Ed Oliver’s Core Muscle Surgery

Will Oliver be ready in time for OTA’s?

A surprise tweet from DT Ed Oliver hit Twitter Tuesday afternoon showing two pictures that he had successful surgery following his rookie year. This created several questions as Oliver did not appear on the injury report all season & only appeared to suffer one known injury following the Titans game in which he sustained a left foot/ankle injury when he tackled RB Derrick Henry. He was able to return following the bye & did not miss any games during this season.

However, Tuesday’s tweet changed things with Oliver in a hospital gown. The Bills had recently performed their end of season exit physicals & issues are found once a full assessment has been performed. We have already observed this with the tweets last week from DE Jerry Hughes & his torn wrist ligaments. Oliver likely had his exit physical & found this issue which required corrective surgery.

Originally, I had thought that he had a routine joint cleanout from general debris such as bone chips, articular cartilage, or frayed tissue due to not appearing on the injury report. But news came out later that he had successful core muscle surgery, commonly known as a sports hernia, announced by Buffalo News reporter Vic Carucci. 

Looking back at the Oliver tweet, there were two clues that indicated that he had core muscle surgery. First, the location was in Philadelphia, PA. Oliver could have had arthroscopic surgery in Buffalo or back in his hometown Houston, or wherever he wanted, indicating that Philadelphia was a specific location. Second, the 2nd picture shows the phrase “Vincera Institute” above his head. This was not readily observed unless you were able to zoom in on the picture but this was a dead giveaway in retrospect to what he had done. Frankly, I missed it the first time around.

The Vincera Institute in Philadelphia is run by Dr. William Meyers, a nationally renowned orthopedic doctor specializing in core muscle repair. From what I’ve read, he is THE guy when it comes to core muscle repair. Meyers is also big against identifying the injury as a sports hernia, hence my use of the term core muscle. We don’t know when Oliver suffered his injury, how long he was dealing with it, & how severe it was.

With regard to the injury itself, there is a multitude of variations according to the Vincera Institute website that frankly, even as a licensed Physical Therapist, were new to me. As there are no specifics to which injury he sustained, below is a general description of a core muscle injury.

groin_injuries
Credit: https://physioworks.com.au/Injuries-Conditions/Regions/groin_pain
Core-muscles-abdominal
Credit: plankpose.com

The adductor muscles in the groin are most commonly injured pictured above, but can also affect the abdominal muscles in the 2nd picture. These injuries can occur with planting the feet & twisting maximally, causing the lower-body injury. They can also occur with violent twisting, kicking, and turning along with blows to the back, anything that overstretches or strains the muscle at its attachment.

These injuries can present as groin strains, oblique strains, or other general injuries around the hip or core region that don’t resolve with proper rest & rehab. A core muscle injury is when the tissue tears & does not heal like a normal strain, commonly with the muscle pulling away from the pubic bone attachment observed in the first picture.

This can present as sharp or stabbing pains with specific movements such as sprinting, kicking, cutting, etc. This can also be tender to touch, little to no pain during rest, and typically isolated to one side. These injuries aren’t always apparent at the time; often minor injuries are able to be played through. The severity of the injury is found later such as during a physical or if the pain becomes too intense to perform an activity.

Fortunately, surgical outcomes are great with at least 90% of repairs in the NFL have shown to resume their normal activities prior to the injury with the control group playing slightly more games and slightly longer careers than those having the surgery. However, the control group in that study were players who had similar careers in relation to experience, statistics, & position played, not indicating that the groin injury itself led to a shorter career. Another study showed 89% of repairs were able to return to the pre-injury level of play with minimal to no pain during a 4-year follow up study. 

Rehab for this surgery can be between 6-12 weeks based on the specific type of core muscle surgery & location. Rehab protocols can be found here & here with most protocols skewing towards a lengthened recovery timeline for a conservative approach.

If Oliver has any concerns regarding his recovery, he can ask fellow Bills players C Mitch Morse & WR Cole Beasley who both suffered similar injuries at the end of the 2018 season which required surgery, causing them to miss some of OTA’s last spring. As of writing, both have not had any known issues regarding re-injury to the area & should continue to stay productive. According to the 2020 NFL offseason schedule, the Bills will start OTA’s April 20th. By then, Oliver will be fully healthy without any limitations.

It’s unfortunate that Oliver suffered this injury, but injuries are a part of football. It is great that he got this addressed now so that he may be fully healthy to attack this first offseason as a professional in order to grow into the next great Bills defensive tackle. I have no concerns regarding this injury & his recovery as he was treated by one of the best in the United States & has an excellent facility to rehab at in Buffalo if he so chooses.

I expect there to be more surprise injuries & surgeries as the offseason progresses, but this is just another one that is being addressed properly & maximizing Oliver’s growth as a professional football player.

Top Photo Credit:

HoustonChronicle.com

Week 17 Bills Injury Preview- Jets

Will this finally be the week that Nsekhe returns?

The big concern going into this game against the Jets is how long starters will play & what players will be inactive. This is especially worrisome due to the recent comments by Jets S Jamal Adams in which he stated they would be hunting along with Jets DC Gregg Williams. Along with that comment, Bills fans have to worry about cheap shots from DE Henry Anderson. If you recall, he blindsided K Stephen Hauschka last season which threw his game off for the rest of the season seen below. 

Thankfully, the Bills continue to manage their injuries well & are not forced to play players who are injured. Below are the injuries prior to the game & inactives.

OUT

WR Andre Roberts (foot)

Roberts was a surprise addition to the injury report following Saturday’s game. Reviewing the film, it’s not clear when he suffered his foot injury. There aren’t many plays that show when he could have possibly injured his foot, but a possible culprit is when he was blocking for QB Josh Allen on a designed run play early in the 3rd quarter, it appears he got kicked on the right ankle.

There was also another point in the 3rd quarter with 3:35 left in where he appeared to be limping slightly after the play. There didn’t appear to be a mechanism of injury prior to this play either which makes this difficult to identify the exact problem. Considering he hasn’t practiced this week & has already been ruled out, we can only hope that he will be ready for the playoffs. 

DE Shaq Lawson (left hamstring)

Lawson has not been able to practice this week due to a hamstring strain suffered in Saturday’s loss to the Patriots. This occurred after a tackle for loss in the backfield during the 2nd half of the game. The actual tackle itself did not appear to be an issue, but rather the celebration afterward. He began to get up & celebrate, grabbing the hamstring in the process.

He was able to continue playing for the rest of the game but the injury appeared to catch up with him later. Even after a slight strain, the muscle is still painful & sore, requiring frequent stretching & controlled movement to allow healing but not overwork the area in order to prevent further injury. As he has already been ruled out, this is the smart move to do considering how valuable he will be in the playoffs. It will be interesting to note how the coaching staff rotates the defensive ends as there are only 4 on the roster.

QUESTIONABLE

OT Ty Nsekhe (right ankle)

I feel like we have been having the same conversation for the past 6 weeks regarding his injury. But new information is available! He finally appears to have made the expected progress, participating in practice on Thursday & looking quite well on film. He is moving with the fluidity of someone who is close to returning & appears to be close to 100%. 

Considering how he is moving, I’m making the assumption that he could have returned sooner, but how OT Cody Ford was playing, he wasn’t needed immediately. At this point, it is unnecessary for Nsekhe to play in Week 17, but he has missed the last 5 games which means he would benefit from some live reps in order to prepare for the playoffs. 

CLEARED TO PLAY

C Mitch Morse (right low ankle sprain)

Morse scared many Bills fans late in the 4th quarter in which he had his ankle rolled up on, reportedly feeling several pops & having difficulty walking on it initially. Fortunately, he was able to practice in full this week & not appear to have any limitations despite what appears to be a low ankle sprain. 

Morse is yet another starter that may play several series but overall benefit from a well-deserved rest day or even being declared inactive in order to ensure his health.

OTHER INJURIES

DT Harrison Phillips (left ACL)

Phillips has been out since September, diligently working back from a torn ACL that ended his season prematurely in the win over Cincinnati. Occasionally, news is released of Phillps attending practice, performing his rehab, & still participating in team activities. While it wasn’t expected that Phillips would return until next season, it’s great to see the progress being done in rehab. In the first tweet, below is Phillips running on an underwater treadmill to reduce the stress that land-based running would cause. In the other tweet, you can see the progress that Phillips has made & is demonstrating the proper muscle control during his step-up routine with a weighted vest. 

Even though he is unable to play this year, Phillips still understands his job & purpose on the team which further validates the culture that has been instilled at One Bills Drive. I expect to see more clips in the near future & see him inch closer & closer towards returning to football activities.

Probable Inactives:

TE Lee Smith

RB Frank Gore

S Micah Hyde

S Jordan Poyer

DE Shaq Lawson

WR Andre Roberts

G Quinton Spain

This would be a game that the Bills would be foolish to not play all their reserve players for much needed live snaps. It is probably the best bet to allow some of the veteran players a true rest day, have all the starters play several series & then act as backups in order to get through the game. It would be great to get to 11 wins, but not at the cost of a key contributor going down. 

The Jets are still a talented team, this is the NFL after all. But this is the best-case scenario in where the backups can get extensive playing time & get some film for next season when the roster churns over. Plus, I don’t think in any circumstance that Terry or Kim Pegula are forcing the coach to play certain players as in the still hotly debated topic of QB Doug Flutie or Rob Johnson. This will be a good game to allow the Bills to play & not worry about the outcome. There are bigger fish to fry next week with either traveling to Kansas City or Houston, both being true tests.

Top Photo Credit:

SBNation.com

Week 16 Bills Injury Review- Patriots

Will Morse play Week 17?

Tom Brady has to retire soon right? He’s now 32-3 against the Bills despite many, many close losses by the Bills over that timeframe. I want to be mad, but Tom Brady has to retire soon right? I can’t even be that mad because the Bills already locked up a playoff spot which gave this game little to no meaning with an AFC East title possible, but unlikely. Plus, there have been 7 instances since 1970 where a team sweeps a division rival in the regular season & loses in the playoffs. 

Why not make it 8 if we get them in the divisional round or AFC Championships? Anyway, the Bills came out of the Patriots loss again with minimal injuries. Check them out below.

DE Shaq Lawson (left hamstring)

Lawson suffered what appears to be a minor hamstring strain at the beginning of the 4th quarter on a tackle for loss in the backfield. He came up ready to celebrate and immediately grabbed at his left hamstring, limping slightly around the field. However, he continued to play & maintain his regular rotation on the line, not immediately appearing limited.

The tackle itself didn’t appear concerning, which is why I didn’t feel that he suffered any injury upon the initial replay. On later drives, I was able to see that he occasionally motioned to the left side, but not really favoring the side too much. Sad to say, his celebration may have caused the strain.

The team has been incredibly conservative with hamstrings, but considering that he continued to play through the injury, it may not be a concern. I believe that the injury is hurting him more after playing in where the muscle has tightened up due to the injury from inflammation rather than during the game in where he was able to stay loose. The Bills only have 4 defensive ends on the roster & I expect that he continues to play unless he is dealing with a moderate strain. I believe he may be limited somewhat in practice this week but this will be a non-issue by Sunday.

C Mitch Morse (right ankle)

Morse suffered a right ankle injury as the result of Patriots DE John Simon falling on the back of his ankle, forcing it to twist out with a few minutes left in the 4th quarter. He came up hobbling, appearing to try to shake out the ankle before completing one more play in where Josh Allen converted the 4th & 1. Morse was evaluated by trainers on the field & required some assistance to walk off. He did not return & his absence was noticeable as the Bills drove down the field to attempt to tie the game. 

His injury appears to be a routine low ankle sprain which really isn’t all that concerning. I am sure he is hurting but it was later reported that if the Bills had another drive, he probably would have been able to come back according to The Athletic’s Matthew Fairburn. 

 

Considering the Bills do have some depth on the line, I could see a scenario where Morse is active but does not play. This isn’t implying that he won’t be healthy enough, but I believe he would be an emergency option in case G Jon Feliciano or even G Spencer Long go down if they play in his place. 

WR Andre Roberts (unspecified)

I wait until the Monday afternoon press conferences for reports such as these. More often than not, there are these injuries that aren’t apparent during the game & then they appear on the injury report. Reviewing the game film, Roberts was involved in 13 offensive snaps & 8 special teams plays. From my viewpoint, he stayed pretty clean during the game. There were a few instances where he got hit or bumped from behind, ankles got clipped on a return, but no glaring instance where he came up limping, appeared limited, or took a shot. 

It’s interesting that they note that the injury is unspecified. I wonder if it’s gamesmanship on the Bills part here. Even though they are playing a meaningless game against the Jets, they still need to safeguard the players for the playoffs & limit information coming out. To delay even a few days what Roberts could be dealing with could be a competitive advantage. They will eventually have to reveal it on the injury report, but my guess is he’s dealing with some type of strain or contusion, leaning more towards strain in the lower body.

I suspect this because he’s unspecified, his moneymaker is his legs & on special teams, and the injury isn’t obvious. My immediate guess is a calf or hamstring strain. To note, Roberts did deal with a quadriceps injury that kept him out of the 1st two games this season, but it’s unlikely that these are related. 

It’s simply too soon to tell whether he will suit up Sunday or if he will be a person that gets some much-needed rest. 

Other Notes:

DT Corey Liguet played after being ruled questionable for the 2nd straight week with a knee injury. I still don’t have specifics & likely won’t for some time. He did not appear to be limited, playing in 29% of the snaps, which has been on par for him the past few games. His knee continues to be something to note, but until more information is available, then speculation is all we have.

I do not recall a time when the Bills had a meaningless game to play. This is fantastic to note that there are games still to play but the Bills do not have to rely on the outcomes of games to secure their fate. I expect that the team treats this as a pre-season game in that the starters will get some playing time, but will quickly be pulled where able. I know that the team only suits up 46 for game day, but any backups should be playing considerable time to give the starters a rest & prevent injury. 

I did want to note a retweet that I received from a follower, Ned Hunt, the other day stating that the Bills have used the least amount of personnel this season, indicating their health. It’s great to see that they can keep their core players healthy & not have to continuously bring in new guys who have to learn a new system.

One more regular-season game to play. The Bills just have to get through this game against the Jets & then begin preparing for a likely matchup against the Texans. Here’s to hoping that the Bills escape yet another game with minimal to no injury before the playoffs. 

Top Photo Credit:

Yardbarker.com

Week 15 Bills Injury Preview- Steelers

What is going on with Liuget & Feliciano?

The Buffalo Bills haven’t won in Pittsburgh since 1993, a 24-3 win in their march towards a 3rd Super Bowl appearance. Regular season, they haven’t won there since 1975. To date, the Steelers have won the last 6 meetings with the last win coming in 1999. Safe to say there’s a lot riding on this game, a chance to make up for previous failures. To top it off, this is a Sunday Night game, the Bills haven’t appeared on Sunday night since 2007, an embarrassment by the Patriots. There’s so much at stake, we may need a priest to perform an exorcism for good measure. 

The one upside is that the Bills continue to be healthy heading into a win & in playoff scenario. Players are reducing padded practices per the CBA & trying to manage their health during the week to maximize their abilities on Sundays. Below are the injuries & expected inactives prior to the Sunday game. 

OUT

OT Ty Nsekhe (right ankle)

Nsekhe will miss his 4th straight game following his severe sprain suffered in the win over the Dolphins. He continues to show progress, observed walking without a walking boot, but not practicing just yet. I had anticipated that he could come back in time for the Patriots game which is still realistic, but not a guarantee. Once he begins practicing, then a return to play timeline can be definitive.

QUESTIONABLE 

DT Corey Liuget (knee)

Liuget has been dealing with a knee injury all week that forced him to miss Wednesday’s practice, but limited Thursday & Friday. It is not known which knee is bothering him but there were several instances where he could have sustained a contusion due to hitting his knee on a helmet, getting kicked, or having bodies fall on him. Unless a clear mechanism of injury is identified or even which side, hard to really tell if he’s a guarantee to play. If he is unable to go, DT Vincent Taylor gets the nod.

OG Jon Feliciano (illness)

Feliciano was sent home Friday with an illness that affected RB Frank Gore this week & RB TJ Yeldon & OG Quinton Spain last week. It’s flu season & people are bound to get sick. He is truly a 50/50 on whether he plays Sunday night. Considering he has extra time to recover with hitting the fluids & resting, there may be a chance he plays. From the looks of what I’ve seen him do this season, he’s one tough dude. With the ability to clinch a playoff spot, I would think he could muster enough energy Sunday night. If he can’t go, OG Spencer Long would likely get the start.

CLEARED TO PLAY

DT Jordan Phillips (knee)

Like Liuget, it’s unknown which knee he is dealing with. He popped on the injury report as limited Thursday indicating he missed some drill at some point, reportedly receiving extra attention from the training staff at the beginning of practice. Looking back at Sunday’s game on replay, it was a brutal, physical game. It’s no surprise several guys are banged up, especially the big uglies in the trenches. Thankfully, Phillips is cleared to play & he will continue his rotation on the defensive line as they have every other game. 

QB Josh Allen (left ankle)

Allen suffered a mild left ankle sprain as the result of getting stepped on by C Mitch Morse which forced him to limp off the field briefly. He quickly got his ankle taped back up & was able to return to play without missing a snap. As he didn’t appear on the injury report this week, I don’t anticipate it being an issue. He will likely have either some bracing or have it taped up in order to provide extra support. I don’t believe that it will hinder his overall mobility. 

Probable Inactives:

TE Tommy Sweeney

OG Ike Boettger

RB TJ Yeldon

OT Ty Nsekhe

DT Corey Liuget

S Dean Marlowe

WR Duke Williams

The Steelers boast a talented defense, strong offensive line, beat up starting running back in RB James Connor, lacking their top wide receiver in WR Ju-Ju Smith-Schuster & playing their 3rd string QB Devlin Hodges. Heinz Field is not an easy place to play as Steeler Nation shows up every game & this will be no exception. It will be cold & the pressure will be on. The Bills appear to be the more talented team heading down to Pittsburgh to play on the national stage. They have shown they can hang with anyone; this is a winnable game & I expect Buffalo to end Sunday night with 10 wins. 

On a personal note, growing up in Erie, PA, I was surrounded by Steeler fans including many family members. It is incredibly satisfying to see Facebook meltdown after a Steelers loss. I plan on watching the game from the comfort of my own home, watch the Bills win, and then sit back, with a tasty beer as Steelers nation cries themselves to sleep. GO BILLS!

Top Photo Credit:

Sportsbookreview.com

Week 14 Bills Injury Review- Ravens

Despite a loss, the Bills still showed a lot on Sunday afternoon. I’m not talking about this was a moral victory or if one thing was different, they could have won. What it simply comes down to is the offense didn’t come alive until it was too late, but what it did show that the Bills weren’t overmatched as in years past.

The Bills simply weren’t as good as the Ravens were Sunday with a 24-17 loss, but it shows that there isn’t a team, at least in the AFC, that the Bills weren’t as good as or can’t keep up with. We have seen this team rebound after a loss & improve their shortcomings, rather than getting stubborn & refuse to realize when something isn’t working. On top of that, the Bills continue to stay healthy & gear up towards an almost certain playoff trip. Below are the updates from the game.

QB Josh Allen (left ankle/foot)

Allen suffered an ankle sprain/foot contusion as the result of C Mitch Morse stepping on his left ankle/foot, attempting to keep the pocket clear. However, friendly fire strikes again & Allen was briefly down, limping off before getting his ankle wrapped & returning. He was able to play the entirety of the game & did not appear to be fazed by it, but this is more of a pain issue than anything else. It’s possible he may be limited one of the practice days if they work outside or he may not even show up on the injury report.

During Monday’s press conference, it wasn’t noted that he was dealing with anything concerning. Regardless, this isn’t something that I anticipate will hold him back from playing & at most, keep him in the pocket, reducing the need to run.

OT Ty Nsekhe (right ankle)

Nsekhe continues to work back from an ankle injury that has already cost him 3 games. He has yet to practice with him returning in a limited fashion possible Wednesday. Detailed in previous articles, outlines of why he was able to avoid an ankle fracture, why it takes so long for a ligament injury to heal, & when he will return. As I write this, it is possible that he could begin practicing Wednesday for the Steelers game, but it’s more realistic he comes back against the Patriots. Until he shows up as a limited participant, it will only be an educated guess. Though when he does return, he will be close to, if not, 100%.

The Bills continue to stay healthy down this final stretch as they look to finally clinch their playoff spot. While we can’t prevent injuries from happening, the medical staff will do their best to keep the players in one piece. The big hope is that major injury continues to escape the Bills. If this does occur, this team is deep enough to overcome some losses but would certainly dash hopes to make a playoff run. All we can do is take it week to week & have the Bills control their own narrative.

Top Photo Credit:

Pennlive.com

Week 13 Bills Injury Review- Cowboys

How healthy will be Bills be heading into Week 14?

How bout dem Bills!! McDermott & crew landed in Dallas with questions about how good they were despite their 8-3 record. They leave Dallas with a 9-3 record after having shown 32 million people why they should be taken seriously. Outside of that opening Dallas drive that ended with a score, Buffalo then took control & never looked back, walking away with a 26-15 victory. On top of that, the Bills didn’t even suffer any notable injuries compared to the Cowboys coming into the game beat up & left even worse with Connor Williams going down with a torn ACL & Amari Cooper getting knocked out with a knee injury. Despite there being no significant injuries for the Bills, there are still several players to review as the final stretch of the season ramps up. 

S Micah Hyde (left leg)

Hyde sent a scare into Bills fans early on when he was tended to by trainers late in the 1st quarter. On replay with :38 left, it appeared that he got kicked or had his lower leg hit as he attempted to complete the tackle during the play. He was attended to by the trainers, slightly favoring the left leg as he walked off. He was briefly getting replaced by S Kurt Coleman for 1 play before returning for the rest of the game. Considering he returned so quickly, I don’t anticipate this being a concern moving forward, especially with the extra few days to recover. 

WR Robert Foster (right hamstring)

Foster was a surprise activation for Thursday’s game despite dealing with a right hamstring injury sustained in the win over the Broncos. He was questionable going into the game but managed to suit up & be quite effective. The fact that he was active bucked the trend of the conservative approach that the team takes towards hamstrings. This doesn’t mean that the team is making poor decisions, it just shows that there are variables when managing these injuries.

Either he suffered cramping during Sunday’s game & was fine for Thursday or he really only sustained a mild strain that allowed him to play through. He was able to play in 42% of the offensive snaps with 2 targets for 1 reception for 20 yards & 43% snaps on special teams. Foster also drew a key defensive pass interference early in the 1st quarter which helped keep the drive alive but did not result in any points. 

Regardless, Foster did his job & will have extra time to rest between now & December 8th when the Bills host the talented Baltimore Ravens. 

C Mitch Morse (right 5th digit)

Morse didn’t appear fazed by his finger injury which led him to be questionable heading into Thursday’s matchup. He was able to play in 100% of the offensive snaps & seemed able to handle his duties as normal. I don’t anticipate that this injury will linger & with the extra time off, this should be a non-factor heading into Week 14.

OT Ty Nsekhe (right ankle)

Nsekhe missed his 2nd straight game with the sprained ankle sustained in the win over the Dolphins. While he wasn’t active as expected, Marcel Louis-Jacques reported that Nsekhe made the trip down to Dallas to support his teammates. The significance of this is that Nsekhe was observed walking, albeit, with a noticeable limp but without a boot on following the game. 

This is promising to indicate that his swelling & pain appear to be improving, requiring less use of the walking boot. Considering he is still limping walking around, this means that he is still a ways off before returning. He will have to be walking pain-free & begin practicing on the sidelines before it is even considered that he returns to playing. I have not examined him but I don’t really see where he practices next week & misses the Baltimore game.

It’s possible that he resumes practice for the Steelers game with him going through the paces & at best ruled questionable. He could be active at that point but be used as an emergency backup if needed. A more realistic return may be in time for the Patriots game where he would be closer to 100% & be effective as a rotational player. He would have missed 4 weeks which isn’t unreasonable for an injury such as this. This timeline could obviously change as his practice status is updated, but this is what I believe will be a realistic approach in his recovery. 

The Bills are 9-3, a win away from double-digit wins for the first time in 20 years. There are more than several ample opportunities to win with possible chances over Baltimore & New England with higher probabilities over Pittsburgh & New York. This is a fantastic feeling to have, I really don’t know what to do with myself! This could end in 5 weeks in the Wild Card round, this could end in the conference championship, hell, even the Super Bowl. Right now, I’m ready to believe anything. This kind of success has long eluded this fan base & it’s about time we finally got to enjoy something. I’m looking forward to this next month win, lose, or draw. 

Top Photo Credit:

Bloggingtheboys.com

Week 13 Bills Injury Preview- Cowboys

How are the Bills looking as they go down south?

The Bills travel down to Dallas with a lot at stake. Win, move to 9-3 & gain the national “respect” that they deserve? Or lose, drop to 8-4, and have continued questions whether they are actually a playoff-caliber team. With both teams playing on short weeks, this game will come down to who makes fewer mistakes & can capitalize on the opportunities given to them. Fortunately, the Bills are far healthier than the Cowboys & can make the most with their roster to secure a win before hosting Baltimore in Week 14. 

OUT

OT Ty Nsekhe (right ankle)

Nsekhe continues to work back from the sprained ankle suffered in the win over the Dolphins. He missed the Broncos game & won’t be back for the foreseeable future. He will continue to rehab & begin working on increasing his workloads to eventually return to practice with the hopes that he returns before the Patriots or Jets game. 

QUESTIONABLE

C Mitch Morse (right 5th digit)

Morse appeared to jam his right 5th digit or pinky on a play late in the 1st quarter, striking his hand into the ground towards the end of the play, coming up & grabbing at the area. He was unable to return for the rest of the game but was at times observed snapping to QB Matt Barkley & getting his finger buddy taped to the ring finger for support. He is likely dealing with some minor loss of range of motion, pain, & swelling. It also doesn’t help that 40% of grip strength comes from the muscles that move the 5th digit, significantly limiting Morse’s ability to grip & snap the ball. 

It’s possible he broke his finger, but without clear video, hard to say. However, he has been limited Monday-Wednesday with the finger injury, indicating that this may not be the case. It is very possible that he still plays with the fingers buddy taped together for support to play effectively. If he is unable to go or re-injures the finger, then G Jon Feliciano would slide back over with G Spencer Long taking his place.

WR Robert Foster (right hamstring)

Foster suffered a right hamstring injury on his biggest play of the day Sunday on a 24-yard catch & run down the sideline. Unfortunately, he got pushed out, forcing him to catch himself on his right side from falling over. As he was doing this, he was decelerating, regrettably overloading the eccentrically contracting hamstring and he suffered a strain. The team has been incredibly conservative with hamstring injuries this season with great success. 

Despite practicing in a limited role Tuesday & Wednesday, soft tissue injuries need time to heal up & with 5 days between games, the time simply is not there. As Foster is ruled questionable, WR Duke Williams will likely get the start after 4 games inactive. Hopefully, Foster’s strain is a minor one & he can return to play against Baltimore. 

CLEARED TO PLAY

S Siran Neal (concussion)

Neal managed to progress through the concussion protocol quickly, only missing the Dolphins game & not practicing at all last week. Last we knew, he was in Stage 2 of the protocol going through a pregame workout on Sunday. For him to progress to practicing in full & clearing the protocol is promising, indicating that he will resume as a vital cog in the special teams play.  

Possible Inactive’s:

TE Tommy Sweeney

DT Vincent Taylor

WR Robert Foster

OT Ty Nsekhe

S Dean Marlowe

RB TJ Yeldon

OG Ike Boettger

There isn’t much to discuss moving forward other than the Bills have to go down to Dallas & take care of business. Ideally, the Bills move to 9-3, shutting up the critics as the Bills march towards the playoffs despite a tough stretch of games. Either way, the Bills have taken care of business, winning the games they need to & putting themselves into opportune positions, rather than relying on others screwing up for the Bills to have a favorable outcome. Bills Mafia, enjoy your Thanksgiving & GO BILLS!!