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 6 Bills Injury Review- Chiefs

How did Ford hurt himself & when is Milano coming back?

Primetime is not an ideal time for the Bills to play in the year 2020. Two primetime games, albeit, an altered schedule with the end result being two losses. To keep things in perspective, the Titans and Chiefs losses come at the hands of the AFC finalists from 2019 & the defending Super Bowl champions. 

Either way, a 4-2 record and first place in the division is still nothing to scoff at. On top of it, the Bills continue to trend towards getting healthier after appearing to regress towards the mean in regards to total injuries. They continue to avoid the season-ending variety of injuries and progressing towards getting healthy for the second half of the season. Below are the known injuries from Monday night. 

In game injuries:

G Cody Ford (knee)

Ford went down at the beginning of the 4th quarter with 14:36 left as the result of a right knee injury. Looking back at the film, Ford actually injures the knee on the 3rd down play just prior with a pile of bodies falling on top of him. He stayed in during the 4th down play and injured the knee further when he got rolled up on from behind, forcing his knee to the ground. He reportedly was able to walk off under his own power but required the cart to get to the locker room.

By video, it appears he suffered a right MCL sprain due to the mechanism of the injury & the Bills designated the injury as a knee. I had originally thought he could have suffered a high ankle sprain based on having his leg rolled upon. Having an MCL sprain is a far better outcome than a high ankle sprain. MCL sprains vary by severity and it may appear that he suffered a Grade 1-2 sprain due to his week-to-week designation by the team. These can take 2-4 weeks to recover based on the literature and falls in line with what we have seen termed as week-to-week. That designation may have been made considering his other injuries as well.

Credit: PTHealth.ca

This is an injury that isn’t all that concerning as these injuries heal up well and do not have lingering problems once healed. While Ford may only miss 1-3 games, I question whether he wouldn’t benefit from a short IR stay from a pure injury standpoint. This is despite him playing some of his best football over the past few weeks. This would help the team in two ways. 

This would allow Ford to address his groin, possible left shoulder/elbow injuries, and now right knee. This would also open the door for G Jon Feliciano to return to the active roster without having to outright cut someone. Expect Ford to miss the Jets game & possibly the Patriots game as well. 

LB Tyrel Dodson (hamstring)

Dodson left the game early in the 3rd quarter on the punt return with 10:37 left with what appears to be a right hamstring strain. He appears to injure the hamstring trying to slow down once the fair catch was called. He began walking to the sideline motioning to his right leg indicating something was wrong. His night ended as a result and he has also been deemed week-to-week. 

Credit: Orthoinfo.aaos.org

Considering this is a hamstring injury & we see how conservative the team is with management, he will probably miss at least the Jets game, possibly the Patriots game as well. We typically see these hamstring strains miss anywhere from 1-3 games based on previous management by the team.

The only upside to his injury is that LB Matt Milano will possibly be returning after a two-game absence which helps cushion the loss of Dodson as depth. 

CB Cam Lewis (left wrist)

Lewis had his night end early with a wrist injury midway through the 1st quarter. This was the result of a missed tackle on Chiefs RB Clyde Edwards-Helaire. It is not clear what he injured, but he came back out to the sidelines with a heavy wrap to the area, but ultimately did not return. 

It’s hard to say what he exactly injured because he attempted to tackle Edwards-Helaire, missing the tackle and getting swung past him. The left wrist hits Edwards-Helaire and then Lewis falls to the ground. Looking at other angles doesn’t suggest he did anything differently. I don’t have clear information about the exact injury. As the week progresses, we will see in practice his availability or bracing he may have on the wrist. Right now, this one is inconclusive.

WR John Brown (calf/knee)

Brown can’t seem to get out of his own way this season when it comes to injuries. He has been dealing with the foot sorenesss/injury, likely calf strains, and recent knee injury. His lack of production Monday night could also be tied to injury as he appeared to tweak something early in the game on a catch going out of bounds. He never quite looked right in his play and finished with 0 catches on 4 targets. 

It’s difficult to identify what he injured on film early on due to the sideline being in the way, but All-22 shows that he appears to strike his left knee while he was falling to the ground to catch the ball. He came up walking gingerly, appearing to favor his left leg, the same one he appeared to injure in practice prior to the Titans game.

Regardless of the injury, he simply is not performing up to his standard of play and satisfying the needs of the offense. It appears that Brown’s injuries are not severe enough to outright bench him, but he is clearly not the effective player that he was last year. He may have to continue to battle through these nagging injuries until he gets to the bye week for some much-needed rest.

Other injury observations 

 LB Tremaine Edmunds (right shoulder) & QB Josh Allen (left shoulder)

Both Edmunds & Allen both shed their respective shoulder braces at different times for Monday’s game which was an interesting decision. Edmunds shed the brace just prior to the game which is a good sign in his healing process. The team continues to acknowledge he is working through a shoulder injury, the fact that he has ditched the shoulder brace tells me that this injury is more of an AC joint sprain.

If he had torn his labrum, instability would still be present & the chance to partially dislocate or fully dislocate would still be there. I have no doubt it is still painful for Edmunds to play, but there are pain management strategies along with rehab available to help him as he continues to heal.

Allen removed the shoulder brace for the final drive of the game which ended in an interception. I’m not certain why he ditched the brace as I do believe there is some instability present in the shoulder due to the original injury. I have thought that Allen has been forced to change his throwing mechanics as a result of the injury the past two weeks, keeping his left arm closer to his chest during throwing which limits the ability to rotate the trunk. This is something I am going to continue to dig into and reflect back on as there is more data & film available. 

He may have shed the brace for the sheer fact that he wanted no restrictions in his ability to construct a game-winning drive. Allen did not come through in the clutch but he also avoided injury. It’s also important to note that he took more runs this game, but they appeared to be more designed runs, allowing him to follow his blockers & reduce the chances for an errant hit. This will be something to continue to assess as the season progresses. 

G Jon Feliciano (pectoral injury)

Feliciano continues to practice within his 21-day window to return to the active roster following his pectoral injury from July. He has until October 27th to become activated by the team or return to the IR for the season. Sean McDermott would not comment on whether he would be activating Feliciano due to not wanting to give the Jets any possible advantage in game planning. 

I see one of two scenarios play out. The team could activate him Saturday & cut someone in time for Sunday and he begins working back into the lineup. Or he misses Sunday’s game and is activated that Monday or Tuesday when the team has the possibility of putting someone on IR in his place like I had suggested earlier in the article with Ford.

Feliciano should come back & I had suggested a return date of the end of October in my Buffalo Rumblings article from August. The only way he doesn’t come back is if he had a setback, but nothing appears to be suggesting that. Look for the big man to play against the Jets or Patriots.

LB Matt Milano (left pectoral injury)

Milano has been sorely missed the past two weeks dealing with a pectoral injury sustained against the Raiders. He was questionable leading up to this game and there were hopes that he would play. But the research did not suggest it and unfortunately, it was accurate. Considering he was close to 50/50 on playing Monday, that opens the door to return in Week 7 against the Jets. 

We still have to see him practice in full this week, but considering he was limited with also a full practice in there indicates that he is progressing. A matchup against the NFL’s worst team could be a nice welcome back game for Milano as he gears up for the second half.

G Quinton Spain (foot soreness)

There still isn’t any new information on Spain’s foot soreness from Tuesday’s game. This is something to continue to monitor but not well-timed due to the fact that Cody Ford is dealing with his injuries. Hopefully, this foot soreness is mild and he can begin practicing more this week.

The team is getting healthier, the injuries they have sustained continue to be overall minor but have prevented the team from fielding an effective roster. A bounce-back game against the Jets is needed to move to 5-2 both in terms of confidence and health. The team will need both as the following 3 games against the Patriots, Seahawks, and upstart Cardinals are true tests if the Bills want to show that the first quarter of the season wasn’t a fluke. We will see what the rest of the week brings as the team prepares for Sunday against the New York Jets.

Top Photo Credit: Rochester First

2020 Week 6 Bills Injury Preview- Chiefs

Will Milano & White play? What is going on with Edmunds shoulder?

The Bills are getting healthier but are still dealing with injuries to several key players which could affect their availability for Monday. It’s no surprise that they will look to rebound at home after a bad loss that showed just how beat up they were. Below are all the injuries including who will be out & thoughts on who may play, & their effectiveness against the Chiefs.

OUT

TE Dawson Knox (calf)

Knox missed practice all week with a calf injury from Tuesday’s loss. It isn’t clear how he hurt the calf, only when he generally injured the area. This occurred early in the 2nd quarter before he disappeared with a report later saying he was questionable with a calf injury. He possibly strained it and it’s not apparent on film or the calf was hit, causing the injury. He was tackled low in that area just prior to going out of the game. Either way, calf injuries, specifically strains, usually take longer than one week to heal and can linger if he tries to rush back. The hope is that he comes back next week.

QUESTIONABLE:

LB Matt Milano (left pectoral)

To see Matt Milano practicing in full is a real positive sign. It’s good to see him back out there on the field and it’s good to see him hitting with pads. In the video below, you see him hitting the tackling skid with his right shoulder. By video, it appears he’s wearing a shoulder harness that supports the pectoral injury. 

Despite the full designations, I am still reserved about him playing against the Chiefs Monday night. He does great hitting a stationary object, he does great running around with his legs. I am concerned about trying to wrap up players, especially as they run away from him or try to juke him, like in the case of Raiders RB Josh Jacobs, which is how the original injury occurred.

If his target gets outside of him, especially on the left side, I question how effective Milano could be. I had thought he’d miss at least 2 games in my Buffalo Rumblings article and I’m still sticking to that. In the picture below, we do get confirmation that he is wearing a shoulder harness. 

Credit: James P. McCoy/Buffalo News

If he does play, the Bills are the ones making that decision and they have far more information than I ever could have. So if he plays, then that means he’s healthy enough and this would also signify that the injury was truly minor.

CB Tre’Davious White (back)

White continues to battle back from a back injury that flared up in practice last week according to Sean McDermott. Details still aren’t clear regarding what White is dealing with. It appears that it is more pain-related due to the wording “flare-up”. What’s causing that pain isn’t known.

As it is a back injury, there are lots of possibilities that can cause pain but aren’t apparent on film. McDermott also explained that he will let the doctors make the determination of whether he plays or not which also indicates that there could be something more going on. The doctors will educate White and explain the pros and cons of playing. 

We still aren’t even sure which part of the back he is dealing with. My theory is that it’s lumbar because that’s where we typically see more complications and that’s where the weight-bearing portion of the spine that helps keep us upright. 

He does look good on film moving around but I do question how close to full speed he is going. He is still questionable on the injury report which may mean that it could come down to how he feels Monday pain wise. Considering the type of person that Tre’Davious White has shown himself to be over his time in Buffalo, I’d expect that he wants to play. But he’s also an educated adult and may err on the side of caution once he has all the facts in place. I will lean towards him playing because he is a competitor, but will not be alarmed if he missed another game. 

WR John Brown (left knee)

Brown continues to battle through foot, calf, and now knee injuries. This started as the foot injuries which could have been tied to overuse due to the altered ramp-up period from training camp. The calf injury could have been isolated and also as a result of gameplay as we saw him first deal with this during the Rams game. Add in the knee injury from practice and you got a player who needed a week off. 

The knee injury may have been more acute which led to missing Week 5. He has practiced in full the past 2 days and limited Saturday with the possibility that he plays Monday. Having had the week off should make a big difference in the effectiveness of his play if he suits up.

G Quinton Spain (foot)

Still not much is known about Spain. He was a surprise inactive on Tuesday with “foot soreness”. He hasn’t dealt with any publicly known foot injuries since last year in training camp when he had foot soreness as well. I can’t even speculate on what’s going on because there aren’t even any details. 

As he is no longer a starter, it’s possible he sits out again, especially if he injured the foot on Tuesday during warmups. 

ACTIVE:

Josh Allen (left shoulder)

Allen continues to show up on the injury report with the left shoulder & he continues to practice in full. I had noted that he took fewer runs on Tuesday & appeared to avoid hits to the shoulder in general. We still don’t know the official details of the injury; this will become clearer as the season progresses. It will be important to note whether he takes further shots to the shoulder or if he continues to wear the brace. Fortunately, this isn’t something that will drastically affect his play with the exception of reducing the hits he takes to that shoulder.

Tremaine Edmunds (right shoulder)

Edmunds cropped back up on the injury report due to his right shoulder injury. I had stated in previous articles that it appears to be an AC joint sprain based on the timeline that has been established so far. I had speculated several other injuries, but the latest news and observations don’t appear to support them. The severity of the injury just appears greater than originally thought which could explain some of his struggles. Joe Buscaglia of the Athletic pointed this out in practice which sums up the red jersey thoughts, more succinct than I could ever express below.

I did note in the Matt Milano video that Edmunds was hitting with his left shoulder and not his right. This could have been to avoid further contact with the area or it could have simply been a part of the drill. He has continued to play since missing the Dolphins game and barring a setback which further aggravates his injury, he should continue to play with his effectiveness improving.

Zack Moss (toe)

Moss missed his 3rd game in a row with what appears to be a turf toe injury. I had thought he’d only miss one game and then come back to play, but this has stretched out longer than I had anticipated. He continues to fall in the general timeframes we see for turf toe, but stretching towards the more conservative timeline. 

We also have seen the Bills take a more conservative approach towards their rookies, holding them out to ensure they are fully healthy. We saw this last year with RB Devin Singletary who missed 3 games due to a hamstring injury. Moss doesn’t have a designation this week so this means that he is finally reappearing after his hiatus.

S Micah Hyde (unknown, possible ankle/knee)

Hyde went down with some type of injury in the game against the Titans but came back after a brief hiatus. It still isn’t clear if it was an ankle or knee but it’s important to note that he isn’t on the injury report for this week. In this world of constant information, it’s easy to forget things even though they happened just days before. I’m glad to see Hyde not on the report, but it will be interesting to see if he continues to battle through his ankle issues from earlier on.

Other injury news:

G Jon Feliciano (right pectoral injury)

Feliciano continues to work back from his pectoral injury suffered back in July while weightlifting. He was activated last week but he still hasn’t been placed on the 53-man roster. Due to the change in IR rules, he had to stay a minimum of 3 weeks on IR before his window could open. From there, he has 21 days to practice before he has to either go back to IR or go to the active roster. He officially started practicing on October 7th, which makes his final day to practice before they have to make a decision on October 27th.

I don’t anticipate that they will wait that long, though they could. I can see the Bills watch how things play out against the Chiefs with injury or quality of play, then make a decision on who to cut or send to IR in order to clear space for Feliciano. I envision a scenario where he comes back in a limited role for the Jets game & begins to work his way into the lineup that way. He still needs live game reps and all the practice reps in the world won’t prepare him to take 100% of snaps right away. 

Inactives:

TE Dawson Knox

RB TJ Yeldon

QB Jake Fromm

LB Matt Milano

G Quinton Spain

The Bills are getting healthier as they prepare to face one of their toughest opponents in 2020 so far. The Chiefs are also dealing with a number of injuries themselves, though they have more players practicing in full comparatively. They did lose G Kelechi Osemele for the season due to double tendon ruptures in the knees which is a blow to their offensive line.

Former Bills WR Sammy Watkins is dealing with a hamstring strain that will keep him out for Monday night which could be beneficial if Tre’Davious White doesn’t play. LB Anthony Hitchens is dealing with a hand injury & illness which could affect his availability for Sunday. One final surprise, OT Mitchell Schwartz was ruled questionable with a back designation. If he is out, losing 2 out of 5 starting offensive lineman in a week would not bode well for any NFL team.

This game should be close with the Bills being healthier and should serve as a rebound game to get back on track. Even if they lose, I would not expect them to lose in a similar fashion from Tuesday night. It should be an exciting game considering how electric both offenses are. I always want a Bills win, but the Chiefs are coming off a loss themselves and want to prove something. Regardless of the outcome, I expect an entertaining game.

Top Photo Credit: James P. McCoy/Buffalo News

2020 Week 5 Bills Injury Review- Titans

How beat up are the Bills?

We’re Bills fans. We’ve suffered a few losses over the years. I’m not certain that Tuesday’s loss is drastically different, but it does hurt after a 4-0 start. However, what is different is the expectations. To just make the playoffs before 2017 was a pipe dream. Now it’s not only an expectation, it’s not enough. This year needs a playoff win, an AFC title game appearance, hell, Super Bowl or bust! 

Let that sink in. In 2017, that wasn’t even fathomable to consider. Losses hurt, but the bar for success is now higher. This is why we feel this way, we now expect to win. What’s different for this season and a downside of 2020 for the Bills is the effect that injuries have had on this roster after being one of the healthiest teams over the past few years is noticeable. Below is the injury recap including those that were declared inactive & in-game injuries. 

In-game injuries:

G Quinton Spain (foot soreness)

Spain was a surprise inactive with foot soreness just prior to the release of inactives. Besides the designation, nothing is known regarding what led to the foot soreness. He was not on the injury report last week and has not dealt with foot soreness since the preseason from 2019 from my records. I do not believe they are related at this time. Sean McDermott reported Wednesday that he was improving since last night. Despite not starting anymore, to lose him as depth hurt Tuesday night.

TE Dawson Knox (calf)

Knox left early in the 2nd quarter with a calf injury that was not reported until much later in the game. He wasn’t terribly effective on Tuesday but dealing with a calf injury won’t help his availability come next Monday. It is not clear when he suffered the injury as he ran up through the line on his last play with 12:25 left in the 2nd quarter. Following that play, he then exited the field. Several plays before that, he caught a pass on the right side of the field and was tackled low, potentially hitting his calf at 13:49.  Calf injuries like groin injuries are subtle and not always clear on film. 

Credit: WebMD

According to a study from 2017, it looked at a single NFL team’s calf injuries over a 13 year period. The average time to return following a calf strain was 17.4 days. Based on film with Knox, he may have suffered a Grade 1 as he was able to exit the field on his own and the injury wasn’t apparent at the time. So if 17.4 days is the average between Grades 1-3, the standard deviation for the study was 14.6 days. So the recovery time could be as short as 3 days. 

Can’t say for certain how long Knox will take, but we have seen teammate John Brown play through a likely calf strain, its possible Knox can too. He could miss a week with what we know right now, but things can and do change. The team reports that he received imaging on the calf to determine the severity. We will have to see if Knox participates in practice this week at all. 

S Micah Hyde (possible ankle/knee)

Hyde scared the fan base when he went down with a non-contact injury, grabbing at his knee with 11 minutes left in the 3rd quarter. The initial fear was something severe, especially when a player goes down without any contact, but fears were reduced once Hyde came back out later.

In this clip from Cover 1, you can clearly see the moment Hyde went down and it appears that he injures something. I had to watch this clip multiple times before settling on what appears to be an ankle injury. He has battled low ankle sprains frequently this season and the sudden direction could have caused him to roll his ankle. However, it could be his knee; we simply need more information including body part designation.

Other injuries 

CB Tre’Davious White (back)

Prior to the inactives getting announced, CB Dane Jackson was called up from the practice squad. That was a sign that either Tre’Davious would not play or that Jackson was available in the event that he could not finish the game. Unfortunately, Tre’Davious did not suit up indicating that this back injury is real. We still don’t know the specifics of the injury and it’s not certain that the team will release that information. 

Sean McDermott did note that he had an injury that flared up in practice last week which likely indicates that his injury predates the Raiders game. Nothing on film suggests that he suffered an injury. His snap percentages going in order by week for this season: 79%, 96%, 100%, 100%. If this was a worsening injury, I would expect his snap counts to decrease as the season progresses. Hints like what McDermott said today at least help to begin to narrow down the possibilities. This will be something that will be monitored. 

Those believing that White missed the game due to COVID concerns, just think about how crazy that sounds. Many players play hurt, many players strive to give everything they can to be part of an NFL roster. For White to sit, that simply doesn’t appear to be in his DNA. If the team reports he has an injury, then he has an injury. End of story. We will get more details hopefully later. 

WR John Brown (left knee)

Brown was ruled out prior to the game with several nagging injuries already this season, adding in a knee injury sustained in practice on Thursday. While it was possible for him to play, it was best that he sat out a week to give his body a much-needed break. None of these injuries are season-threatening, but the culmination of the foot, calf, and knee injuries led to missing Week 5. Hopefully the night off allowed him to get right and he can come back for Week 6.

RB Zack Moss (toe)

Moss missed yet another game with a toe injury, his third one in a row. He practiced in full this past week towards the end and it appeared he was trending towards playing. Either Moss is being held back as he is a rookie, wanting to get him fully right or he wasn’t needed in the game plans. I still believe that he has turf toe and it does take 2-4 weeks to recover from as noted in my previous articles. I’ve learned that the literature shows the guidelines for recovery and the NFL tends to be more aggressive in returning players to play, hence my aggressive timeline as well. It’s very possible the team is simply protecting their assets.

LB Tremaine Edmunds (right shoulder)

Edmunds does not look as good as he has the past 2 seasons due to the right shoulder injury he suffered in Week 1 against the Jets. The team acknowledges that he’s battling through the injury and he continues to improve. I had been conflicted about the initial injury due to several things I was seeing following the injury, but I have settled on the fact that it is an AC joint sprain looking at the mechanism of injury. Based on what we’ve seen so far, we know this appears to be more of a grade 2-3 sprain as he missed 1 game and hasn’t looked great against the Rams with slowly improving quality of play against the Raiders & Titans.

According to Dr. Colberg at the Andrews Sports Medicine and Orthopedic Center, Grade 2 sprains can take 3-4 weeks to heal and Grade 3’s can take up to 8 weeks. This is with proper rest & rehab under these circumstances. Edmunds continues to play football, potentially re-injuring the area at times, though he has avoided contact to the right sides when tackling. He will continue to play and get better through the season, but things still may not look pretty for several weeks. If he can get right for the second half of the season and it appears he’s trending towards that, then he could be playing his best football come December & January.

LB Matt Milano (left pectoral)

Milano was the only expected injury to miss with the left pectoral injury suffered in the win over the Raiders. He was ruled out prior to the game and I am not expecting that he plays in the Chiefs game either. McDermott notes that Milano is improving, but he will need several full practices before he should even be considered to play. 

QB Josh Allen (left shoulder)

Allen was noted to be playing with the shoulder harness that he was wearing at practice last week and following the initial injury against the Raiders. I had thought that he would run less in the offense to protect the shoulder and it appeared that he did. He only had 4 rushes for 18 yards and from my observations, he was less inclined to take a hit, instead going down to avoid contact. The 4 rushes are not a career low but is something to note. It’s not known if this was game planned or to avoid injury. Allen will still continue to play this season and hopefully improve on his performance from Tuesday.

I expect that there are new injuries added to the report by this afternoon. There seems to always be an injury or two that show up that wasn’t apparent during the game. The Bills will continue battle through injuries as they prepare for Kansas City on Monday night. 

Top Photo Credit: RochesterFirst

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

G Quinton Spain Injury Profile

#67 Quinton Spain

Position: G
Height/Weight: 6’4/330 lbs.
Age: 28
College: West Virginia
Year joined Bills: 2019
Acquired: Free Agency via Titans

College Injuries:

TBD

Pro Injuries:

2015 Titans:

No publicly reported injuries

2016 Titans:

Hyperextended knee, Week 7, missed 2 games.

2017 Titans:

Turf toe, Week 7, missed 2 games.

Back injury, Week 17, missed 0 games.

2018 Titans:

Shoulder injury, Week 6, missed 1 game.

Ankle injury, Week 10, missed 0 games.

2019 Bills:

Skier’s thumb, thumb surgery, suffered during OTA’s, required surgery, missed 0 games or preseason.

Foot soreness, preseason, missed 0 games.

Ankle contusion, preseason, missed 0 games

2020 Bills:

Foot soreness, Week 5, missed 1 game.

General links:

2020 Bills Injury Preview- Center/Guard

Bills 2020 Training Camp Injury Preview: Center/Guard

Will Morse, Spain, & Feliciano stay healthy in 2020?

This is Part 6 of the Buffalo Bills training camp preview revisiting injuries from 2019 & the impact it may have on their performance and availability in 2020. Part 6 consists of the center/guard room.

Players Returning

C Mitch Morse

16 games, 16 starts, 908 snaps, 2 holding penalties

Like most of the other players on the offensive line, Morse is quite tough, not letting most injuries get him down. The Bills free-agent prize of 2019 had high expectations coming to him following a solid career in Kansas City. Regrettably, he brought with him some notable injuries including a long history of concussions. That history continued to follow him to Buffalo along with some other smaller issues that thankfully did not cost him anytime.

Below is Morse’s known injuries:

    • Concussion

Morse suffered a concussion on a rather innocuous hit early in training camp. The time spent in the concussion protocol was extended due to his extensive previous injury history. As a result, he missed the entire preseason and all the contests as he slowly worked his way through the protocol. 

Towards the end of the preseason, it was revealed that Morse cleared the concussion protocol just prior to the cut-down day and was cleared for the regular season. There is the thought that the team purposely did not rush him through the protocol to ensure that he was fully healthy, but that also meant that he was not allowed to speak to the media while in the protocol, thereby reducing the stress of coming to a new team.

    • Right ankle

Morse suffered a right ankle injury when RB Frank Gore kicked him by accident as he ran up the middle in the 2nd quarter of the Titans game. He played a few more snaps that game before sitting out the entire 2nd half as Feliciano took over center duties. Considering all the injuries the Bills were dealing with prior to the bye, they did not want to risk the health of a starting offensive lineman. 

    • Right 5th digit hand

This injury was the result of engaging his Broncos defender before falling down to the turf, landing on his right hand. He came up grabbing the pinky area running to the sidelines. He was observed on the sidelines the rest of the afternoon with the finger buddy taped to the ring finger, even practicing snapping with QB Matt Barkley. Due to the Bills taking care of business, Morse was once again not needed for the rest of the game. 

    • Right ankle

Morse once again suffered a right ankle injury, this time when Patriots DE John Simon fell on the back of his foot late in the 4th quarter during the second meeting with New England. He was assessed by trainers and did not return to the game despite the Bills still having a shot to win the game. It was later reported that had the Bills had another drive, he would have been able to return which indicated that the injury was not severe. 

Overall, Morse was relatively healthy once he got past his preseason concussion. The finger and ankle injuries are just a byproduct of the position he plays and is not concerning moving forward into 2020. Morse has had 4 documented concussions and there is a concern for a fifth. Looking back at the article from Buffalo Rumblings, players who suffer 3 or more concussions are 3x more likely to suffer another one. Morse is in that danger zone; hopefully, the augmented training camp may reduce his chances for a 5th head injury. 

G/C Jon Feliciano

16 games, 16 starts, 947 snaps, 2 holding, 2 false starts, 1 fumble recovery

Feliciano truly is a warrior. He started all 16 games, was called upon multiple times to play center when Mitch Morse went down and overall was a mauler. He quickly established himself as an anchor at the guard position which really helped solidify the line to ensure consistency. Through all this, he played with multiple injuries that would sideline most players.

Feliciano’s injuries below:

    • Left shoulder rotator cuff tear

Feliciano went down with a left shoulder injury at the Bills home scrimmage at the beginning of August last year. He was done with the practice for the night and at the time, it was not known what he was dealing with. It appeared to be minor and it quickly became a non-issue.

Fast forward to January following the playoff loss, it was revealed that he suffered a rotator cuff tear which required surgery to repair. It’s quite possible to play through a partially torn rotator cuff but the pain at times would be incredibly difficult to manage. According to this most recent video on Twitter, this is confirmation that Feliciano is fully healthy & ready for training camp. This likely indicates that he had the partially torn rotator cuff & he should not be limited in any way.

    • Neck

He suffered what appeared to be a whiplash injury during the 1st quarter of the Bengals game where he got hit from the side by Bengals DT Geno Atkins and slammed into Mitch Morse. He finished the 2-pt conversion before ending his day, getting downgraded to out. He was observed leaving the stadium in a neck brace which worried some people but he ended up getting through practice and playing against the Patriots the next week.

    • Right lower leg

This injury was the result of friendly fire, courtesy of Dion Dawkins falling on Feliciano when he was attempting to make a tackle off the interception thrown by Josh Allen. He did not miss a snap following a defensive play series and was able to return to finish the game. 

Feliciano is yet another lock to make this roster but the big question mark will be whether he will be 100% with his rotator cuff repair. I am leaning towards him being ready to go due to having access to excellent medical care along with the injury likely a partial thickness tear. If he is not ready for training camp, he will be afforded the time to get his shoulder into shape for the regular season.

G Quinton Spain 

16 games, 16 starts 1063 snaps, 2 holding, 2 fumble recoveries

Spain became a valuable contributor to the Bills offensive line, far outplaying his one-year contract. Fortunately, the Bills rewarded him with a 3-year deal following the offseason, ensuring that he will be with the team for the foreseeable future. Along with stellar play, Spain was fairly healthy throughout the season, allowing the offensive line to remain consistent.

Spain’s injuries below:

    • Thumb surgery/ankle contusion/foot soreness

These injuries are lumped together due to occurring all within a short timeframe during training camp & OTA’s. Spain had injured his thumb severely enough that it required surgery which limited him during OTA’s. At the time, I had thought he either suffered a skier’s thumb injury in where the UCL ligament tore or if he suffered a fracture which required surgery to reset the bone. He was eventually able to be ready for training camp & did not have any known issues moving forward.

His foot soreness was reported early on in training camp but did not appear to be much of an issue as he was still playing through it. He suffered an ankle contusion as the result of RB Frank Gore stepping/kicking Spain during a routine play in the preseason and was, unfortunately, a victim of friendly fire. 

    • Foot

Spain showed up later on the injury report with a foot designation following the win over the Dolphins in the first game, though little was known what caused his issue. There wasn’t any mechanism of injury and this did not appear to be a chronic issue requiring multiple weeks on the injury report. 

Spain will make the roster in 2020 and he appears to be in even better shape than last season as evidenced by the picture below. He should continue to make an impact at the position and as long as he stays healthy like he did last season, he will be able to make another significant difference in the offense.

G/C Spencer Long

14 games, 174 snaps

Long, a six-year NFL veteran saw a considerable drop in his snaps compared to his previous seasons playing for the Jets & Redskins due to the presence of C Mitch Morse. He only got considerable playing time in 3 games with most of his other playing time on special teams. Despite the limited playing time, he still suffered several injuries.

Long’s injuries below:

    • Right knee

Long was limited early in training camp with what the team described as “knee soreness”. He had a compression sleeve & a hinged knee brace while on the bike. He may have suffered a minor knee sprain but he has also had previous knee issues dating back to his time with the Redskins. It was not something that appeared to limit him as the season progressed.

    • Ankle

He suffered an ankle injury late in the week prior to the first Patriots game which ultimately caused him to miss the game. During this timeframe, the team was dealing with a variety of injuries, and having Long out did not help things. It was not known which side he injured or how he suffered the injury.

Long was otherwise fairly available but got most of his snaps at guard due to the emergence of Jon Feliciano playing at center as needed. Long has a great shot at making the roster but if he is not in the team’s plans, the Bills can move on from him with a minimal financial penalty. 

G Ike Boettger

2 games, 54 snaps

Boettger continues to be a depth piece on this offensive line where he has been too good to expose to the practice squad, but not good enough to get meaningful playing time. Only appearing in 54 snaps all season with a majority of his time in the regular-season finale. He did not suffer any known injuries during his limited play. 

Considering he knows the playbook & has continuity in the room, he has a shot at making the roster or could be a valuable trade asset especially in the abnormal training camp of 2020.

New to the roster

G Marquel Harrell

Coming from Auburn, Harrell demonstrated the ability to play against elite competition in the SEC. He also comes to Buffalo with his health intact which may play into his favor as he attempts to make the roster. His injury history is detailed here at Banged Up Bills. He has a long way to make this roster, but Brandon Beane’s ability to identify talent may land him on the practice squad or a roster spot down the line as the front office has been known to bring back talent as it’s needed. 

G Evan Boehm

Boehm is a well-traveled man who has suffered a variety of injuries during his various stops in the league. He demonstrates versatility playing at both guard and center which may help him find a spot on the roster, especially if injuries occur. Read his injury history at Buffalo Rumblings

2020 Outlook

A lot will be riding on the health of Morse, Spain, & Feliciano, all locks to make the roster. All had outstanding play despite dealing with various injuries. If one of them goes down, there is depth at the tackle position that could move over to guard or a reserve lineman could step up to play until the starter returns. 

Along with the three previously mentioned locks, I see the possibility of either Boettger or Boehm making the roster, Long as a possibility, though he could be an excellent trade piece as Feliciano has shown how good he is when asked to fill in at center. Harrell is a long shot and may find himself on the practice squad, especially if the rosters get expanded due to the pandemic. This is a strong group of players that could make or break the effectiveness of the firepower at the offensive skill positions. 

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 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 Preview- Ravens

Breaking down why Nsekhe is out so long.

9-3. What a sight to behold!

The Bills are 9-3 heading into the month of December. That’s pretty incredible after all the years of cold meaningless football. While the Bills still have more work to do this month, this has turned into quite a special season, making the national media take notice on the team from Western NY. As the Bills embark on vital December games, the team continues to stay healthy following a rash of injuries around a well-timed Week 6 bye. But the Bills, they’re incredibly healthy now & in prime position to capitalize on teams limping into the playoffs. With the Ravens coming to town on an 8-game winning streak, this is a true test for the Bills to create an opportunity to capture an elusive AFC East crown.

OUT

OT Ty Nsekhe (right ankle)

Nsekhe continues to rehab back from his severe ankle sprain suffered against the Dolphins back on November 17th. On Wednesday, it was reported that Nsekhe would be out on the practice field in some role, however, he was a DNP all week. This is not surprising considering the severity of the ankle sprain he suffered, assessed out at least as a Grade 2 inversion ankle sprain. 

The reason this ankle continues to require more time is due to how ligaments heal. Like all tissues, they are made up of various building blocks. In the case of ligaments, water, collagen, & amino acids create the makeup of the tissue. During normal use, the ligaments crimp & uncrimp based on the tensile loads placed through the joint as they connect bone to bone for structural support. As the joint is progressed through the range of motion, the ligaments elongate until they are maximally stretched. Prior to the injury, the striations of the ligaments are linear and allow for support during the full range during joint motion. Think of the striations in a nice steak, all linear and uniform as seen below.

blood cell types
Credit: Sportsinjuryclinic.net

When an injury occurs, the ligaments are either overstretched or outright tear. When a joint is taken to its end range, the proprioceptive nerves in the ligament start signaling for the muscles around the area to contract to prevent the joint from injury. While this attempts to reduce injury, the muscles are not always able to overcome the forces from the injury. Based on the severity, anywhere from several fibers to the entirety of the ligament can tear. 

During healing, the body attempts to heal quickly by putting scar tissue down in a haphazard fashion to heal the tissue. Because the tissue is not linear, the elasticity decreases & the tissue is not as strong as what was originally torn. What happens then is if the tissue is reinjured, it takes less force for the tissue to tear or it stretches out & does not regain its normal shape as easily. You can see below how the makeup of the tissue changes with injury.

scar-tissue-image-300x175
Credit: oregonmassageandwellnessclinic.com

All this tissue healing takes time, anywhere from 6 weeks to a few years for the tissue to fully mature. Fortunately, progressive loading movements help remodel the tissue as it heals in order to return to activity sooner. This is why we are able to gauge return to play timelines based on the severity of the injury. At the end of the day, Nsekhe needs proper rest with increasing loading of the surrounding tissue and ankle joint to ensure that he regains full function in the ankle without causing further damage to the healing tissue.

According to ESPN’s Marcel Louis-Jacques, Nsekhe is out of the walking boot this week, hopefully walking without pain. Ideally, he begins to practice in a limited capacity next week with an outside chance to play against the Steelers but more realistic chances to return against the Patriots. 

CLEARED

OG Quinton Spain & RB TJ Yeldon (illness)

Both Spain & Yeldon missed Thursday’s practice with what was described as an illness. Considering its flu season, that’s likely the cause. Neither were ruled out and while Spain won’t be 100%, enough fluids & Vitamin C should get him through the game. Just another reason to get the flu shot so you don’t get the flu. If you can’t get the shot, you know you can’t. But if you’re able, it helps keep you & others around you healthy. 

Possible Inactives:

TE Tommy Sweeney

OG Ike Boettger

OT Ty Nsekhe

WR Duke Williams

RB TJ Yeldon

S Dean Marlowe

DT Vincent Taylor

The Ravens are on an 8 game winning streak coming into New Era Field. Winning streaks in the NFL like this are rare & need to end at some point. I believe the Bills with their elite defense are primed to stop Lamar Jackson & Greg Roman’s offense. The Ravens are dealing with injury, but the Bills are healthier which with that and the ability to contain Lamar Jackson, could propel the Bills to victory. Here’s to a competitive game with the home crowd advantage, leading to a defining Bills win.
Top Photo Credit:

Baltimore Sun