Ivory (shoulder) continues to deal with a re-aggravation of his left shoulder injury originally sustained in Week 9 and then aggravated against in Week 13, forcing him to miss last game. I have suspected that he suffered an AC joint sprain that was healing but after the re-aggravation, this set him back in his recovery and may continue to limit his participation in Sunday’s contest. He was able to practice in full last week but still missed the game as a result. At this point, my guess is that he is still dealing with pain with direct contact along with limited range of motion in that shoulder, restricting his abilities to effectively carry and catch the football. He could receive interventions to assist him with pain, but if he continues to demonstrate instability in the region, the pain interventions will only make it more difficult to listen to his body if he re-injures the area. Right now, rehab and rest will get him back to normal in the off-season. If he continues to injure the area further, surgery may be required and those rehabilitation procedures are not fun to go through. Ideally, he would benefit from rest, but considering the Bills only have 3 “healthy” running backs on the roster, he may not be afforded the ability to rest. He is truly questionable and without further information, it is very difficult to determine whether he will play.

CB Ryan Lewis (concussion) is still working through the concussion protocol and appears to be in Stage 4 with light football activity participation as determined by the limited designation. He has since been ruled out and may be available for the season finale.

RB LeSean McCoy (hamstring) continues to work back from his hamstring strain from 2 weeks ago and appears to be moving quite well in the video provided by Josh Reed. Shady has also indicated that he is ready and able to play Sunday. He is a player that despite the down season he has had, will still want to go out and give it everything he has especially against a hated divisional rival to end the season.

WR Isaiah McKenzie (ankle) appears to still be recovering from the cramping episode from Sunday that appeared much worse than the eventual diagnosis. While he is listed as an ankle, this may still be the ankle/calf region as its very possible he is dealing with soreness to the area along with activity specific pain, preventing him from going full speed. As he practiced in full, I expect him to play Sunday but it is clearly evident that the long season has been taking it’s toll.

DE Trent Murphy (chest) apparently suffered a non-descript chest injury in Sunday’s win over the Lions. He did not appear to require assessment from the trainers nor indicate anything was wrong. He may have sustained a contusion to the area from a hard hit or suffer a minor strain to his pectoral muscle as he engaged offensive blockers. While chest muscles are very important to defensive ends, practicing in full gives support to the notion that he will play Sunday.

TE Logan Thomas (hamstring) missed last week’s game with the same injury. He was able to practice in full the past 2 days and appears to be fully healed at this time. Most strains we have seen all season have taken the player roughly 1 game to rest and recover from and Thomas is no exception. Thomas, along with TE Jason Croom, have to be available to assist TE Charles Clay in the passing game in order to keep the ball moving against the Patriots. Expect Thomas to play Sunday.

LB Corey Thompson (ankle) also suffered an ankle injury on the same play as DiMarco. He got tied up with a Lions defender and limped off the field, eventually returning. Similar to DiMarco, he was able to return to the game and practice in full this week which indicates that this was a minor injury and should be good to go Sunday.

WR Deonte Thompson (Achilles) was listed with an Achilles injury Thursday, having practiced in full. He was not listed on Wednesday’s injury report which indicates that he may have suffered this injury during Wednesday’s practice. As there is no video and he practiced in full, this appears to be a minor strain which may limit Thompson from pushing off effectively and decelerating. However, he should still be able to stretch the field and provide QB Josh Allen another target downfield.

Finally, DT Kyle Williams (back) suffered a back injury during some point on Sunday. He was DNP Wednesday, Limited Thursday, and Full on Friday. As there does not appear to be any conclusive video of the type of injury that he sustained or any assessment by training staff, it is quite difficult to identify the specifics. All I know is that the only way Kyle Williams misses a game is if he breaks something. Otherwise, he will be playing Sunday in hopes of putting a hurting on QB Tom Brady.

One interesting omission from the injury report is RB Keith Ford (ankle). Ford injured his left ankle late in the 3rd quarter which forced the Bills to get creative with the playbook as all the RB’s were out, leaving them with DiMarco and Allen in the backfield. Ford’s injury did not appear to be serious as he was not on the injury report which means he will be available Sunday. There is potential that he is the backup to McCoy in very possible event that Ivory is unable to play.

While this was a lengthy article for injuries, most appear to be relatively minor with most of the players expected to play through these ailments. At this point in the season, every guy is aching and hurting, requiring limited participation just to get through the week. While us Bills fans would love for them to still be playing for the playoffs, the recent rash of injuries would make it very difficult to compete with some of the high powered offenses come playoff time. The hope is that the back up’s playing now will get invaluable playing time to bolster depth going into next season with everyone expected to come back healthy.

The prevailing thought going into Foxboro is that the Patriots are finally starting to show cracks in their dynasty having lost 2 straight. A third loss would be unprecedented with the Patriots and send them to a rare 6th loss on the season and a spot in the Wild Card round where they have typically not fared well in season’s past. The Bills did play relatively well in their previous game on Monday Night Football in October’s loss, but, it’s still the Patriots. If the Bills play lights out defense and QB Josh Allen is able to move the ball effectively to his new weapons Foster and McKenzie, anything can happen. I would love to see the Bills win and send Tom Brady packing, but I do not know whether this will be the game or next season. We all see the end coming for the Patriots, we just don’t know when it will get here.

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

Week 15 Bills Injury Preview- Lions

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

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

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

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

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

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

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

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

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

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

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

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

Week 14 Bills Injury Review- Jets II

Breaking down the latest Bills injuries following Sunday’s loss to the Jets.

Back to back tough losses really take the wind out of the Bills sails and drops them to 4-9. This was the 3rd loss this season where the Bills had the game in hand but were unable to secure the win. I’ve said this before and I’ll say it again, we knew that they were going to take a step back this year. However, the mark of a good team is the ability to finish games and beat the teams you should beat. This wasn’t one of those times. Hopefully the Bills can learn from this season and transition into more consistent wins next season. Sunday’s loss also marked one of the most injury riddled days in recent memory and the most since I began this site. Today’s post will review the injuries sustained and what significance they have moving forward.

Starting off with the most serious injury, LB Matt Milano (fibula) suffered an ankle dislocation and fracture late in the 4th quarter at the goal line. This was the result of QB Sam Darnold attempting to dive into the end zone, landing on the back of Milano’s heel, firmly planting the foot in the turf. As the foot is planted, Milano is hit from behind by S Jordan Poyer and Darnold’s body being in the way prevents Milano from falling naturally, instead twisting to the left and snapping his fibula which is the outer portion of the ankle. I had retweeted a rather graphic picture of Milano’s ankle twisted 180 degrees with his heel facing where his toes should be. Thankfully, the tibia, which is the shin bone, was spared due to twisting to the left instead of the right. The ankle broke on what I can only assume based on video is the lower portion of the fibula which is the outside portion of the ankle. There is fairly significant ligament damage based on the twisting but can and will heal up due to the ankle being reduced or put back into place on the field and the ankle will be immobilized for some time due to surgery. Below is a picture of a fractured fibula, though not exactly represented as how Milano’s may look on x-ray.

Ankle Fx Pre-op.jpg
Credit: ankleandfootnorthwest.com

A lot of chatter on Twitter has been discussed over the Bodine injury compared to the Milano injury. Both injured the same bone but the severity is starkly different. Bodine will be back before Milano in regards to healing and normalcy due to Bodine’s fracture was fairly simple; he suffered a break, there was no dislocation or what appeared to be associated damage to the area. He just required surgery to set the bone and stabilize it in order to heal. Milano’s injury was more severe due to the corresponding ligament damage in the area. He will be immobilized and non-weightbearing post surgery, but as a result of the immobilization with the ligament damage, the ankle will become very tight due to the scarring down of the healing ligaments. This limited range of motion this will require further stretching and rehab interventions to address the tightness coming out of the surgery to regain the mobility required for his position. However, the timelines are still similar with rehab and recovery with the difference being weeks vs months in regards to return in comparison to Bodine vs Milano. I still expect Milano to take between 6-9 months to fully recover, but I’ll take the low side of that recovery which makes him possibly ready to participate in OTA’s.

The most comparable Bills injury is that of RB Travaris Cadet who suffered a similar injury late last year but was able to return in time for training camp. The only difference between the two players is that Cadet was a fringe roster player buried on the RB depth chart and couldn’t make the team. However, he was able to return to full health as evidence in his participation in training camp.

The other significant injury is RB LeSean McCoy (hamstring). Shady suffered a hamstring strain during the first offensive series against the Jets and was initially questionable to return, later downgraded to out. He appeared to pull his hamstring on a 6 yard gain right before the first Bills TD by QB Josh Allen. There was not anything specific regarding the injury; he did cut hard to his right before taking a step forward and going down. He was observed at one point running on the sidelines and cutting to test it out, but it appeared that he was not ready to return Sunday.

Hamstrings are tricky because they range in severity and affect each position differently. With McCoy’s skill set, as poor as it’s been this year, that hamstring is still more vital to his abilities than let’s say an offensive lineman. The veteran running back has since been listed as day-to-day by the team and has had an MRI to determine severity. This tells me that this is most likely a moderate Grade 1 strain. Yes I am splitting hairs here but they performed an MRI which in my observation is only reserved if the physical assessment is not matching up with typical physical examination. Day-to-day indicates that he will be limited with the possibility of playing next Sunday. However, we have seen this wording used in the past and interpreted to eventually missing some time. Typically we are not seeing players who suffer a strain come back this quickly.  But since there is a muscle tear as all strains are classified, once he rests, the muscle does tighten up and the inflammation process begins which limits his abilities. I’m going to be conservative and say he misses next week against the Lions because it’s a game that doesn’t mean anything and Shady has been absolutely been beat up this year, so a week off will only help.

Other players sustaining injuries include RB Chris Ivory (shoulder), WR Robert Foster (right thigh) WR Isaiah McKenzie (left ankle) OL Jordan Mills (left knee), CB Levi Wallace (left ankle), CB Ryan Lewis (concussion), and K Stephen Hauschka (hip/back). Ivory suffered a left shoulder injury running through the linebackers and secondary, landing hard on his left shoulder after being taken down for an 8 yard gain, appearing to favor his left shoulder coming off. If you recall, he suffered what I believed to be a left AC joint sprain back in Week 9 during a failed goal line plunge. He may have aggravated this injury again as he was slowed down and then fell hard to the turf onto the left shoulder and potentially re-spraining the area. He may also be another guy who misses a week, but he would be more likely to play Sunday than McCoy. Overall, AC joint sprains heal on their own with rehab and rest and only require surgery in the event that there is significant trauma to the area.

Foster and McKenzie got banged up on back to back plays at the end of the first half. Upon video review, McKenzie landed awkwardly on his left foot, appearing to tweak his ankle trying to haul in a pass from QB Josh Allen; this occurred with 1:26 left in the 2nd quarter. He was able to return and finish out the game. I would suspect this is nothing more than at most a mild ankle sprain that will may end up on the injury report but should not slow him for next Sunday as he was able to return very quickly after the injury. He did come into the game questionable with a toe injury but this does not appear to be related to the injury he suffered Sunday.

As for Foster, he got hurt on the very next play after hauling in a 17 yard pass from Allen before taking a very hard shot into his right thigh area that drove him out of bounds. This injury appears to be a contusion at worst as he was able to return quickly. He may be dealing with some soreness and may be limited in practice Wednesday, but this also appears to be an injury that should not keep him out Sunday as he has become a vital piece to the limited WR corps.

OL Jordan Mills suffered a left knee injury performing what appeared to be a chop block though he was withering in pain immediately after the play which required training staff to assess his knee. He was able to return the next offensive series and finish out the game. My best assessment is that he came down on his knee hard and he suffered a mild contusion. Mills has had several injuries similar to this this past season in where he goes down, needs to come off, and then quickly returns. I can’t even classify this as an injury per se, sometimes things hurt when you hit a certain way. No concerns for next Sunday.

CB Ryan Lewis suffered a blow to the head which was later diagnosed as a concussion late in the 2nd quarter. We have seen most of the younger players return from concussions quicker than older players such as QB Derek Anderson, but each concussion continues to be unique and only time will tell how Lewis responds while in the concussion protocol. Far too early to tell whether he will be available Sunday.

CB Levi Wallace suffered an odd looking left ankle injury early in the 3rd quarter. He began to suddenly stop and planted hard on his left leg, the ankle buckled as he attempted to pivot and assisted in taking down the ball carrier. I do not believe that he suffered any major injury to the area, coming off may have been more precaution to further assess the injury after the play. He was able to return after several plays and finish out the game. With his stellar play this year, we can not afford to lose anymore players in the secondary in order to finish this season. He should be available for Sunday.

Finally, K Stephen Hauschka (low back/hip) suffered a cheapest of cheap shots by Jets DE Henry Anderson after the blocked FG on the last play in the 2nd quarter. Hauschka was blindsided when he got hit, unfortunately he was unable to react properly and came down hard on his right hip and potentially jarring his back. It was reported that he had x-rays to assess for any damage but based on the hit, it appears as though he suffered a hip pointer injury. An injury such as this is basically a bruise to the bony portion of the hip that is about where most of our pants sit at on our waist. The reason this is so painful is because there are so many muscles that attach to this area which in turn affect how the core muscles perform along with the hip musculature especially with him being a right footed kicker.

The blindside hit clearly affected his ability to kick as he missed a FG try later on in the game and appeared to be limping at times afterward. This is an injury that does not appear to be long term nor should affect him next week due to the limited need of his position. We have also not had any reports that kickers were being brought in which indicates that this is not a severe issue which should make him available for Sunday.

Overall, a very rough day from an injury standpoint. The only silver lining is that we are out of the playoff race which makes these injuries hurt less. The benefit to these injuries now is that all these won’t be long term and allow all to be ready by training camp barring any setbacks or new injuries over the next several weeks.

As a result of all these injuries, the team will have some new faces in the starting lineup. LB Julian Stanford will be starting in place of Milano, RB Marcus Murphy may get the start if Ivory can’t go and RB Keith Ford may be brought up from the practice squad to backup Murphy. This is the time of year that is great for the front office to find out who else they want to keep for next year by seeing how they do in game action now. We know this roster will have more turnover next year; might as well get familiar with some new faces with the idea that they are here next training camp.

Continue to check back 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 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 5 Bills Injury Preview- Titans

Dissecting the latest injuries prior to the AFC matchup against the Tennessee Titans.

The Bills roll into Orchard Park with a 1-3 record and much to play for when they host the Tennessee Titans on Sunday. While it is quickly becoming a reality that this team will not look like last year’s surprise playoff team; the fan base is still hoping that there are some positives that can be squeezed out of this season.

According to Friday’s injury report, no one has been ruled out prior to Sunday’s game. Three players have been ruled questionable including: S Rafael Bush (shoulder), S Micah Hyde (groin), and TE Charles Clay (ankle).

Reviewing video, Hyde’s injury was fairly straight forward, pulling his left groin midway through the 1st quarter attempting go upfield and get involved with the play, coming up lame. He was on the injury report the prior week with a toe injury but this is not something that would have caused compensation patterns leading to the injury. He simply performed a football move and it caught him. While he is questionable, he has not practiced all week which historically is not favorable when predicting whether he will play Sunday. He will realistically need at least one more week before he can even consider playing in a game. Expect him to miss this Sunday.

S Rafael Bush injured his shoulder on the last play of the 1st quarter tackling RB Aaron Jones out of bounds. He injured his left shoulder when he got spun around off Jones, falling directly onto his shoulder without having the ability to brace for the fall. He was able to play the rest of the game but was not really directly involved in many plays regarding physical contact after that. His injury was not immediately apparent until reported on the injury report Tuesday. I believe he suffered an AC joint sprain or possible contusion to the general area. Other possibility of a SC joint sprain, though less likely. Typical mechanisms of injury are similar to what was described above; a direct blow to his shoulder. Considering that he was able to play the rest of the game, but take the entire week of practice off suggests that it is a mild sprain/contusion that may take a week to heal.

From my previous article from the Tampa Bay game last year, edited for relevancy:

“On average, the Grade 1 shoulder sprain that Bush possibly could have sustained typically takes 9.8 days to fully recover from according to Dr. David Geier. He will be at day 7 by kickoff Sunday, which may affect his ability.”

It’s possible that he could play, but not practicing all week may have allowed him to heal in order to play, but more realistically, he is not quite ready for contact. Like Hyde, he was unable to practice which almost certainly seals his fate.

TE Charles Clay suffered an ankle injury that on film did not appear serious. He had a Packers defender falling to the ground and fell into Clay’s ankle while he was trying to get out of the way. He was able get the ankle taped up, continue playing and finish the game. It appeared that he got his ankle rolled up on or tweaked as a result. While he was limited Wednesday, did not practice Thursday, he was able to practice in full Friday which is a strong indicator that he will play. In addition to the ankle, he is also dealing with previous shoulder and hip issues from the previous game. He is also a veteran and requires more maintenance which is why he is unable to practice during the week yet play Sunday’s. I would expect him to suit up to be QB Josh Allen’s safety valve.

Other injuries on the report include RB Marcus Murphy (rib), and DE Shaq Lawson (hamstring). Murphy appears to have a generalized rib injury that cost him last week but it appears healed enough to perform this week. Hopefully it is a contusion that continues to heal rather than a broken rib. Lawson missed two games with his hamstring strain and while he did play the entire game, he may have developed soreness as a result, requiring conservative maintenance on it so as to not further irritate the healing tissues. While it is possible to re-injure the area, giving it rest through the week gives him the best shot to play at 100% Sunday.

Others dealing with injury but did not make the injury report: RB LeSean McCoy (ribs/hand), CB Taron Johnson (shoulder), and CB Phillip Gaines (elbow). McCoy has been dealing with cracked rib cartilage that is physically impossible to be healed yet which still limits him despite what he says otherwise. However, reports indicated that he injured his left hand with it visibly wrapped up after the game. Film review was inconclusive whether he suffered any particular injury. To note, he was able to demonstrate effective ball safety, gripping the ball in each hand respectively without compensation during his limited playing time.

CB Taron Johnson has been a bright spot in the defense 4 games into his rookie year. However, he continues to deal with a shoulder injury that appears to be a torn labrum in his right shoulder. This is evident with the use of visible bracing on the right side, he continually injures the area on hard hits but is quicker to return in the game, and the original mechanism of injury. He can continue to play on the shoulder but eventually he may require surgery for long term correction. Until then, he has altered his tackling style, he is wearing bracing, and I’m certain he is doing rehab to strengthen the surrounding muscles around the joint in order to get through the season.

Finally, CB Phillip Gaines is coming off a right dislocated elbow that forced him to miss one game. However, he was inactive despite practicing in full the week of the Packers game which indicated that he may have been held out due to personnel needs rather than injury. Regardless of reason, the extra time off allowed him to heal even more and he may not require any bracing given the time frame.

Overall, anticipate Hyde and most likely Bush to miss the Titans game with Clay playing with several nagging injuries. These thoughts are further solidified with the signing of S Dean Marlowe and releasing TE Khari Lee. This indicates that at least one safety is certain to miss and the thinning of the TE depth chart indicates Clay is playing. The others mentioned above are expected to play but have injuries that do not require treatment by training staff but could still limit their effectiveness. This game should allow the Bills to get their first home win of the season and move to 2-3 to maintain some level of respectability in the AFC.

Continue to follow Banged Up Bills 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!!