Week 5 Bills Injury Preview- Titans

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Week 4 Bills Injury Preview- Packers

Assessing the latest Bills injuries prior to the Week 4 matchup against the Packers.

A lot can change in one week. Last week at this time we were hoping that we could stay competitive in a tough road game against the Vikings. After the major upset that the Bills pulled off in Minnesota, this has everyone thinking that they may be able to do it again in Green Bay. As I said last week, Any Given Sunday! Today’s post will look at the injury report and what this means going forward for player availability.

The biggest question going into Sunday’s matchup is whether RB LeSean McCoy (ribs) will be able to play. He has been limited all week due to the cracked rib cartilage sustained against the Chargers which forced him to miss last game. However, Shady has emphatically stated that he will play Sunday. He could reinjure the area leading to more pain and slowing down the already slow healing process. He could also cause additional damage to surrounding areas as the cracked cartilage does provide support to the area and instability within the area could lead to further injury. However, a veteran with as much time in the league as he has knows his body and whether he can be effective. He would probably benefit from additional time off, but he knows his remaining time in the NFL is fleeting and must make every opportunity count. Expect him to play this week.

RB Marcus Murphy (ribs) is also dealing with his injury that has had much less attention devoted to it than McCoy. He may be dealing with a rib contusion which could be expected to heal quicker than McCoy’s injury or even a fractured rib. As McCoy will play, RB Chris Ivory is healthy, this may allow Murphy to rest. I do not anticipate that Murphy will play considering he has been limited all week and that typically does not bode well for playing Sunday.

Others that are questionable are TE Jason Croom (knee) and TE Charles Clay (shoulder/hip). Both injuries are intriguing in that they were not reported during the game, it did not appear that they missed any time besides the plays/packages specifically designed for them, and it puts into question regarding whether they will be available for Sunday. Croom was able to practice in full on Wednesday with limitations Thursday & Friday makes me think he suffered an injury Wednesday which in turn will make it nearly impossible to identify the particular injury. As for Clay, he has a long documented history of knee troubles, however he now has shoulder and hip injuries. Looking at film, there is nothing that appears out of the ordinary with his play nor does he exit for long periods of time indicating that he is injured. While I consider myself an expert on injuries, I cannot state that I was able to determine what happened to either player. There were several instances where Clay was taken to the ground hard and it appeared that he was slow off the snap the next play but he was still able to block and run his routes without any noticeable compensation. This makes it difficult whether both him and Croom will play Sunday. Reports indicated that Clay sat out of practice this week in order to maximize the chances he could play Sunday. However, since this team is TE heavy, they could either roll with two tight ends and add some receivers or Clay could suit up and play.

Others returning to practice is CB Phillip Gaines (elbow). Recapping, he dislocated his elbow in the loss to the Chargers and missed last week’s game. I do not believe he is 100% healed, however, he must be feeling better enough that he can play. I see no reason why he shouldn’t play if he feels he is ready. He may have some protective bracing or compression to the area to prevent it from getting hit and swelling up again.

Also returning to the fold are DE Shaq Lawson and DE Trent Murphy. Lawson suffered a hamstring injury that cost him 2 games and Murphy suffered an ankle injury in the waning minutes of the Vikings win. Lawson appears healthy but may still be limited with situational play or snap count to not re-injure his hamstring and restart the process. Murphy on the other hand appears 100% and should not be limited getting into the backfield.

Overall, expect RB Marcus Murphy and TE Jason Croom to be inactive. While TE Charles Clay is limited, I expect that he will be more ready to play allowing the team to play TE Logan Thomas and TE Khari Lee. Despite the growing injury report, these are still relatively minor compared to some of the other injuries around the league.

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

Week 3 Bills Injury Preview- Vikings

Assessing the latest injuries going into the Week 3 matchup against the Vikings.

The Bills travel to Minneapolis to face the Minnesota Vikings on Sunday and they could be without several key starters which will already hurt their poor chances for a victory. Today’s post will review the injuries going into the game, who could be expected to play, and how this affects the Bills overall.

Already ruled out is DE Shaq Lawson (hamstring). The 3rd year end suffered a hamstring strain in the 4th quarter of the season opener against the Ravens chasing down QB Joe Flacco. Since then, Lawson has not been able to practice, already missing one game. Unfortunately, strains such as hamstrings are common in early season games that reduce in frequency as the season progresses. It is possible Lawson returns to playing next week against the Packers based on expected healing time frames but no guarantee.

Those ruled questionable include RB Taiwan Jones (head), RB LeSean McCoy (ribs), WR Ray-Ray McCloud (knee), CB Phillip Gaines (elbow), and CB Taron Johnson (shoulder). Out of this group, I expect McCloud and Johnson to play based on their previous injuries and time frame to rehab. Recapping, McCloud injured his left knee in the preseason win over the Bears and Johnson injured his right shoulder during the season opener. McCloud’s knee appears to be a sprain and possibly the same goes for Johnson with his shoulder. Both have had an opportunity to recover and the fact that they both practiced in full Friday gives me hope that they will be available.

McCoy, Gaines, and Jones are less likely to play, though if this were later in the season, could be available to play. As mentioned last week, McCoy suffered a rib cartilage injury when C Ryan Groy fell on him towards the end of the play. While this injury is slow to heal due to a poor blood supply and covers a wider area than a broken rib would, he can still play in the face of it all. However, teams will be keying for him despite protective padding which could end his day early. I do not believe he should play in order to give his body the ability to rest, but he may try suiting up anyway. If he can’t go, RB Chris Ivory and RB Marcus Murphy will carry the load.

CB Phillip Gaines suffered a dislocated elbow during a tackle which required training staff to reduce the dislocation. He was reported to have heavy protective padding on the right elbow and was limited in practice this week. He could hypothetically play Sunday as the elbow joint is very stable when it comes to movement, but soft tissue in the area along with corresponding muscles may make playing difficult due to limited range of motion due to swelling/pain, reducing his effectiveness. He would essentially be a one armed cornerback. It would be best to let his elbow rest one more week before attempting to play due to the nature of the position.

Finally, RB Taiwan Jones suffered that gruesome cut to his forehead in the end zone during Sunday’s loss. Fortunately, he did not suffer a concussion but just the cut which required stitches. He could also play but even with a helmet, a hard hit could re-open that wound and cause further complications. While his loss on special teams will be felt, one week off will allow him to come back 100% next week.

Overall, expect Johnson and McCloud to play, expect Gaines and Jones to miss, and for McCoy to attempt to play though he may be overall ineffective. While this was one of the more injurious weeks for the Bills in recent seasons, they still have the appropriate depth right now to stay competitive. Once the starters go down for long periods of time as in previous seasons, then the Bills will truly be in trouble. As a realistic Bills fan, I am not expecting a win against the Vikings as they are considered a Super Bowl contender this year, I still expect a competitive game from the Bills as they attempt to find their identity for the 2018 season. If they play how they did in the 2nd half of the Chargers game, things may be okay. I do not expect the Bills to roll over like they did against the Ravens.

This wraps up the injury preview for Sunday’s game. Continue to check back for the latest injury updates and news coming out of One Bills Drive. Follow Banged Up Bills on Facebook, on Twitter @BangedUpBills, on Reddit at u/BangedUpBills, and online at http://www.bangedupbills.com. As always, thank you for reading and GO BILLS!!

Week 2 Bills Injury Preview- Chargers

Read the latest injuries prior to the home opener against the LA Chargers!

Football is back in Orchard Park for another season which means today is the home opener with the Bills looking to regroup after a performance against Baltimore that led Bills fans questioning many things. Last week’s game left much to be desired in terms of quality and being at home where the Bills went 6-2 last year should change things. Today’s article will review the injuries going into the game and how this will impact personnel decisions.

Roster moves made since last article include the releasing of DT Adolphus Washington and WR Jeremy Kerley for DE Nate Orchard and DT Robert Thomas respectively. These moves are surprising as both players released are veterans and have demonstrated an ability to play their respective sides of the ball. Washington throughout his career has been fairly healthy and has been available. Kerley was by far the most experienced receiver on the field and demonstrated the ability to be consistent considering the question marks at QB. These moves were made to improve depth especially with the loss of DE Shaq Lawson and improve the rotational depth at DT. The Bills move forward with new depth in the front 4 established with hopes to better control the scoreboard.

Those already ruled out for the game include DE Shaq Lawson (hamstring) and CB Taron Johnson (shoulder). Both injuries occurred last week with Lawson in the 4th quarter and Johnson in the 2nd. Lawson has a garden variety right hamstring strain that is best to let rest as to further not injure it. Johnson appeared to have a right shoulder stinger and may not be ready for contact, similar to what QB AJ McCarron suffered during the preseason. There’s always the possibility there is something else going on such as an AC joint sprain, but he was moving it freely walking off the field and did not require any support to the shoulder indicating instability. Both could be available next week based on their recovery.

Those questionable are WR Ray-Ray McCloud (knee). The rookie wideout missed the season opener with a left knee injury suffered in the final preseason game against the Bears on a punt return. Video was limited and appeared that he suffered some type of minor sprain based on the hit to the outside of the knee. As it has been 2 weeks and change, he may be healthy enough to suit up today. With the loss of WR Jeremy Kerley, the tea leaves point to him playing, though he has the final say on if he feels he’s ready.

Other injuries to consider include DT Kyle Williams (knee) and DE Trent Murphy (groin). Both have avoided the injury report with exception of Williams who requires veteran rest days. Williams, the heart and soul of the front 4, appears to be nearly full health after the right knee sprain in the preseason and doesn’t appear to be worth mentioning moving forward. Murphy played last week on a snap count and was set to increase his reps as a result but will be forced into greater service with the absence of Lawson. He will still be limited only due to not being in game shape.

Overall, the Bills are still healthy, major injury to key players remain limited, and as a fan, I’m expecting a better Bills team to show up today. I’m looking forward to sitting back and watching a much more competitive game with what I hope will be a more favorable outcome today.

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

Week 1 Bills Injury Review- Ravens

Breaking down the latest injuries following the loss to the Baltimore Ravens.

Well, that didn’t go very well. The Bills laid an egg with a very lopsided 47-3 loss to the Baltimore Ravens. Nothing seemed to click Sunday with mistake after mistake piled on until changes had to be made which stopped the bleeding but the damage was already done. This was one of the more painful losses the Bills have sustained during my time as a fan mostly because while I expect that the team may regress, it should not to be that effect. However, since this is a sports injury website, I will leave the game analysis to my good friends at Cover 1 and The Rockpile Report. Check them out if you haven’t already; absolutely fantastic content for the Buffalo Bills!

Today’s post will review the injuries sustained in Sunday’s blowout loss and what this means going forward. First up is CB Taron Johnson who suffered a right shoulder injury during a textbook tackle midway through the 2nd quarter. He was able to walk off and not require any additional assistance in supporting his arm but he was eventually ruled out. Looking at video, it appeared as though he suffered a stinger, basically a hard hit. This is supported by the fact that he did not have extra support walking off the field and he was rolling his shoulder out freely exiting the field. Considering the game was out of hand, he is a rookie, and there was no benefit to him playing, he was most likely ruled out. Had he suffered any real damage, it would have been revealed by now. I expect him to practice in full and play next week.

DE Shaq Lawson suffered a right hamstring injury attempting to chase down QB Joe Flacco on the first play of the 4th quarter. Reviewing video, it appeared as though when he attempted to tackle Flacco, he slipped and fell to the ground. Once he got up, it appeared as though he tried to resume running and possibly suffered his injury. As I reviewed in my hamstring article, there are varying grades of severity. I believe that Lawson suffered a Grade 1 hamstring strain which could cause him to miss 1-2 weeks. It is possible that he could play next week but his availability during practice will dictate the severity and availability.

Other injuries that the Bills are still dealing with include LB Julian Stanford and WR Ray-Ray McCloud. Stanford appears to be still doing with a broken nose and may be available next week now that he has more time to heal. As for McCloud, he is still dealing with what appeared to be a left knee injury suffered in the 4th preseason game. I really don’t have any idea what he is still out with. I suspect a sprain based on the possible hit he suffered during the punt return. Until more information is released, I can only speculate.

Those that were able to play after coming off injury include DE Trent Murphy, who was on a snap count and DT Kyle Williams. Murphy appeared in 35% of defensive snaps and 21% of special teams with no apparent re-aggravation of his groin injury. While his stats were not eye-popping which included 0.5 sack and 1 assisted tackle, it demonstrated that he was finally healthy and McDermott noted that he would increase his workload for next week.

Williams looked very efficient and did not appear to be favoring his right leg. He was able to play in 56% of defensive snaps and 21% of special teams which was in line with the other DT’s on the line. He will continue to require rest days but should return to full healthy and continue his effective play through his final year.

There may be other names that pop up on the injury report but overall the Bills continue to stay healthy. I believe this was the difference between making the playoffs and missing last season. While playoffs may not be expected this season especially after Sunday’s performance, I still believe that they will stay competitive in future games.

Continue to check back for the latest updates and Bills injury news. Follow on Twitter @BangedUpBills, on Facebook at Banged Up Bills, on Reddit at u/BangedUpBills, and www.bangedupbills.com. As always, thank you for reading and GO BILLS!!

Groin Pains for Murphy

Exploring why Trent Murphy’s groin injury isn’t healed yet & what this means for the rest of preseason.

As the local media continues to find story lines to report on, injuries are always an easy topic to report because it usually affects the quality of play on the field for that particular game and can affect the season as a whole. New Bills DE Trent Murphy is no exception. As detailed in past posts, he is coming off an ACL tear that caused him to miss the entire 2017 season. Unfortunately, Murphy has not been able to show off the talents that scored him a new contract due to a groin strain suffered a week into training camp. Today’s post will explore why Murphy is slowed with his groin and how it’ll affect him the rest of the preseason.

Previous posts have explored muscle strains including severity and general healing times. Murphy’s groin is no exception. The groin muscles are also known as adductor muscles. They attach from the pubic region of the hips and go down to the inside portion of the femur or thigh bones. These muscles allow the leg to adduct/cross midline and medially/laterally the femur rotate based on hip position. They also assist with hip flexion; all of these motions assist with running/cutting/juking motions required of football players.

We know that Murphy tore his left ACL last year and has worked steadily back into athletic shape. As for his groin injury, regrettably, I have unable to find which side of his groin he has injured as media reports do not specify. Overall, this won’t really affect recovery time but may shed light on how his body is compensating following the surgery. It’s possible that both sides are injured but we are unsure. He wasn’t able to really participate in OTA’s due to his recovery from the ACL surgery. Since then, he has been cleared for full practice but is still attempting to overcome a full year of restricted activity due to rehab. Normal population may have an ACL reconstruction and not deal with injuries with returning to sport, but as a high level athlete in the case of Murphy, small deficits can become bigger detriments as he asks the most out of his body. Despite being functionally strong enough for football, his body is still relearning the proprioceptive movements required for the position and this is most likely the reason why he is suffering other injuries because the hips/groin and ankle are having to compensate for the knee as he regains his football abilities. A quick refresher, proprioception is the ability to understand where your body is in space in relation to movement. Think of your leg like a chain in which each link is the ankle, knee, and hip. If there is a weak link in the chain, it will break. Same thing can happen in people, if one joint is injured or weak, others begin compensating and may cause further injury.

What does this mean for Murphy going forward? I believe he will eventually be able to play without restrictions by the time the regular season starts. It appears as though he initially suffered a Grade 1 strain which can take anywhere from 1-2 weeks to heal after injury, with some taking up to 3 weeks. This is supported by the fact that he first reportedly sustained the injury August 1st, which is 2 weeks ago today. As stated above, it normally takes 1-2 weeks to heal under normal circumstances. I believe Murphy felt as he was able to return to practice after a week, re-injured going full speed and will require further rest. He will probably need another 1-2 weeks max to fully recover. While teams do want their athletes to heal fully, re-injuries still occur. The big question is whether that timeline for recovery restarted or this is a minor setback. I personally believe this is a minor setback but allows other guys including DE Shaq Lawson to get more looks and earn their way onto the roster.

He will most certainly miss the Browns game, should be able to play against the Bengals game if practice goes well, and ideally have no issues and be available for the Bears game. There is a possibility this could linger all season, but considering this is the preseason, the Bills will allow for extra rest time over return to play.

I expect Murphy to start against the Ravens on opening day. I’m going to also state that this won’t be an issue that lingers all season. I also believe that Murphy may have a slow start to the season and come on later in the second half as his body re-acclimates to football. I may be totally wrong on everything as this is only speculation, but this is highly educated speculation. However, I fully believe Murphy should be ready to go soon.

Continue to check back for the latest updates on the latest injury news and updates. Follow on Twitter @BangedUpBills, on Facebook at Banged Up Bills, online at www.bangedupbills.com, and on reddit at u/BangedUpBills. As always, thank you for reading and GO BILLS!!

NFL Injury Series- Contusions

Reviewing what contusions are, severities, and recovery times.

Today’s post will consist of several terms that come up often but aren’t well defined. My goal is to identify the rest of the terms and continue to further the knowledge base. There are many terms for the same problem or based on location, which define how it is described.

First up is the common contusion. A contusion is defined as a blow to an area that damages the small blood vessels and connective tissue in the area. This can be caused by getting hit hard or falling the ground which if severe enough can impact function. While everyone has dealt with a bruise at some point or another, not everyone gets hit by a 250 lb linebacker going at full speed.

When the contusion occurs, the blood vessels do burst and the discoloration is the result of the burst blood vessels releasing blood, rising up to the surface, then slowly reabsorbed by the body. This is why a bruise fades over time. The more severe the contusion, the more impact it can have. While nothing has been torn, the connective tissue of the muscles and other tissues including fat and skin are still impacted. The tissues of the body are quite pliable and if damaged, will respond to pain as any other portion of the body, except brain tissue. Contusions vary in recovery times to no time missed to several weeks based on location and severity.

Contusions, if severe enough can cause compartment syndrome in the area. This occurs when swelling becomes excessive and pushes on the connective tissues surrounding the muscles. If not managed quickly, the excessive pressure can begin to kill the muscle, leading to permanent damage.

Various types of contusions include hip pointer, nerve contusion, stingers, and bone bruises. Hip pointer injuries are to the bony portion of the hip known as the iliac crest. This is right above the waist line and are common due to the location players fall to the ground or are tackled in the area. This area is also where the abdominal wall attaches to which limits trunk motion and the hip abductors connect right below the area, which allow for a player to run and perform lateral movements. These can take 1-3 weeks to recover based on severity of the injury.

Nerve contusions, such as what Shaq Lawson dealt with last season, is when bruising occurs to a nerve. In most cases in the body, the nerve is well insulated and protected from injury. However, in certain cases, these nerves sometimes exit the body temporarily and are exposed. Cases include the ulnar nerve that exits temporarily near the elbow and the peroneal nerve which is on the outside portion of the knee near the fibula. If you’ve ever hit your funny bone, that’s your ulnar nerve screaming at you. In Lawson’s case, he hit the peroneal nerve which causes pain and weakness to the area. These injuries can resolve relatively quickly, but are quite painful and may take some time to rehab from to ensure proper movement. Once again, depending on the location and severity determines recovery time.

Stingers are another type of nerve injury that can be incredibly painful, but can quickly resolved if managed correctly. Stingers occur when a player gets tackled violently and the shoulder is pushed in one direction and the head in the opposite, leading to traction on cervical or neck nerves. Compressive forces can also cause similar symptoms, such as a direct head blow during a poor tackle or when driven into the ground. Pain is typically felt in the neck and shoulder region, with pain also produced sometimes all the way down the arm causing pain, weakness, and numbness. Due to how the nerves connect all back to the spinal cord and brain, this is why pain can travel down the arm despite the injury occurring in a different area. These injuries can resolve with rest and proper stretching, but is not something that can be rushed.

Finally, bone bruises complete this article. Bone bruises are actually a type of fracture that is less severe than a true bone fracture that we all think of. Keeping it brief, there are 3 types of bone bruises: Sub-periosteal hematoma, inter-osseous bruising, and sub-chondral lesion.

Sub-periosteal hematoma occurs when a direct high force trauma occurs and blood forms under the periosteum, which is a membrane that covers the outside of the bone. Inter-osseous bruising occurs when the bone marrow of the bone becomes damaged, specifically the blood supply. This occurs as the result of a repetitive high compressive forces on the bone, such as excessive running or jumping. These are seen more common in the knees and ankles.

Sub-chondral lesions occur when the cartilage layer of the bone becomes damaged. This area is found at the end of the bone and is the part that articulates with another bone. An extreme crushing force or rotational/shearing force may also cause this, commonly seen in injuries such as ACL tears. ACL tears typically not isolated, but MCL damage, meniscus damage, and even a sub-chondral lesion due to the forces that occur on the joint during the injury also occur.

Recovery times are difficult to manage with mild bone bruises recover in several weeks with more severe instances can be months. It really is specific to each person and how the injury was sustained. I wish I could give a more specific timeline for these recoveries but some players respond quickly and others such as Sam Bradford could take several weeks and leave uncertainty regarding their availability for future games.

These injuries happen far too often and are a part of football. While padding, playing surfaces, and proper tackling can reduce incidence of injury; these are the types of injuries that come with playing football. Most of these injuries can be managed conservatively with rest, icing, stretching, and padding. These are injuries that do not keep players out for extended time, but can be injuries that knock out players during key games.

Continue to check back for regular updates and further in depth analysis of the latest Bills injuries. Follow on Twitter @BangedUpBills, on Facebook at Banged Up Bills and at http://www.bangedupbills.com. As always, thank you and GO BILLS!!