2020 Week 15 Bills Injury Review- Broncos

How serious is Diggs’ foot injury? What is the latest on Williams, White, and Roberts?

The Buffalo Bills are the 2020 AFC East Champions! That is incredibly satisfying to type, say/hear, read. I’d imagine that tasting a cold Labatt Blue at a tailgate bonfire would give you the final senses of enjoying what this means. It’s been a long 25 years and is another step towards the ultimate goals of a Super Bowl championship for the franchise. Division titles may not be that important to other franchises, but the Bills are not like other franchises. They are the Buffalo Bills, a team with a goal, and division titles with home playoff games are the building blocks.

While the Bills took care of business 48-19 over the Denver Broncos, there were numerous injuries that certainly had the fan base worried on Twitter. Not all the injury news is bad, but there are quite a few heading into Monday night against the New England Patriots. Below are all the publicly known injuries from Saturday.

TE Reggie Gilliam (knee)

Gilliam suffered a knee injury sometime in the 2nd or 3rd quarter and was initially ruled probable to return. It’s not clear when he suffered the knee injury or what he exactly did. My suspicion is that he injured it on a special teams play and was tended to by trainers on the sidelines. The camera angles were awful on special teams Sunday which made finding this injury very difficult. 

He ultimately returned to the game and this doesn’t appear to be a significant issue moving forward. 

TE Dawson Knox (stinger)

Knox left the game briefly for the second time in two weeks with a stinger but was able to return. I had said last week that there was a slight concern that if this occurs again, this could pose a problem or signify that something more is going on, however, there is not any definitive facts to support this at the time. 

It’s not clear when he suffered the stinger, my guess is when caught a long pass with 3:08 left in the 2nd quarter. He was out there until the 2-minute warning but there isn’t a definitive time when he suffered the injury. 

Like last week, I am not certain that he will show up on the injury report with this. Stingers are typically transient and the fact that Knox ended up returning support that this isn’t serious. He does have extra time to rest as the Bills don’t play until Monday night.

OT Daryl Williams (groin)

The injury to Williams may be the most concerning of the bunch due to his position and type of injury. This injury occurred sometime early in the 3rd quarter on the second touchdown run by Josh Allen. It isn’t clear when he suffered the injury, either with 11:32 or 11:05 in the 3rd quarter. The play with 11:32 had Williams lateral stepping and externally rotating his legs which is a classic mechanism to injure the groin in keeping up with his block to keep Josh Allen clean and did not appear labored getting through the next play. The next play was the second Josh Allen rushing touchdown where Williams was in a pile of bodies as Allen snuck in on the right side.

Credit: TeachMeAnatomy.info

Williams did not return and veteran Ty Nsekhe played admirably through the rest of the game in place. I have noted that groin injuries are difficult to determine on film unless it is blatantly obvious.

Credit: WNYUrology

Per the research, Williams could be out anywhere from 8-20 days with the average time off of 14 days and return to play pain free within 3 week. The overall re-injury rate is 8% once returning to play. I don’t see him playing Monday night unless his practice report says otherwise. 

At this point, let him rest and get ready for the playoffs. This also allows Nsekhe to get some needed reps in case injury occurs in the postseason.

WR Andre Roberts (low back)

The versatile return man suffered a low back injury sometime in the 3rd quarter, though it isn’t obvious when he suffered the injury. He was only noted as having a low back injury when the team reported it after Micah Hyde began returning punts in his place. It was initially thought Roberts was benched due to his muffed catch which resulted in a Broncos score, but the injury ended his day.

On his last return before going out, he was tackled by 3 different Broncos players and appeared to take a good shot to the low back. This could be a simple contusion, back spasms, or something else not known without further examination.

He will be one to watch on the injury report whether he practices at all this week. He does have the extra time to rest with the Monday night game but this is going to be a wait and see. 

CB Tre’Davious White (stinger)

The veteran cornerback scared the fan base when he went down briefly following a routine tackle on Tim Patrick in the 4th quarter. 

On review, I had no idea what he had injured because the hit seemed so routine and clean. Looking at where the trainers were looking at and how he hit, it looked to be the right shoulder area where he suffered the stinger. 

He did suffer a stinger on what appeared to be the left side last year in the Steelers game, but last year’s stinger doesn’t appear to have any correlation with this most recent one. White must have hit just right that he sustained the injury but was able to quickly return. He should be fine to play unless he has persisting symptoms for which he would likely end up on the injury report. 

CB Levi Wallace (right ankle)

Wallace is an interesting injury. He suffered an ankle injury shortly after White went down with his stinger. He ran down the field and then came back to try to scoop the ball up off the turf as it was dropped for a possible interception by Taron Johnson. He didn’t appear to roll it or sustain any visible injury. He did take an extra step onto his right leg when trying to reach down for the ball, possibly jamming up his ankle a little bit, but he quickly returned to the game.

For those thinking he re-injured his ankle from the Raiders game, it was his left ankle which ultimately sent him to IR for 3 weeks. This doesn’t appear to be anything long term and the extra time off should do well for Wallace to play Monday. 

DE AJ Epenesa (head)

Epenesa went to the sidelines under protest to get evaluated for a head injury while trying to avoid a late hit with 5:46 left in the 4th quarter. He flipped over Drew Lock and hit with his right shoulder and head on the turf. 

The team did not announce that he was in the concussion protocol during Monday’s press conference. The in game checks are precautionary and part of the concussion protocol, but it does not appear that he has entered it at this point. Wednesday will be telling if he shows up on the report with anything at all. 

DT Vernon Butler (left ankle)

During the same play that Epenesa got injured, Butler had his left ankle rolled up on moments before as the defense attempted to contain Drew Lock. Butler required an assessment by the training staff on the field and missed several plays but was able to return. 

He may have tweaked the ankle, but appeared to avoid serious injury as he played the rest of the game. I question if he even shows up on the injury report. 

WR Stefon Diggs (left foot)

This injury may be the most worrisome injury at least from a social media standpoint from Saturday. Diggs was quietly carted to the locker room with a foot injury late in the 4th quarter. 

He came back out on the cart with his left shoe off and hopping around on the sidelines leading to a lot of speculation as to what happened. Fortunately, I found what he did and when he suffered the injury. 

This occurred with 7:16 left in the 4th when Diggs was engaged with his block on a Zack Moss run to the right. Diggs disengages and while attempting to get out of the way of the play, gets his left foot stepped on. He immediately began to limp around briefly before setting up for the next play. During that play, he took several steps but did not try to be actively engaged in the play possibly due to the pain.

Diggs later left the field and then refined as mentioned earlier. By video, this seems like he got cleated on the outside portion of the foot and he should be fine. The reports coming out after the game were optimistic and Monday’s press conference only reinforced that news. 

Since this is more of a pain issue, I would not be concerned with Diggs being limited or even DNP Wednesday and Thursday. The team has off Friday for Christmas and then practices Saturday. Even if he’s limited every day, I’d still expect him to play Monday.

Overall, the Bills are in decent shape despite all the injuries from this game. The only ones I want to watch closely are Williams, Roberts, and to a lesser extent Epenesa. It would not alarm me if there were a few extra names on the injury report in addition to what’s in the article today. 

The Bills have the division locked up but can still fight to maintain the 2nd seed which will guarantee them 2 home playoff games and even 3 if the Chiefs get knocked off. They currently have the tiebreaker over the Pittsburgh Steelers who lost unexpectedly to the Cincinnati Bengals Monday night. 

I would hope the Bills can begin to rest some starters but I don’t expect everyone to sit right away. This is a Bills team that is smart with their sports medicine and will not jeopardize health to maximize winning. These next few weeks are all about taking care of business and hitting the playoffs hot so Buffalo can get a long awaited deep playoff run. There is still a lot of football to play and it’s great knowing the Bills took care of business. 

Top Photo Credit: DraftKings Nation

2020 Week 12 Bills Injury Review- Chargers

How did Josh Allen avoid serious injury?

Another week, another stressful win. Consistently winning is something this generation of Bills fans has to get used to. It’s a great feeling, but it would be nice to just absolutely dominate a team from time to time. At the end of the day, I’ll take the win because that shows up in the box score and string together enough wins and that qualifies for the postseason. I am aware the Bills are still not a finished product with glaring mistakes and continued issues, but if they can play like this and be 8-3 with the ability to fine-tune things and peak at the right time, then that’s all that matters. But this isn’t a blog that looks at the play of the Bills, it looks at the injuries of the Bills. Fortunately, there were not many in-game injuries and below are the ones noted in the game.

QB Josh Allen (right knee/ankle)

Josh Allen may very well be Gumby. The way his right leg twisted down under Joey Bosa, affecting his right ankle and knee wasn’t pretty. He walked off the field, misses one play, and then returns to finish out the half before returning is impressive.

Looking at everything after the game and his body of work, it actually looks as though he injured his knee versus his ankle based on the picture below. 

I’m going to walk through the thought process with this injury so you can understand why it’s a knee and not ankle, though it’s quite possible he suffered an ankle injury in addition to the knee injury. During the moment of play, I had originally thought a high ankle sprain based on how the ankle twisted but was not convinced that it was with how quickly he returned and played afterward.

Looking at the play initially, Bosa wraps up Allen and attempts to twist him down. Allen’s ankle gets caught up under Bosa and is pushed into eversion or twisting outward. Allen continues to be dragged down to the turf with his knee taking the brunt of the force as his knee continues to bend into flexion and into a valgus position. By this point, the ankle is pinned under Bosa as he pulls Allen up towards his head to ensure that he is down. The play finishes and Allen is in obvious pain. 

The mechanism for a high ankle sprain was clearly there with the foot in eversion and dorsiflexion as seen below. The mechanism for an MCL sprain was there with the knee bent and in valgus position. Two things really played into Allen’s favor. The fact that Bosa pulled him up over him, relieving pressure on the pinned ankle and the fact that Allen has fairly decent hip internal rotation, allowing the leg to turn out. Had Allen’s hip not continued to turn out to reduce pressure on the knee/ankle, or Bosa didn’t pull him backwards, things could have been much worse. 

Forces showing a high ankle injury
Forces showing an MCL injury
Credit: physioadvisor.com.au

It also helped that Allen was pulled down relatively slowly when it comes to tackling, things weren’t abruptly forced. Another benefit was that Chargers defensive tackle Jerry Tillery bailed out of hitting Allen at the last second, which could have potentially added more force to the stressed knee/ankle and causing further damage. 

Allen played the second half with a hinged brace on the right knee under his pants and socks and was surprisingly effective. Had he suffered a high ankle, he could have still performed and run alright with a tape job, but the swelling would have been set in as the game progressed. I’m not certain he would have been able to run as well as he did if the ankle took the brunt of the injury.

The MCL injury makes more sense because the knee was bent into flexion and stressed into a valgus position which allowed the tissues to stretch and partially tear, resulting in a sprain, but not with the force necessary to really sustain a significant injury.

It would not surprise me and it should not surprise you if Josh Allen shows up on the injury report Wednesday with a knee and ankle designation or one or the other. I personally believe that it will be more of a knee designation based on the bracing observed after the game.

It appears to be a mild MCL sprain which can take 1-3 weeks to fully heal. I’d expect him to deal with some swelling and pain in the area, but since the knee is a hinge joint, he can continue to run but may have difficulty in running to his left due to needing to push off the right side.

I’d also expect him to wear the brace for a little while to protect the knee in order to ensure that it heals properly. This might be the milder side of an MCL sprain which heals well to begin with. He should play through this and hopefully avoid further injury in order to wrap up the division and get him much needed rest. 

CB Levi Wallace (right leg)

I’m not sure what to make of this injury. This occurred during the roughing the passer call on Justin Herbert with 11:58 left in the 4th quarter covering Mike Williams. He kept with Williams going out of bounds and he jumped as they both went out of bounds in the end zone. He got up and moments later was down on his left knee.

He required attention from the training staff briefly before missing one play and returning. As he was walking off, he appeared to be shaking out his right leg. There is a thought that he injured the ankle but I’m not certain of that. This will be a wait and see approach if he ends up on the injury report. 

Other injury thoughts:

G Cody Ford (meniscus) & WR John Brown (right high ankle sprain)

Ford ended up on injured reserve with a torn meniscus following a knee injury Wednesday at practice. His recovery timeline is 3-4 months which fits in line with a meniscal repair. This will allow him to have the best outcomes possible with his knee injury and maximize his career to prevent possible problems and chronic issues such as arthritis.

Brown also earned a stay on IR due to a now confirmed right high ankle sprain sustained in the Week 10 Cardinals game. I had originally thought he suffered more of a medial eversion sprain, but according to Adam Schefter, it is a high ankle sprain. 

By the time he is eligible to return in Week 15, he will have had nearly a month to recover. By that time, it will only be a guess if he’s needed or if they wish to keep him on IR until the playoffs. 

LB Matt Milano (left pectoral)

LB Tyrel Dodson (hamstring)

CB Cam Lewis (left wrist)  

WR Isaiah Hodgins (left shoulder)

All are eligible to return from IR and have been activated for their 21-day practice window except Milano as of today. There is a strong chance that Milano gets activated for Wednesday’s practice. There are currently 3 roster spots available for which I believe Milano, Dodson, and Lewis will return. 

Milano will be 8 weeks out from his pectoral injury against the Raiders with 4 weeks since playing football, Dodson is 6 weeks out from the hamstring injury against the Chiefs, and Lewis is also 6 weeks out from his possible wrist fracture against the Chiefs. For their respective injuries, that is adequate time for those injuries to heal, but it is not certain that each are 100%.

There is a chance that Hodgins gets activated but he was put on IR with a shoulder injury sustained in training camp and has been on there ever since. It’s possible that they want to see him in-game action or at least get him on the practice field to see what they have in him. In the coming days, we should see several roster changes. I will also not be surprised to see a few names added to the injury report for various ailments and/or chronic issues.

Overall, the Bills are 8-3 as they head into a Monday Night Football against the 49ers as they set up shop in Arizona as a temporary home due to COVID. The big storylines will be the Bills warding off the demons of the Hail Murray in Arizona, the return of a variety of players from IR on both teams, and whether Jimmy Garoppolo and George Kittle will be activated for Sunday. Right now, it doesn’t appear to be the case based on their respective injuries, but with the 49ers sitting at 5-6, they still have a shot at the playoffs and the return of those two along with other players could allow them to make a push. We’ll see what happens in the coming days. Regardless of what the 49ers look like, the Bills are still relatively healthy and ready to move on to the next week.

Top Photo Credit: Larrybrownsports.com

2020 Week 8 Bills Injury Preview- Patriots

The Bills are banged up, but so are the Patriots. Who will win the injury bowl?

It’s Patriots week! The two times during the season where the Bills play the New England Patriots, a team that has spent two decades tormenting the Bills. But the winds have shifted as they do so often in Orchard Park, this time, in favor of the Bills. The Patriots enter this contest 2-4, the Bills 5-2 with a chance for Buffalo to lock down the AFC East at the midway point of the season. One thing that could stop that is the ever growing list of injuries. Despite the Bills avoiding any in game injuries, there were six new injuries to the report which makes determining who will play all that much tougher. Below is the multitude of injuries.

Ok OUT

G Cody Ford (Right knee)

Ford was ruled out Friday morning during Sean McDermott’s press conference. He appears to be dealing with a right MCL sprain suffered in the loss to the Chiefs. I had said this was a 2-3 week injury and thought he would be best served to get a stint on IR.

The team elected to not go that route and he appears to be trending to try and play in Week 9 despite not practicing the past two weeks. We will see what happens following the Patriots game.

CB Josh Norman (Left hamstring)

Norman misses his 5th game now due to his balky left hamstring injury suffered in training camp. The severity of this latest injury is not known but considering this is the same side and a re-injury, the team is making sure he is absolutely 100% before trotting him back out onto the field.

Defensive backs are already at a higher rate to suffer hamstring strains and then add in the previous injury, this makes for a rough season for Norman. Hopefully he can resume practicing next week.

QUESTIONABLE:

G Brian Winters (Knee)

Winters appeared back on the injury report again with a knee injury though it isn’t clear when he suffered the injury. He played in 97% of snaps indicating that this may not be serious. While it’s not know which side is injured, he did show up on the injury report following the Raiders game with a knee complaint then.

He is an older player that plays a very physical position; he may need the rest from time to time and this may be more of a load management issue. While he is questionable, he did practice in full on Friday which is a good indicator that he should play. I would hope that he rotates with G Jon Feliciano or whoever else plays.

DT Vernon Butler (Groin)

Butler was a surprise on the injury report with a groin injury that wasn’t readily noticed on film from Sunday. He was a DNP for 2 straight days after being limited Wednesday.

Credit: wnyurology.com

While he is an interior line player at defensive tackle, I believe it would be hard for him to generate any power to shed blocks or quickly change direction to tackle a back in the running lane. He has already dealt with a hamstring injury this season and would be best served to sit this one out.

S Micah Hyde (Concussion)

Hyde was eventually diagnosed with a concussion following his bone crushing hit on Jets WR Breshard Perriman. It’s not certain he suffered the concussion from this hit, but it’s a very strong guess. He likely developed symptoms later on, sending him into the concussion protocol.

He was out at practice this week but stayed off to the side on the exercise bike, indicating he was in Stage 2-3. He is listed as questionable indicating the team may try to have him pass the protocol in time for the game Sunday.

Credit: NFL

I don’t anticipate he plays based on the fact that concussions take some time to heal. Literature suggests it takes on average 10 days to return but we have seen players return quicker than that and in other cases much longer. I’m also not certain how he goes through live football reps to ensure he doesn’t have any symptom reproduction afterward as part of the protocol as he didn’t practice this week.

There’s always a chance he could pass the evaluation, but it would be a truly impressive to pass through this quickly. I say he misses this contest.

DE Jerry Hughes (Foot)

Hughes made a surprise appearance on the injury report this week with a foot designation. Despite the injury, he was a terror on the field as he garnered AFC Defensive Player of the Week. With the lack of specifics of what he did to the foot, it’s hard to say what he’s dealing with. Looking back, he has played with far worse injuries and still produced. He has yet to miss a game in a Bills uniform; I don’t expect that to change Sunday.

DT Quinton Jefferson (Knee)

Jefferson also made an appearance on the injury report with a knee ailment. Like most of the injuries, it’s not clear when he suffered the injury, making specifics difficult to discuss. Considering he practiced in full on Friday and with the likely inactive coming for Butler, I’m leaning towards Jefferson playing.

CB Cam Lewis (Left wrist)

Lewis is still battling with a wrist injury that saw him active last week but not play. He was limited all again this week and is questionable. He continues to have the club on his hand which has me believe this may be more than a sprain. He may have fractured a bone in his wrist and simply needs time to heal. If he is looking at a fracture, it could be a 4-10 week timeframe for things to fully heal in there. Without further details, hard to elaborate.

For Sunday, he could sit out which I think is the smart move or he could once again be active but play only in the case of emergency. I envision him sitting this one out.

Update: Lewis has since been placed on IR.

LB Matt Milano (Left pectoral)

Milano was limited all week in a red practice jersey which seemed to worry some members of Bills Mafia. He is designated as questionable but I fully expect him to play Sunday. His pectoral tear is still healing up and will not likely be fully healed until after the bye. He only played in 33% of the snaps on obvious passing downs illustrating his restrictions at the moment. I had thought that could be a possibility in my Buffalo Rumblings article.

He was likely limited due to the team not wanting to have him go through full practices and possibly re-injure the area. He doesn’t need to practice tackling, he needs to work in the game plan. I expect his snap count to increase this week but still rotate with LB AJ Klein to prevent further re-injury.

ACTIVE

QB Josh Allen (Left shoulder)

I continue to highlight Allen’s presence on the injury report because he clearly did something to the shoulder as evident with the shoulder brace. He’s going to continue playing through it but we’ve seen him have less scrambles and more designed runs or stay in the pocket. I still believe he injured the labrum or the rotator cuff. He continues to practice and play, but there is concern that he re-injures it at some point with a hard hit.

WR John Brown (Left knee)

Brown continues to battle through numerous injuries from earlier this season, but finally appears back on track to play Sunday. Three full days of practice indicates that he will play and with the Patriots potentially without CB Stephon Gilmore, Brown may have himself a day against a weakened secondary. He is still healing from the numerous injuries, but appears healthy enough to play.

WR Isaiah McKenzie (Ankle)

McKenzie only played in 20% of the offensive plays from Sunday but still managed to walk away with an ankle injury. As you see a theme here, there are no specifics on the exact injury as to what he’s dealing with. He did not have a game day designation meaning he will play and hopefully be effective.

Other injury news:

CB Levi Wallace (Left ankle)

Wallace is eligible to return from IR following his ankle injury in the Raiders game. He has missed the last 3 games and is in his practice window where he does not count against the roster.

Looking at the video, he’s moving around fairly well but still having some trouble going to his left and pushing off that side. As he is in the practice window, the team is not obligated to give an injury report or participation designation to him.

If this were a playoff game, I say he can play. While this is an important game, the Patriots are beat up themselves which means the Bills can afford to let Wallace rehab another week before returning to the field.

Update: Wallace has been activated from IR.

G Jon Feliciano (Right pectoral tear)

Feliciano is making his long awaited debut for the 2020 season after tearing his right pectoral muscle while weightlifting shortly after training camp started. I had speculated that he would return after Week 8, he returns before. He is wearing a shoulder harness as I suspected he would and I do not believe he plays the entire game.

I would expect that he rotates in on the line and gets his feet wet as he works back into game shape. He had told reporters that he wanted to come back sooner but they stopped him to essentially protect him from himself. The team made the right move in this case.

If I were the training staff, I would work him in over the next 3 games and then let him play the full games following the bye. He will be 4 months out at that point and while he can still continue to heal, he will be at a much lower chance to re-tear the area.

Housekeeping:

The Bills have activated TE Lee Smith off the COVID/Reserve list. The team elevated LB Andre Smith to the active roster, cut and re-signed LB Deon Lacey to the practice squad. The team is also in the process of signing former Jets and Chiefs LB Darron Lee to the practice squad.

Inactives:

QB Jake Fromm
CB Cam Lewis* IR
DT Vernon Butler
S Micah Hyde
RB TJ Yeldon
CB Josh Norman
G Cody Ford

While the Bills continue to battle through the numerous injuries, the Patriots are dealing with their own. On top of all the COVID opt outs, they will also be without WR N’Keal Harry and WR Julian Edelman due to a concussion and knee injuries respectively. There is a possibility their top CB Stephon Gilmore missing the game due to a knee injury. DT Carl Davis has also been ruled out with a concussion.

Looking at the questionables besides Gilmore, there are a lot of significant names on that list. They are one team that is quite possibly as beat up as the Bills are.

Despite all the injuries on both teams, the Patriots still have Bill Belichick. He has been at this a very long time and will adapt his game plan to whatever he has available and may very well still be competitive. I will not count out the Patriots until the clock strikes 0:00 in the 4th quarter with the Bills having more points than the Patriots.

I am expecting the Bills to win this game because I believe they are the better team, but if the Bills struggle early like they did the past few games, this could spell trouble in securing the AFC East crown. With the weather expected to be poor, wet and windy conditions may lend itself to reducing injuries. The Bills need to get through this game with minimal injuries and get to the bye in order to make a deep postseason run.

Top Photo Credit: Buffalo Bills

2020 Week 7 Bills Injury Review- Jets

Are the Bills finally getting healthy?

A win is a win when at the end of the year no matter how easy or ugly the game may have been. An 18-10 score completes the season sweep of the New York Jets and first sweep since 2015. Behind a strong performance of 6 field goals from K Tyler Bass, the Bills found ways to move the ball down the field and score points despite the offense sputtering. The defense came up strong in the second half, only allowing 4 total yards to the Jets offense, finishing with a game-sealing interception. 

To top it all off, there were no publicly reported injuries. In light of the good news, there are still several topics to discuss below as upcoming decisions based on injuries will take place. Check it out below.

QB Josh Allen (left shoulder)

Allen continues to deal with a left shoulder injury sustained in the Raiders game. Against the Titans and Chiefs, he has struggled for accuracy and has not looked himself while wearing a shoulder brace to protect the area. 

He came out sporting a new brace to protect the shoulder but it appears that this is less restrictive than his previous one. I was able to observe that under the shoulder brace, he did have kinesiotape which likely helped support the shoulder but allowed him change the brace without sacrificing stability. It’s also noted that he ditched the brace last week in the 4th quarter against the Chiefs in order to improve his throwing mechanics. 

I will expect to continue to see him wear the brace to protect the shoulder until the end of the season. 

CB Tre’Davious White (back)

White suited up on Sunday after being ruled questionable following Friday’s practice. White played in 100% of defensive snaps. The fact that he plays but is limited during the week indicates that this back issue he has is the pain centered with the goal of reducing activity through the week to be ready on Sundays. This is something to continue to monitor and I expect that this issue will not go away as the season progresses. 

LB Matt Milano (left pectoral) 

Milano played in 33% of snaps indicating that he was likely on a pitch count. I had thought he would miss two games and that appeared to be the case. He was also in on obvious passing downs which supports the notion that he is healthy enough to play but not quite there with regards to tackling fully. His playing time should ramp up for the Patriots game as he will be needed much more against a far better opponent. 

He was noted to be wearing a shoulder harness that limits shoulder abduction and external rotation with those movements placing stress on the healing tendon/muscle. He will likely not be 100% until after the bye, but healthy enough that his presence is greatly needed over the next 3 weeks in order to keep piling up the wins. 

G Jon Feliciano (pectoral tear)

Feliciano continues to wait to return to play following his pectoral tear back in August. I had originally thought that he would return around midseason in Week 8. While not confirmed, his 21-day practice window is closing on Wednesday with the team to make a decision on whether to activate him. It’s likely that he will be activated, but the team intends to use the full window before they make the decision. 

LB Tyrel Dodson (right hamstring)

Dodson was placed on injured reserve with a hamstring strain which indicates that the injury is possibly a Grade 2 strain which will take 4-8 weeks to fully heal. I would speculate that he is closer to the 4-week variety. It’s hard to say how long he’ll be out, but it’s likely that he will be out the next month as he rehabs. 

CB Cam Lewis (left wrist)

Lewis was active Sunday following being deemed week-to-week with a wrist injury sustained in the Chiefs game. It still isn’t clear what he is dealing with, possibly a fracture due to the club, but it’s serious enough to not play against the Jets. It appears that he was available only in the event of an emergency. With the potential return of CB Levi Wallace from IR potentially this week, this could be a one for one swap if the team goes this route. 

S Jaquan Johnson (back)

Johnson popped up on the injury report Friday with a back injury but played on Sunday, appearing in 57% of special teams indicating that this wasn’t a concerning issue. He doesn’t have any known back injuries, but something to note as he has become an important special teams contributor. 

TE Dawson Knox (calf/COVID)

Knox was ruled out prior to Sunday’s contest but was placed on the COVID/Reserve list Saturday after testing positive, also forcing TE Lee Smith, TE Tommy Sweeney, and PS TE Nate Becker onto the list due to being close contacts. While it’s highly unfortunate that Knox contracted COVID, this may benefit Knox in the long run as he can rest for the next week which may allow him to return fully healthy once cleared. According to protocols, if he was asymptomatic, he can return after 10 days from the initial positive test and have two following negative tests at least 24 hours apart.

If he was symptomatic, he would have to wait 10 days from when the symptoms first appeared and at least 72 hours from when he last experienced symptoms. So it’s possible that Knox could return by next week to play, but we won’t know that unless we know that he was symptomatic. This is a waiting game at the moment. Hopefully, Smith, Sweeney, and Becker test negative and can return to their respective roles quickly. To read more about the COVID testing, check this article out.

The team should be getting a lot of players healthy this week with the possibility of another name or two popping up on the injury report. Despite not having Knox for the foreseeable future along with potentially G Cody Ford, the additions of Feliciano and Wallace should help immensely in order to allow the Bills to take control of the AFC East next Sunday against the Patriots. 

Top Photo Credit: Buffalo News

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 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 Levi Wallace Injury Profile

#39 Levi Wallace
Position: CB
Height/Weight: 6’0”/179 lbs.
Age: 25
College: Alabama
Year joined Bills: 2018
Acquired: UDFA

College Injuries:

TBD

Pro Injuries:

2018:

Ankle sprain, Week 14, missed 0 games

2019:

Right ankle sprain, during practice prior to Week 2, missed 0 games

Left shoulder injury, Week 8, missed 0 games, later required surgery, unknown if same shoulder

Right ankle sprain, Week 17, missed Wild Card game

2020:

Sore back, missed several preseason practices.

Hamstring strain, preseason, missed 0 games.

Left ankle sprain, Week 4, possible Grade 2, sent to IR, missed 3 games, activated in Week 8.

Right ankle injury, Week 15.

General links:

2019 Bills Injury Preview- Cornerbacks

2020 Bills Injury Preview- Cornerbacks

Levi Wallace Shoulder surgery