Week 12 Bills Injury Preview- Broncos

Get the comprehensive timeline on Nsekhe’s ankle & rehab process.

It was expected that the Bills couldn’t stay healthy forever. NFL games are a brutal endeavor & not everyone can avoid injury. While the Bills are down a few players going into Sunday’s game, they still appear to be on track towards making the playoffs which means they could get timely reinforcements when the health improves. The injury report is pretty cut & dry this week but there are still details to discuss especially as we are rapidly approaching 2 games in 5 days. Below is the injury breakdown prior to the game & outlook for the short week.

RULED OUT:

S Siran Neal (concussion)

Neal suffered a concussion with 7:41 left in the 2nd quarter on a routine kickoff following the 2nd FG of the day by K Stephen Hauschka. He appeared to bullrush his assignment and hit his head in the process before getting up appearing to be dazed. In a twist of irony, one of his teammates patted him on the head after the play, not exactly the ideal thing to do after a possible concussion. Neal’s day ended early, getting ruled out & placed into the concussion protocol. 

He was unable to practice all week & was observed watching practice from the sidelines which indicates that he is in Stage 2 of the protocol. He has already been ruled out & it is a guess when he will progress through the protocol to be cleared.

OT Ty Nsekhe (right ankle)

Nsekhe managed to avoid a severe ankle injury when Dolphins DE Avery Moss landed on the back of his foot during a routine run play midway through the 3rd quarter. I had originally stated that he suffered a fracture/dislocation & that his season would likely be done. I have the receipts to prove I am wrong. My buddy, Dr. Chao, aka @ProFootballDoc, also had thought the same thing but thankfully we are now looking at a week-to-week injury instead of season-ending IR. Below is a video detailing why he avoided a fibular fracture.

There were reports that Nsekhe was out at practice in a walking boot which appeared to rile up the masses in a good way thinking that the injury wasn’t as serious as it appeared to be. At the end of the day, he suffered a low ankle sprain which comes with it a still very real & arduous rehab timeline. The reason he was out in a walking boot was the fact that he didn’t have any restrictions in weight-bearing. In the rehab world, it’s encouraged to resume weight-bearing as tolerated unless specifically contraindicated in order to allow for the healing process to take place.

Yes, everyone has heard of PRICE (Protection, Rest, Ice, Compression, Elevation), but after that initial 24 hours of rest, exercise & mobility activities are encouraged for better outcomes. Multiple studies have shown that introducing exercise shortly after the injury reduces the time that one is out compared to immobilization with a 4-7 day reduction in the timeframe for return. Right now, that could be the difference between going to IR versus playing on Wild Card Weekend. 

Allowing weight-bearing allows for joint approximation is vital for the healing process. This allows the muscles in the ankle and lower leg to cocontract & increase joint stability. This also allows the joint to begin to regain proprioception which is the perception of awareness of the body in space in relation to its surroundings. These are all fancy terms, but what does this mean? This means that just by weight-bearing, he is improving his strength and joint positioning with each step he takes. As the pain & swelling reduces, he will continue to perform active strengthening in the area along with balance exercises, increasing the difficulty until he is able to begin walking without the boot. 

As he progresses to higher-level activities, jogging, running, football-specific drills will continue to increase until he is ready to resume playing. This process can take anywhere from 4-6 weeks for a Grade 2-3 sprain. As I previously mentioned in my article from Tuesday, Nsekhe is a big dude, all of 6’8” & 325 lbs. A human that big will require some extra time to fully recover from any lower-body injury. 

While this is not a great injury down this tough stretch of games, having OT Cody Ford with experience helps until Nsekhe is able to come back. The hope is that he’s back in time for the playoffs, but he could realistically come back in time for the Patriots game on the 21st. We’ll see how he progresses, but it’s hopeful that the new training center allows for him to shave more time off to shore up the offensive line. 

Final thoughts on Nsekhe, the team has been bringing in a multitude of offensive tackles to work out including former Bills Sam Young & Seantrel Henderson as possible options in case OT Ryan Bates can’t cut it as a backup or if Ford struggles. 

SUITING UP SUNDAY

DE Jerry Hughes (groin)

Hughes continues to battle through a nagging groin injury suffered sometime earlier in the season which forced him to pop up on the injury report late last week. He was able to play in a season-high 53 snaps on defense. Considering that Hughes is a right defensive end, it’s possible that he is dealing with a left-sided groin strain. He lined up most of his snaps at his natural right side but did line up several times on the left, most likely due to the particular scheme. 

Lining up on the right side means that his power is coming from his right leg driving around the corner. He appeared to not have any issues driving off the left side, but when the adrenaline is pumping, anyone can work through some pain. He was not ruled out or had any injury designation, always an excellent sign. Some may wonder why he was a DNP Wednesday & Thursday but practiced in full on Friday. This was due to veteran maintenance & to save him for Sunday. Hughes may have benefitted from sitting out the Dolphins game, but both he & the training staff felt he was ready to go.

This will be an injury that he continues to play through, unlikely practicing unless it’s a walkthrough practice in the several days between Sunday & Thursday, but barring any further injury should play Thursday as well. While Hughes has not had the stat-bursting season that was expected, he still continues to force teams to game plan for him & pressure the quarterback each and every snap. 

S Jaquan Johnson (hand)

Johnson was a full participant this week despite a hand injury that popped up on the injury report Wednesday. Trying to identify a minor hand injury on film is quite difficult & it’s not clear when he suffered the injury. Johnson is a very physical player & there were many instances where he could have got his hand caught in a jersey, fell to the ground, or during tackling. Either way, he will be able to contribute to special teams & hopefully make an impact.

DT Jordan Phillips (toe)

Phillips showed up on the injury report Thursday with a toe injury. We don’t know which side, which toe, or when it happened. My guess is that this happened Thursday in practice & that it was an injury to the big toe. The big toe accounts for 50% of body weight during walking & without the toe, significant balance & walking issues arise. Injury to the other toes are rather minor & wouldn’t warrant reporting unless they were stepped on, making it a pain issue.

If this an injury to the big toe, the team can give him a stiff-soled shoe to take the pressure off the area during running and blocking. He also did practice in full on Friday which may show that this wasn’t all that serious & that he missed some drills Thursday, but didn’t have issues Friday. If he has issues in the game Sunday, we will see them. 

Possible Inactive’s:

TE Tommy Sweeney

DT Vincent Taylor

WR Duke Williams

OT Ty Nsekhe

S Siran Neal

RB TJ Yeldon

OG Ike Boettger

The Bills host the 3-7 Broncos who despite their abysmal record, carry an elite defense into the game with several pieces on offense, making them still a very dangerous team to play even at home. Like many other games this season, this is a winnable game & the Bills have to control the run game like they did last week. To move to 8-3 would be huge as the next stretch of games against the Cowboys, Ravens, Steelers, & Patriots are no easy task. Continuing to stack wins will be vital in the march towards the playoffs. 

Top Photo Credit:

broncoswire.usatoday.com

Week 11 Bills Injury Review- Dolphins

How severe is Nsekhe’s injury?

Another week, another win. The Bills move to 7-3 on the season with a convincing win over the Miami Dolphins in Miami Sunday afternoon. This is the best start for the Bills since 1999 & 10th time in franchise history that they started 7-3, all previous Bills teams made the playoffs with varying degrees of success. While the Bills are continuing to march towards the postseason, they will be without a key contributor moving forward. This & other injuries will be detailed below. 

WR Isaiah McKenzie (left knee)

McKenzie suffered a left knee injury when he caught a pass going out of bounds with :55 left in the 2nd quarter. CB Nik Needham was close by but unable to break up the pass, instead falling & hitting McKenzie’s lower leg. It appeared to hyperflex his left knee, causing McKenzie to get up & limp off the field. 

Thankfully this was close to halftime where he was able to get some rest & get a quick assessment to ensure he could play in the 2nd half. This injury appeared to be minor & is not something I expect him to show up on the injury report with later this week.

S Siran Neal (concussion)

Neal suffered a concussion midway through the 2nd quarter on the kickoff with 7:41 left following Hauschka’s FG. Unfortunately, the video is not available yet as there was a touchback & the camera followed the ball & not the players. It was reported he was shaken up on the play, but once All-22 comes out, we may get a clearer view of what exactly happened. Neal enters the concussion protocol with no guarantee he is cleared for next Sunday. 

OT Ty Nsekhe (right ankle)

Nsekhe suffered a rather severe right ankle injury with 9:14 left in the 3rd quarter. This was a routine run play by Singletary up the middle when Nsekhe’s foot was caught from behind by Dolphins DE Avery Moss, landing on the back on Nsekhe’s heel, forcing the ankle to roll under the big man violently before his body caught up & he falls down in obvious pain. 

He was immediately placed into in an air cast & carted off, waving to fans but in significant discomfort. The result: a likely ankle dislocation with fibula fracture. There is a concern that he suffered a tibia fracture as well, but he may have spared the more significant bone due to the ankle rolling as much as it did before he fell over. 

300px-Fibula_Fracture
Credit: physio-pedia.com

According to Monday’s press conference, more tests were being performed on Nsekhe’s ankle with no definitive answer at this time. 

This could be for several reasons: 

  • The swelling may have been so great that imaging did not show the true extent of the damage.
  • There isn’t an actual break but significant ligament damage on the lateral portion of the ankle.
  • The Bills know exactly what is going on (they likely do) & are sitting on the info because they have no reason to release it until they feel they’re ready or can sign someone to replace his roster spot. 
images (1)
Credit: physiodirectnz.com

Looking at an alternative video angle from Thad Brown, there is the possibility that Nsekhe avoided a break but dealing with quite a severe inversion ankle sprain. He would have injured the anterior talofibular & calcaneofibular ligaments when Moss landed on his ankle. There is a slight chance he avoided a fracture due to observing the heel sliding out, relieving pressure off the fibula as he went down. 

The sheer fact that he was placed into an air cast & carted off without the ability to place weight through his leg isn’t ideal. His season is possibly done, heading to IR for surgery & rehab if my original suspicions are confirmed. I am not certain but if you go on NFL Gamepass & watch the replay, it appears as though the snap of the bone is audible. I’ve played it multiple times in a row. 

This may be a similar injury to what LB Matt Milano suffered last season. if so, a recovery timeline for Nsekhe would be 6-9 months with my guess being closer to 8-9 months. There are several factors including: 

  • Nsekhe is 34 years old, Milano was 24 during his injury.
  • Nsekhe is 6’8”, 325 lbs. Milano is 6’0”, 225 lbs. 
  • Nsekhe’s bones are thicker & are required to accept more weight than Milano’s, requiring a longer healing time & associated recovery.

While 34 is still a youthful age, it is getting up there when it comes to the NFL. Nsekhe can & should make a full recovery, but considering the mileage on his body, it’ll be interesting to see whether he is able to return to full form in order to compete for a roster spot next year. He should be close to, if not fully ready for training camp & should be able to participate in OTA’s in 2020. He is clearly a talented player, the Bills have him under contract for another year, it may come down to how he looks in camp.

For the interim, OT Cody Ford slides into the starting role he has alternated with Nsekhe all season. OT Ryan Bates will likely move to back Ford up. Once Nsekhe moves to IR, the team may elect to fill his roster spot with practice squad players OT Brandon Hitner or OT Victor Salako. The other option is to find a street free agent or another player off another team’s practice squad. Either way, GM Brandon Beane already has a preliminary plan in place. 

Other observations from today’s game injury-wise include noting Nsekhe’s replacement OT Cody Ford is still wearing a hinged elbow brace with a compression sleeve on the left elbow from the injury in the Eagles game. Each week he wears this brace further confirms that he suffered some type of injury to the UCL ligament in the right elbow & the brace provides protection as the ligament heals. 

Other injury news to note is that DE Jerry Hughes was active & played his usual snap count, highest among the DL group. I had originally stated that Hughes would miss the game & I was wrong. While I did not observe every single snap, he did not appear to be compensating or limited. This also creates the thought that the team is not sold on rookie DE Darryl Johnson. While no one expects that Johnson can be an effective player such as Hughes, it shows that an injured Hughes is still better than a healthy Johnson. 

The loss is Nsekhe is going to hurt. While he is older, he showed the ability to play very well with the offensive unit. Ford is able to step in & contribute, but his play has been marred by penalties & inconsistent play. He will suffice, but the quality of play at the position will suffer. However, the Bills are 7-3 & even with a 3-3 finish to the season will give the Bills double-digit wins for the first time this millennium. The Bills are still very much in control of their destiny & can make noise in the playoffs if they played like they did Sunday.

Week 10 Bills Injury Preview- Browns

The Bills are healthy?

So hey Bills Mafia, what do you want to talk about? Clearly not about this injury report, I mean, there are all of two names on there. By the way, it’s Week 10. Week 10 of an NFL season. An NFL season which consists of broken bones, torn tendons, ligaments, concussions, & an endless supply of heartbreak. Yet, here we are at Week 10 with a “healthy” roster. I say nearly healthy because there are still injuries that linger, injuries that are unknown, injuries that are still on the mend. 

The Bills are 6-2 with a “healthy” roster coming into Week 10 against the 2-6 Cleveland Browns. That’s an awesome sentence to think about, write, & read. While the Bills still have to go & play the game, 7-2 is looking quite good right now. Before I get ahead of myself, there are a few injuries below, take a few moments to check them out, it’ll be brief!

Injuries during the game included WR Andre Roberts (leg), DE Trent Murphy (neck), & S Micah Hyde (knee) were all minor enough that they did not show up on the injury report & shouldn’t be a concern moving forward. To note, all did return to play after getting quickly evaluated by the medical staff. 

LB Maurice Alexander (knee/calf) was placed on IR this past week clearing the way for the Bills to sign DT Corey Liuget to help shore up the run game. The exact specifics behind Alexander going to IR is right now a mystery & may not be revealed until much later. To get more information about Liuget, make sure to check the tweet below. 

S Kurt Coleman (left hamstring)

Coleman suffered a hamstring strain on a special teams play against the Dolphins back in Week 7. He has since missed 2 games & frankly, the team has soldiered on without him. He continues to fit what the Bills training staff has done in managing hamstring strains. He was limited Wednesday when it was cold & windy outside, but since able to practice in full on Thursday & Friday. I expect he’ll play Sunday as he’s fresher than some of the other players who may be able to play but could use a week off.

CB Kevin Johnson (left knee)

Johnson was a surprise addition to the injury report Wednesday with a knee injury. Looking at the video below, it appears that he gets tripped up before landing hard on his left knee as he continued downfield.

He may have slightly hyperextended his knee, he may have twisted or tweaked the knee where it was sore, it’s not quite known what he’s dealing with. However, while he didn’t practice Wednesday, he was a full participant on Thursday & Friday. Johnson has been incredibly durable this year, only suffering a stinger which limited in practice during the week prior to the Eagles game but otherwise appears to have avoided serious injury that derailed multiple seasons when he was in Houston.  Either way, he should be good to go for Sunday to continue to special teams & defensive depth.

Probable Inactive’s:

TE Tommy Sweeney

S Jaquan Johnson

OG Ike Boettger

OT Ryan Bates

WR Robert Foster

RB T.J. Yeldon

DT Vincent Taylor

The Bills are looking to move to 7-2 following a trip to Cleveland in a battle for Lake Erie supremacy. All the talk about soft schedules, DVOA, power rankings; what does it matter if a win is a win in the NFL? Previous iterations of the Bills have received winnable games on paper & blown them, leading to a loss. So if the Bills get a win on Sunday, then they’re 7-2 & that much closer to a playoff spot and that much closer to a Super Bowl, even though that seems so far off. For now, I hope the Bills keep stacking wins, soft schedules be damned! Let’s hope for minimal to no injuries Sunday as the Bills march towards the difficult portion of their schedule.

 

Week 9 Bills Injury Preview- Redskins

Get the latest updates on Ford, Wallace, & Coleman.

What I do on a regular basis in observing & reporting Bills injuries at times can be simple or complex. Think of it as like an iceberg, in fact, think of it like the Titanic when it hit that god damn iceberg. Some of the injuries are easy & straightforward, as the top of the iceberg, easy to see. Some take some digging & detective work, real use of my professional degree to determine the true injuries. This is the part of the iceberg that you know is under the water, it exists, but the size or extent is not known. And then there are other injuries, injuries that just aren’t explainable & either won’t know the true story until either much later or really, ever. This is the Titanic, you can’t see it, you aren’t sure it’s even there, but you know its there somewhere. And maybe, the truth will eventually be found.

Why do I bring up a shipwreck that’s over 107 years old? BECAUSE IT GRABS YOUR ATTENTION!! How does the Titanic & football go together? IT DOESN’T!  But it gets one thinking about the complexities of determining injuries from not only video analysis, but from the reporting, news, & information available to the public. The Buffalo Bills fan base has been through enough with the Super Bowl losses, the Drought, the weather & nothing to do here jokes, you’ve heard them all. We deserve the best content because we love this team! From the beat reporters to the blogs to the pods, we are all trying to give our fellow fans the best insight possible so that we can be the best fan base ever. If I can use my education to connect with my fellow fan, then that makes me a better fan. So wrapping this all up, I do what I do because I love the Bills & love this fan base if I can add my two cents, then I feel I have done something positive.

Ok, passion-filled rant over. 

The Bills host the lowly Washington Redskins on what will appear to be a blustery and rather crappy day in Western New York. But we wouldn’t have it any other way. Buffalo weather baby!! In addition to the declining weather, the number of names on the injury report is also declining. As of this week’s count, there are only 4 names on the entire report dealing with injuries that could potentially cause them to miss Sunday. This is a far cry from 11 players for several weeks in a row. Below are the injuries & how it will affect their availability for Sunday.

 

OUT:  

LB Maurice Alexander (knee)

Alexander is a mystery as he appeared on the injury report Wednesday without any known mechanism of injury. He has not been able to practice the past week & there aren’t any specifics of what is going on. However, he was briefly on the injury report prior to the Patriots game in Week 4. He was a DNP the Friday before the game, was questionable, but able to play. He did have a hip injury in the win over the Dolphins but he did not show up on the injury report afterward. It’s also unknown if the knee injury from last month is related to this most recent injury. 

There is something that just isn’t know right now. See, iceberg, all coming full circle!

Until we get an injury that is a smoking gun, more information on what he’s dealing with, or really anything, this will be an injury that we simply don’t know. My initial speculation is he could be dealing with some type of tendonitis or small meniscal tear that he’s attempting to play through, but has flared up to the point he needs rest. Both could have been well managed until the issue was aggravated through regular play.

He is a key special team player so missing him Sunday will hurt. Fortunately, the return of LB Corey Thompson will help soften the blow as he is finally healthy from the recent ankle surgery that kept him out the past 3 games. 

 

QUESTIONABLE:

CB Levi Wallace (left shoulder)

Wallace has been ruled questionable following a shoulder contusion in the loss to the Eagles. To recall, he suffered the contusion as the result of getting run over by Eagles RB Boston Scott late in the 3rd quarter as seen below.

He has been limited all week but HC Sean McDermott was pleased by the workouts in practice the past few days which sounds promising for his availability for Sunday. While upper-body injuries are more difficult to assess on film in regards to practice, there is a strong chance that he plays Sunday. He will likely have additional padding to the area in order to protect the healing tissues, but there shouldn’t really be any reason that he can’t play unless he personally says he can’t go. I expect him to play Sunday.

 

OT Cody Ford (left elbow)

Ford suffered a left elbow contusion late in the 4th quarter which forced him to miss the last several minutes for a game that was clearly out of hand by that point. Ford has been limited all week but video available has been promising showing him shedding the red non-contact jersey and performing blocking drills despite having his elbow wrapped with a hinged brace to the area. The bracing will limit medial/lateral movement to reduce stress on the elbow if, for example, a defensive end is coming around the edge. This will also prevent hyperextension to the elbow during blocking and cause further damage. 

Considering how he had the elbow struck, coming from up underneath, there is a slight possibility that he suffered a UCL injury, similar to what QB Josh Allen had last year against the Texans. If this is the case, it’s quite possible to play through the injury with bracing, but I also don’t believe they would be putting him back out there so quickly if he had an injury of that magnitude to the area. 

He likely had the elbow struck & is dealing with more pain and swelling to the area, hence the extra protection. I expect that he plays Sunday, considering the injury & the lack of consistency that OT Ty Nsekhe is able to bring to the table this season. I also expect that he suits up with the bracing to get through the game. Continue the rotation that we have seen all season between Ford & Nsekhe.

 

S Kurt Coleman (hamstring)

Coleman continues to work back from a hamstring injury sustained in the win over the Dolphins 2 weeks ago. Like all other hamstring injuries this year, the team has been cautious in their approach & does not appear to be rushing anyone back well before they are ready. I have not observed any video of him in practice, but the fact that he is limited is promising. 

However, the weather is expected to be poor this weekend with a slick surface & cool weather. These are not the type of conditions ideal to play through with a hamstring injury. He may also be pressed into service if either starter goes down which, if he has a not 100% hamstring, could create a liability. I don’t anticipate that he suits up, taking the extra week before he gets a 2nd shot at Miami in the warmer weather.

 

Projected Inactive’s:

TE Tommy Sweeney

OT Ryan Bates

OG Ike Boettger

S Kurt Coleman

S Jaquan Johnson

RB TJ Yeldon

LB Maurice Alexander

 

Going up against a 1-7 Washington Redskins team should be an easy win. It should allow the Bills to move to 6-2 as they march towards the playoffs. But while the Bills see what appears to be an inferior opponent on the surface, below is still an NFL team with talented players that want to desperately win.

The Bills need to come out and control the line of scrimmage, punching the Redskins in the mouth right away to let them know they don’t belong at New Era Field. That loss to the Eagles last week hurt, I don’t expect the Bills to drop another, especially at home. I expect the Bills to finish their homestand with a win. On Sunday, at 4:30 pm, we will have an answer.

Top Photo Credit

BleacherReport.com

Week 7 Bills Injury Preview- Dolphins

Will Kroft, Johnson, & Singletary finally make their home debuts?

The Bills are back into the swing of things following a well deserved & well-timed bye week. The team has been preparing all week getting ready for a tire fire that is the Miami Dolphins franchise, looking to move to 5-1. While most fans are overlooking this game as a win, nothing is guaranteed in the NFL & this is no exception. Regardless of the opponent, the Bills are getting healthier for the next 11 games. The injury concerns are as follows:

QUESTIONABLE:

LB Matt Milano (left hamstring)

Milano resumed practice Monday performing ladder drills off to the side while everyone else ran through regular drills. Considering that Milano plays such a vital role in the defense & has to react to what he’s seeing in front of him, forcing him to keep up with the play. He will have to backpedal, change directions suddenly, and sprint. These activities will require a full recovery before attempting to return to play.

Milano was limited in practice Wednesday but was running and performing drills, indicating that he may be further along than originally anticipated. He was running a straight line, albeit, not full speed. He was performing tackling drills without much compensation. He is moving well considering he had a hamstring injury, but doesn’t appear to be fully healthy. He has been ruled questionable & I don’t expect him to play. 

LB Corey Thompson (ankle surgery)

As it’s well known now, Thompson has been working back from ankle surgery that has kept him out the past 2 games.

The video showed that Thompson returned to practice in a limited fashion Wednesday indicating that he is approaching his return. He may be nearly healthy & just working to get back into game shape. It is still unknown what ankle he had the surgery on but the video appears to show some greater bulk on the right ankle which may indicate bracing for extra support. He has since been ruled questionable, but I believe he has a shot to play in a special teams role to work back into game shape. He could also be available as an emergency backup in the likely event that Milano doesn’t play. 

CB Taron Johnson (right hamstring)

Johnson has been an enigma this season, coming back from a torn labrum last season that ended his season prematurely. He appeared incredibly healthy & ready to take the next step until he suffered a right hamstring strain during the Jets game. He has since missed the past 4 games that makes me believe he suffered some type of setback prior to the Patriots game. 

It’s a shame that his body does not appear to withstand the rigors of the NFL game. This doesn’t mean he won’t even be able to play again, but he may need to reinvent himself in order to last longer than 1 season in the league. 

This week’s practice was promising that he was practicing in full, but no other updates other than his availability was noted. Interestingly though, he has been ruled questionable. The only possibility is that he wants to test it out to ensure that he is truly ready. He’s been out long enough that he should be fully healthy & regain his starting role in the secondary.

WILL PLAY:

WR Robert Foster (turf toe/groin)

Foster continues to battle through a recent groin injury & what is now a possible lingering turf toe injury. While the groin injury is more pronounced, the toe is still likely causing issues regarding running efficiency. 

However, things are looking promising for Foster as he was able to practice in full this week indicating that while he may not be 100%, he is closer to playing this week as indicated by the practice designation. Players are deemed to practice in full if they take all the normal reps at that position. They are limited if they miss reps by design or due to injury. If they did not take reps, but practiced on the side, then they are did not participate.  Thankfully, Foster will be able to play Sunday. 

OT Ty Nsekhe (right ankle)

We still don’t know the specifics dealing with Nsekhe, coming off a minor Week 3 ankle injury followed by a Week 4 injury that appears to have been either a contusion or high ankle sprain. According to still pictures from Monday’s practice, this may be more of a contusion as he did not appear to have any bracing on the right ankle. Other shots showed that he was able to go through blocking drills without any significant issues. 

Wednesday’s practice noted that he did not practice due to requiring a veteran rest day, but the video showed him performing warm-ups and side-stepping drills. Fortunately, Nsekhe was able to practice in full Thursday despite the cold & rainy weather which indicates that this supports the contusion theory. Friday’s injury report states that he will play Sunday.

There is a concern that Nsekhe is unable to hold up through an entire game, much less than an entire season. He is 33 years old in a physically demanding position with nearly a decade of professional football to his resume. Whether he can withstand full games anymore is only something that Nsekhe & the training staff know. If OT Cody Ford continues through his development, there is hope that Nsekhe can sink back into a reserve role. Until then, he will rotate with Ford unless the team says otherwise.

TE Tyler Kroft (left ankle/right foot)

Kroft is finally looking good after an incredibly trying season thus far. The video below shows that the right foot appears to be completely healed up & the left foot/ankle accepting dynamic weight bearing activities during the cone drill. He doesn’t appear to miss a step, he doesn’t appear to favor one side or slow down when pushing off. I’m very optimistic about him finally making his season debut. He was able to practice in full this week which is about as good of a sign as one can get.

RB Devin Singletary (left hamstring)

Without question, Singletary will play Sunday! He looks excellent on video, there haven’t been any changes in how he looks from the last video available & barring a meteor hitting Buffalo, he should play, even if the weather isn’t ideal. At some point, an athlete has to play. The conditions will only be so ideal or so much rest will help. He may get injured, but any guy can be injured on any given play. Singletary continues to look good in practice this week & there should be no reason why he can’t play Sunday. 

OT Cody Ford & DE Trent Murphy (concussions)

Both Ford & Murphy are working back from concussions sustained in the Titans game and appear to be making some progress. Reports from Monday’s practice indicated that both were working through the protocol performing light aerobic exercise which indicates that appear to be in Stage 2 of the concussion protocol.

However, this week’s practices indicated that both were able to practice in full signifying that were in Stage 5, requiring that they needed to be cleared by an independent neurologist. Monday’s practice may have been just the nature of the activities they were performing rather than the actual stage of recovery. They have both appeared to have been cleared by the neurologist which indicates they will play Sunday. 

WR John Brown (groin)

Brown was a surprise addition to the injury report Wednesday with a groin injury & was limited in practice. His snap counts from the past 5 games can be seen below & did not greatly differ from game to game. 

Reviewing game footage from the Titans game didn’t reveal any specific instances of injury which leads me to believe that he suffered the injury during Wednesday’s practice. Thursday’s practice was more promising in that he moved well on film, but did not show his full abilities. However, he has since been ruled in to play but it will be interesting to see if his snap count is affected by the groin & addition of Foster. 

C Mitch Morse (right ankle)

Morse sat out the rest of the Titans game as what appeared to be a precaution to avoid worsening any injuries. He appeared to be dealing with a contusion suffered midway through the 2nd quarter. While there is pain, there isn’t much that is functionally wrong. He should not have any issues come Sunday & continue to demonstrate why he’s one of the highest paid centers in the NFL. This week’s practice supported how he is recovering with no bracing or difficulties observed according to reports. He at most may have had his ankle wrapped in prewrap & tape, but this would not be concerning for his ability to play Sunday.

QB Josh Allen (hand)

Allen appeared on the injury report this week with a hand injury but was able to practice in full. To specify, he injured his left hand when he threw his interception against the Titans in where he hit his hand against Harold Landry III’s shoulder pads.

This may a contusion that he is still having some pain with, this may also be a minor sprain of the metacarpophalengeal joint due to the direct hit on the shoulder pads. He may have some bracing to the area at worst, but unlikely as it would restrict his ability to grip the football if he were to run or have to protect the ball. 

However, as pointed out by a follower on Twitter, the injury report indicated the right hand was injured. This is a new development & previously unknown what caused this. As he practiced in full, this may not be an issue, but certainly, something to monitor. 

My predictions for inactive’s are:

LB Matt Milano

OG Ike Boettger

OG Ryan Bates

S Jaquan Johnson

S Dean Marlowe

WR Isaiah McKenzie

TE Tommy Sweeney

This is a very winnable game to get to 5-1. This Bills team is not what we are used to seeing, getting full of themselves, beating them at their own game when cupcakes like this come up on the schedule. This is a team that is built to play, a team that knows their role each and every Sunday. This team may not be the most talented, but they are certainly one of the hardest working. The bye week really made a difference in health & allowed the Bills to get back in the right frame of mind for the next 11+ games. 

 

Week 4 Bills Injury Preview- Patriots

Will mounting injuries prevent the Bills from getting a key win?

The Buffalo Bills enter Week 4 with a record of 3-0 against the also 3-0 New England Patriots with a chance to stay undefeated this late in the season for the first time since 2008. However, despite the promise of 4-0, the Bills have really taken the name of this website, Banged Up Bills, to a literal definition. Following Friday’s injury report, there are 11 players listed with a variety of injuries with even more who required veteran rest days. There have been thoughts that the Bills are taking a Patriots approach in injury reporting in order to confuse New England into having to over-prepare. While there might be a hint of the Patriot Way, the Bills are still dealing with very real injuries that will put several players availability into a game-time decision. Put a pot of coffee on, this is going to be a long one.

Special note:

If you haven’t read already, DT Harrison Phillips tore his ACL at the end of the game last week and has since moved to IR with eventual surgery. This was a big blow to the rotational depth at DT, but he suffered a direct contact ACL tear which are fairly difficulty to avoid. In his place, the Bills brought up former practice squad member DT Kyle Peko. To read more about Phillips, check out my video below & article at Buffalo Rumblings.

https://twitter.com/bangedupbills/status/1176327735444160512?s=21

RULED OUT

TE Tyler Kroft (right foot/left ankle)

Kroft is once again ruled out for the fourth straight week in a row with an injury. He is still recovering from the right foot injury that he suffered a possible Jones fracture back in OTA’s. However, the combination of the right foot fracture and left ankle sprain does not bode well for Kroft trying to return to play. There is a possibility he could return in Week 5 against Tennessee or return in Week 7 after the bye. If I was Brandon Beane, I would hold Kroft out until after the bye because TE Dawson Knox and TE Tommy Sweeney are filling in quite well in his place. 

LB Corey Thompson (ankle)

Thompson, like Kroft, is already ruled out for Sunday due to an ankle injury, later requiring surgery. He was questionable for last Sunday indicating the ankle injury was suffered previously. Reviewing film from Sunday’s win, he played in 6 special teams plays, 2 kick off’s & 4 punt coverage plays. Each play failed to show any possible mechanism of injury. All the plays occurred in the first quarter and he did not appear in the game after that. He may have determined that his ankle was bothering him too badly and declined to continue on which led to the eventual surgery.

I suspect that he had some type of ankle clean out due to possible bone chips or loose bodies from a previous injury. These are fairly routine but do take time to rehabilitate because it is still a surgery, even as minor as it appears. Ideally, with the bye week coming up, he can return quickly and continue his contributions as a key special-teams member.

RULED QUESTIONABLE

LB Maurice Alexander (knee)

Friday was the first instance where Alexander appeared on the injury report. It was reported that he was doing with a sore knee and held out of practice as a precaution. It’s unknown what is causing the knee soreness, but it has officially changed his status for Sunday to questionable. With an effective warmup before the game, he could be ready to play in limited action.

OG Jon Feliciano (neck)

Feliciano has been dealing with a neck injury suffered on the first scoring drive from Sunday. He was knocked over to the left onto C Mitch Morse and hit from the right side from Bengals DT Geno Atkins as he was falling down. He appeared to suffer a whiplash injury and did not return after the 2 point conversion. Later, he was observed wearing a neck brace in the locker room.

He has since been limited in practice the past two days with Friday able to practice in full. However, he is still designated as questionable most likely due to the limited practice days & whether he feels he can go for Sunday. The only way I do not see him playing Sunday is if he has a setback and he would have to make a decision not to play. If he is unable to go, G Ike Boettger or G Ryan Bates could step into his place. He has gone on the record reporting that he feels that he can play Sunday and I expect him to be a full participant.

WR Robert Foster (groin)

He appeared to suffer the groin injury on Wednesday, limiting him for Thursday. As this likely happened in practice, we do not know the severity or how it occurred. Foster has already been dealing with a turf toe injury during preseason dating all the way back to OTA‘s. I do not believe the turf toe is related to the groin. There is difficulty pushing off the toe and performing the movements expected every receiver to perform including twisting, cutting, pivoting, and running/sprinting. This would make everything that much more trying with a groin injury. While he is questionable, he is one guy that I could see inactive as the team already has WR John Brown as a deep threat and WR Cole Beasley underneath in order to keep the Patriots defense guessing.

CB Taron Johnson (right hamstring)

Johnson has been battling back from a hamstring injury suffered in the season opener, missing the past two games. However, he has looked incredibly good in practice from the video obtained from various beat reporters. It does not appear that he’s going full speed, though he appears to be much closer to full speed than others dealing with hamstrings. I have been on record multiple times stating that I believe he will play on Sunday and he’ll be a great matchup for the wide receivers. Expect him to play & be a difference-maker.

OG Spencer Long (ankle)

Long was another late addition to the injury report with a did not participate due to an ankle injury from either Thursday/Friday. Like Foster, we do not know the extent of his injury, nor what caused it. He is ruled questionable; this may be a game-time decision to determine if he feels he can play Sunday.

WR Isaiah McKenzie (ankle)

McKenzie was added to the injury report Thursday with a did not participate, but was able to practice in full Friday. Like several mentioned above, we do not know the extent of the ankle injury or how it occurred. There does not appear to be anything on film to suggest that there is an injury; unfortunately injuries are easy to miss due to how TV broadcasts show the game. He is somebody that is likely to play on Sunday.

RB Devin Singletary (left hamstring)

Singletary is one of the key components in the Bills offensive attack early in the 2019 season. He has been electrifying, producing 12.7 yards a carry and showing that he can handle the load left vacant by the sudden cut of veteran RB LeSean McCoy. Unfortunately, Singletary suffered a left hamstring strain late in the win over the Giants. He missed the last game as expected but has looked quite good from video obtained during the week. Since this is a hamstring injury, he is still 50/50 and will likely be a game-time decision depending on how he feels. I have a sneaking suspicion that he will play on Sunday but may be limited to prevent overworking and re-injury of the hamstring.

EXPECTED TO PLAY

WR Zay Jones (shoulder)

Jones made the injury list as a surprise addition early in the week with a shoulder injury. From my previous tweets & observations on Locked On Bills, we know that he has a shoulder injury, but don’t know the severity, side, or type. We know that he had a torn labrum two seasons ago for which he had it repaired and did not appear to have any issues last year. I do not believe this is a recurrence of the injury and there wasn’t anything from the Bengals game to suggest any new injuries. This might be soreness that the team wants to avoid any type of contact to prevent limiting his catch radius. He was not designated questionable and is expected to play Sunday.

CB Tre’Davious White (neck)

White was once again on the injury report with a neck injury now 2 weeks ago. He was wearing a red non-contact jersey Wednesday & Thursday for practice. Thankfully, he was able to practice in full on Friday and did not have an injury designation for the game Sunday. I am still not certain exactly what Tre is dealing with but this might be something that the team is closely monitoring and ensuring that he isn’t injured further in practice. As he is now becoming an established veteran, he has begun to earn these rest breaks and limited play in order to preserve his body.

If you’re still reading, congratulations, you are a true Buffalo Bills fan! I anticipate that there is a little gamesmanship going on to prevent the Patriots from fully knowing who will be playing on Sunday. I expect the inactive list to read as follows: 

Robert Foster

Ike Boettger

Conor McDermott

Ryan Bates

JaQuan Johnson

Tyler Kroft

Corey Thompson 

The only wildcards from this are Feliciano & Singletary. If the Bills are hurting for RB, they can call up RB Byron Marshall or WR Duke Williams if Foster can’t go. This is exactly the reason for depth.

Despite the Patriots being who they are, the Bills are playing at home with a deep and talented roster. I truly believe they have a legitimate shot to win. It will not require perfection, but little to no mistakes to come out victorious. Costly errors will quickly submarine their chances to move to 4-0. If the Bills come out with a W, I expect that New Era Field may shake so hard from the raucous cheering from Bills Mafia that it crumbles to the foundation. LET’S GO BILLS!