Wild Card Bills Injury Review- Texans

It was still a fun season despite the loss.

This wasn’t an article I wanted to write. I wasn’t in a rush to write this either. It’s not that I didn’t want to write about the injuries, but I didn’t want to write about the end of the season, at least not with that ending. That game was full of emotions, the excitement of that first drive ending in a touchdown, the Houston comeback, the game-tying field goal & inevitable loss. It just sucked to see such a great season the Bills have an end like this. But it ended and that’s the reality of the situation. 

However, there were still injuries that occurred & I have a duty to explain what exactly happened. 

CB Taron Johnson (lower-body injury) 

Johnson exited the game midway through the 2nd quarter with 7:30 left with what appeared at the time no apparent reason. He was observed down on his right knee after the play with trainers assessing him before walking off under his own power. 

Reviewing the game film, it was not apparent that he suffered an injury until the All-22 film came out. Upon reviewing the film, Johnson stuck with his man, TE Darren Fells until he got to the sideline. Fells cut back, as did Johnson rather vigorously and he appeared to take an awkward step on his right, which forced him to slow up as the play ended. Nothing appeared wrong until Johnson was down in the middle of the field before he went off.

My best guess due to having only one camera angle and a birds-eye view is that he suffered some type of strain. Possibly a groin, hamstring, or calf. To note, he wasn’t limping off at all from what I could tell, but something wasn’t right. If you recall, Johnson did suffer a hamstring strain back in the 1st game which ultimately cost him 4 games. Temperatures were in the 70’s at kickoff & the dome was closed, leading to a warm environment, raising the possibility for a strain due to dehydration. I do not believe the hamstring he suffered back in September caused the issues on Saturday.

Regardless of what it was, we probably won’t know until OTA’s start or if an article comes out later detailing the specifics. This isn’t anything that should be a problem heading into next year either.

WR Duke Williams (left low ankle sprain)

Shortly after Johnson suffered his injury, Williams had one of his own catching a diving pass from QB Josh Allen before going out of bounds with about 2:30 left in the 2nd quarter. It was a bang-bang play & required several replays to determine the injury. At first, it appeared that Williams hyperextended his left knee as his foot got caught in the turf, diving out. 

However, on further review, it clearly shows that his left ankle twists in quickly, causing the all too common inversion low ankle sprain. Williams took several plays off to get his ankle evaluated and taped before returning, at times favoring the ankle with a decreased ability to push off. 

Williams avoided a worse knee injury due to the ankle taking the brunt of the forces going out, snapping underneath instead of applying further pressure on the knee into extension. He will likely be feeling this ankle for a few weeks & possibly the knee but like most sprains, this won’t be an issue moving forward & had the Bills won, probably wouldn’t have kept him out next week.

Other Observations 

CB Levi Wallace & WR Robert Foster

There were several surprise inactives prior to the game, namely CB Levi Wallace & WR Robert Foster. Wallace was a surprise to me only because he was practicing, although on a limited basis with a heavily taped ankle, during the week. I had thought that even an injured Wallace would be able to play in some packages, but my guess is that the team felt he would be better suited to play next week had they made it. 

Foster was a surprise only because of how valuable he has become as a gunner on special teams & was continually a deep threat, despite not connecting on anything all season. Considering the lack of production from Foster, it made sense to make Williams active, but thankfully the special team’s play wasn’t harmed by the loss of Foster. 

DE JJ Watt

Houston’s DE JJ Watt made some noise as I had expected him too, appearing in 61% of the defensive plays along with 2 tackles, 1 sack, 1 tackle for loss, & 2 QB hits. I believe he played far more than the original plan dictated, but this is why he suited up, to make a difference & he did. Far from his best performance, but those skills he has, even with one arm, still made him incredibly dangerous on Saturday & the Bills paid for it. 

QB Josh Allen

During the Bills locker cleaning out Sunday, there was a video that came out of Allen walking across the fieldhouse in flip flops & an ankle brace on his right ankle. It was not known when he injured his ankle during the game as he appeared in every offensive play Saturday. This likely was one of those small injuries that would be impossible to find on film & won’t be anything that should linger.

I had briefly thought that this was the result of the injury he suffered in the loss to the Ravens last month. However, this occurred to the left ankle in that game & he was able to play through it. Merely an observation & just another one of the battle scars that Allen accumulated throughout the season in the march towards the playoffs.

Final Thoughts

Like I said above, this wasn’t an article that I wanted to write. But it had to be done. This ends the 2019 Buffalo Bills season & I’m pretty happy with the overall results. 10 wins, a playoff berth not given by sheer luck, tons of growth by the entire team & a bright future. I’m looking forward to 2020 with the idea that this Bills team can make a run. I’m a Bills fan, an eternal optimist, is there any other way to be?

Looking at the offseason, there will be some changes. I plan on taking some time off from weekly Banged Up Bills articles, only focusing on updates such as the inevitable surgeries, free agent signings, & any other news I deem worthy to report. Things will gear up again once the draft hits & the 90 man roster begins to take shape prior to training camp. I’m going to continue to work hard to update the appearance of the site, video reviews, injury breakdowns, & find new ways to deliver the content that is clearly wanted. 

However, you can still follow on Twitter for the latest news, podcasts & work I will be doing with the draft. Find my work over at Cover 1 detailing injuries regarding the 2020 draft prospects. Make sure to go check that out & all the other amazing content that’s available. Thanks, Bills Mafia, it was a fun season!

Top Photo Credit:

RochesterFirst.com

Week 17 Bills Injury Review- Jets

How bad are Wallace & Nsekhe’s ankle injuries?

Good thing that the game didn’t count for anything as the Bills finished 10-6. That 13-6 loss to the Jets was a rough one to watch, bringing shades of the past decade back with backups & fresh players off the street merely competing because there was no one else healthy. On Sunday, that wasn’t the case as Sean McDermott did his best to rest as many starters as he could in order to prepare for the playoffs. Unfortunately, there were a number of injuries varying in severity that will put some player’s availability in question for Saturday. 

CB Levi Wallace (right ankle)

Wallace scared a lot of people when he went down while catching an interception early in the 1st quarter without being touched. He was able to secure the ball before requiring assistance from training staff to get off the field. As with any non-contact injury, the knee is quickly assessed for any ligamentous instability before further evaluation is necessary in other areas. 

It was determined that Wallace suffered an ankle sprain, specifically a medial eversion ankle sprain. I had originally thought that he suffered a mild high ankle sprain as the mechanisms are similar, but he suffered the medial ankle sprain due to the foot being more in a neutral to plantarflexed position pushing off on the toe rather than the dorsiflexed, everted position seen with a high ankle. It is hard to decipher on film & I’m only confident in the medial ankle due to the recent reports. 

Wallace was observed leaving the locker room in a walking boot which is pretty standard following injuries such as this. He is considered day-to-day which usually translates out to missing a week or two. Medial ankle sprains have an incredibly strong ligament known as the deltoid ligament that prevents movement inward which helped reduce the severity of the injury.

We will have to see how he performs in practice this week. If he can’t go, capable CB Kevin Johnson gets the start against his former team. 

S Siran Neal (right side stinger)

Neal suffered a stinger during a tackle during the 2nd quarter where he hit directly over the top of his shoulder on a routine tackle. He was visibly uncomfortable, shaking his right arm out & moving around, trying to shake things out. 

That direct hit caused the stinger due to the sudden shoulder depression pulling on the cervical nerves just enough that he felt it down the arm to need a few plays off. Like Tre’Davious White against them Steelers game, the actual hit wore off & he was able to return. As long as Neal doesn’t continue to suffer these, then this shouldn’t be an issue moving forward. 

OT Ty Nsekhe (right ankle)

Nsekhe made his triumphant return after missing 5 weeks with a severe ankle injury in the win over Miami. Nsekhe was slowly reintroduced into the game plan & was rather unremarkable during his play. 

In a stroke of bad luck, Nsekhe went down again in the 3rd quarter with a Jets defender falling on the back of his foot as he went down. Nsekhe was immediately down on the ground rolling around in obvious pain. Trainers quickly came out to assess the ankle & got him off the field for further assessment. 

It was difficult to see what Nsekhe exactly injures as the bodies were in the way, but it’s clear that his ankle was rolled upon. He may have avoided serious injury due to his shoe getting knocked off during the play, preventing his foot from being planted. Nsekhe was also observed wearing an ankle support to limit medial/lateral movement which redistributes the forces away from the ankle. 

The hope that is he suffered a contusion to the area & can work through this injury to be available for Saturday. Some detractors may be out there saying he should have not been playing after coming off an ankle injury. I fully support the coaching & medical staff to allow him to get out there in order to get live reps and allow him to play if he’s healthy. Nsekhe is a veteran, he knows his body & the risks he would take in return to play. It comes down to simply horrible luck & there isn’t much else to be said.

OT Cody Ford (right trapezius/neck)

Ford suffered his own injury later in the 3rd quarter where he appeared to injure his right trapezius or neck. There wasn’t much of a mechanism of injury but Ford came off grabbing at his right trapezius muscle. This muscle connects up to the back of the head, out to the shoulder, and down to the middle of the back. This assists with head extension & shrugging the shoulders.

Trapezius
Credit: Youtube.com

The only possible place that I see where he could have injured this area would be when he took on the Jets defender, lost his block and had his head turned inward to the left & hit the back of G Spencer Long

Ford kept motioning to the area & even pointed to the training staff where his pain was at. He may have overstretched the muscle getting his head forced to the left & hitting Long. He may have also suffered a minor stinger due to the head stopping suddenly. 

Either way, he was able to return and outside of some stiffness & soreness, this shouldn’t limit him for Saturday.

CB Taron Johnson (right ankle)

Johnson was the last injury of the day when he got bowled over by Jets running back Le’Veon Bell. Johnson attempted to square up with Bell & plant his feet, getting knocked backward & injuring the right ankle. The injury occurred when Johnson was trying to keep his foot planted & got pushed, over pronating his foot & placing stress through the medial ankle. 

Johnson was able to walk off with a noticeable limp but was quickly able to begin running on it, even able to return at the very end to ensure that WR Isaiah McKenzie did not have to fill in at cornerback. This is similar to what Wallace dealt with earlier in the game but obviously less severe & less eversion noted at the ankle. This isn’t something that I expect will keep him out for the playoffs. 

Other observations 

Out of the inactives, the only known ones prior to the game were WR Andre Roberts & DE Shaq Lawson with their respective injuries. Having RB Devin Singletary, TE Dawson Knox, WR John Brown, WR Cole Beasley, & CB Tre’Davious White made the most sense being inactive due to how vital they are at their respective positions. 

McDermott & the medical staff did the best with what they could. There are injuries the public isn’t aware of despite my best efforts. There are also strategies in getting other players snaps in case the top players do go down. 

It wasn’t an ideal situation, but the other option was to play the starters & suffer injuries prior to the playoffs. The injuries suffered Sunday are absorbable especially at CB & OT as the team has managed without so far. 

There’s a lot going on this week prior to the game Saturday & it’ll be exciting to see how the Bills stack up against the Texans. This is a winnable game, especially with the defense that has performed all season when asked. If the Bills get beat, it will be because of talent & not because the Bills beat themselves or were too injured.

Top Photo Credit:

DemocratandChronicle.com

Week 16 Bills Injury Preview- Patriots

Is Buffalo treasure Tre’Davious White healthy & ready to go Saturday?

This is odd, isn’t it? Playing meaningful December football, no longer being “in the hunt”, potentially winning the AFC East. It’s wild stuff! To top it off, the Bills continue to stay healthy as they head to Foxborough for a huge game with seeding implications. Win out & the Patriots lose out, the Bills win the East, potentially obtaining the 3rd seed and a home playoff game. Otherwise, the Bills get the 5th seed. Healthwise, the Bills have the advantage over the Patriots & appear to have the talent in order to win. We can only hope that the Patriots will continue their substandard play over recent weeks & allow the Bills to get their 11th win.

OUT

OT Ty Nsekhe (right ankle)

Nsekhe has already been ruled out for his 5th straight game due to his ankle injury against the Dolphins. I don’t really have anything to add besides that 4 weeks was an appropriate timeline but on the accelerated side of the healing timelines. These injuries can take 4-6 weeks, sometimes longer & he could be close but maybe closer to returning next week or for the playoffs. Until he practices in some fashion, only time will tell. By no means does there appear to be complications or lingering issues at this time.

QUESTIONABLE

DT Corey Liuget (knee)

Little continues to be released with Liuget’s knee injury. We still don’t know what side or the exact nature of the injury. He did have a quadriceps tendon tear that cost him half of last year. It’s possible he could be having some pain associated with that such as arthritis as he does have a lot of miles on him, but until more is made available, we are guessing. All the work that went into rehab & the severity of the actual injury supports that after a month of actual football could be causing some issues that need time & rest. The fact that he is limited is promising, but I need to see a full practice before I can be confident he will play. Until then, I expect DT Vincent Taylor will get another start. 

For more reading on Liuget’s injury, check out this piece from the Buffalo News Jason Wolf. It’s very comprehensive & accurately details the original injury, physical therapy techniques, struggles, and overall rehab. Worth the click.

CLEARED TO PLAY

CB Tre’Davious White (left shoulder)

White appeared to suffer a minor stinger on a hard tackle late in the 1st quarter Sunday night. He missed one play & was able to return, continuing his stellar play. The fact he didn’t end up on the injury report is promising as it may have truly been a minor issue & should not impact him at all Saturday. 

CB Taron Johnson (left 5th digit)

Johnson suffered a left finger injury late in the 4th quarter but was part of a key stop & prevented moving the chains for the Steelers. Video is poor & doesn’t show exactly what Johnson did, but it was observed he was getting his fingers buddy taped. He either stubbed it, suffered some type of crush injury, or possible dislocation. Either way, an injury as minor as this wouldn’t affect Johnson’s ability to do his job. Certainly, something to monitor. 

Something else that’s interesting that I’d like to note. The Athletic’s Joe Buscaglia noted that practice squad member CB Cam Lewis wasn’t practicing the past 2 days. Typically practice squad members get really no press unless they are involved in a transaction or are called up. There aren’t details noted about Lewis’ injury, but for that attention to detail from Buscaglia & others that I routinely follow & retweet really set the Bills coverage apart from other fan bases. Bills Mafia, we’re blessed!

Probable Inactives:

OG Ike Boettger

OT Ty Nsekhe

DT Corey Liuget

TE Tommy Sweeney

RB TJ Yeldon

S Dean Marlowe

WR Duke Williams

Saturday will be a fun game, win or lose, but I’m feeling a win. This fan base knows the team can hang with anyone in the league & playing the Patriots again will only reinforce this. I think we’re starting to see the end of the dynasty that is New England & observing the rise of prolonged sustained success in Buffalo. This is a fun time to be a fan, such a different mindset than the past 20 years. It’s a beautiful feeling. GO BILLS!

Top Photo Credit:

ESPN.com

 

 

Week 15 Bills Injury Review- Steelers

How is Tre’Davious White’s injury?

The Buffalo Bills have secured a playoff berth! Following a 17-10 win over the Pittsburgh Steelers on Sunday Night Football, the Bills have secured no worse than a 5th seed in the AFC. What Sean McDermott & Brandon Beane has accomplished in 3 seasons is nothing short of amazing. This is proof that with the right mindset & knowledge, a team can improve & not relegated to forever known as a loser. There is still a lot of football left to be played, but the Bills are in an excellent position to make a deep run with their continued health a major reason for their success.

CB Tre’Davious White (left shoulder/stinger)

White scared all of BillsMafia late in the 1st quarter when he laid a hard hit on Johnny Holton as soon as he caught the ball. White led hard with his right shoulder on a textbook tackle, taking the ball carrier down before getting up, briefly running to the sidelines, motioning to his left shoulder before rolling down to the ground.

He was assessed on the field before making his way into the medical tent before returning to play. Based on the video, it appeared that he suffered a left-sided stinger. Despite leading with the right arm, his head was snapped violently to the left, potentially compressing on one of the lower cervical nerve roots coming out of the neck. This would have sent weakness, numbness, & pain with a potential electrical shock feeling going down the arm as the nerve essentially gets shocked from the impact. 

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White went into the medical tent and sat out 1 play before returning to continue his stellar play. He also did not appear to have any ill effects from the hit for the rest of the game. During Monday’s press conference, it was noted that nothing was significant about White’s injury. Unless he is limited or continues to have issues, then I may consider this a dead issue as he came back & lit it up. Stinger’s can linger but considering that he returned so quickly, he may avoid problems. Only if he has future stingers will there be concerns.

OT Jon Feliciano (leg cramps)

Feliciano suffered leg cramps early in the 4th quarter despite the weather hovering around freezing. Typically, cramping is seen in hotter weather due to excessive sweating, rapidly losing water. However, coming off the flu in which the body can become dehydrated faster due to vomiting or diarrhea, this is the likely cause. I am sure the team was force-feeding him fluids, but the body can only hold so much & the sweat he was producing became too much for him, causing dehydration.

After getting some fluids & time on the bench, he was able to return & finish out the game. Hopefully, he is on the mend & recovers enough for Saturday in order to play in Foxborough. 

CB Taron Johnson (left hand)

Johnson suffered a left-hand injury as the result of attempting to bring down Nick Vannett right before the 2-minute warning, receiving help from S Jordan Poyer. He sat up, looking at his left hand before getting tended to by trainers. After a commercial, he was observed in some distress as the medical staff began buddy-taping the 4th & 5th digits together for support. It isn’t clear what he did to the hand as the angle wasn’t the best; he either stubbed it trying to bring Vannett down or got hit crushed together between Vannett & Poyer. 

Either way, these aren’t the types of injuries that would hold a player out. The Bills still have something to play for against New England & missing this game is not an option for most players. A hand injury should not stop Johnson & I expect he continues to play.

OT Ty Nsekhe (right ankle) & DT Corey Liuget (knee)

Nsekhe missed his 4th straight game with his low ankle sprain suffered in the win over the Dolphins. Liuget missed his first game with a knee injury following the loss to the Ravens. Both are progressing, according to Monday’s press conference. We don’t know much about Liuget’s injury, other than it’s termed as a knee.

As for Nsekhe, he needs to return to practice in a limited fashion before I can say when he will return. I continue to speculate that he will be back in time for the Patriots game, but that window is rapidly shrinking unless he practices on Wednesday. Until there is an update for either player, it will be a wait-and-see approach.

TE Tyler Kroft

Kroft stepped up in quite possibly the biggest moment of the season & possibly his career, securing the game-winning TD to put the Bills up 17-10 in the 4th quarter. Thankfully he didn’t suffer any further injuries following his broken foot & sprained ankle, but I bring him up for a reason.

During Monday’s press conference, Brian Daboll noted that the route he ran for the TD was the same one that he broke his foot on during OTA’s. Kroft has been invisible nearly all season & to come back, score the go-ahead TD on the exact route that cost him half the season is simply ironic. But this shows that football is a team sport & that everyone has their part.

The Bills have done it, they made the playoffs & can begin thinking about their opponents, whoever it may be. This doesn’t mean that they will rest all their starters or phone it in as teams that have done that typically don’t fare well later on. I do expect to see important players continue to play the next two games but are pulled similar to a preseason game in order to prevent injury. 

To see the Bills grab an AFC East crown would be incredible & put the Patriots into unfamiliar territory as a Wild Card team, where they haven’t been seeded that low since 1998 when they finished 9-7 as a 6th seed. As Bills fans, we’ve seen crazier things happen that have both favored us & harmed us. By now, why think anything different? The impossible is possible!

Top Photo Credit:

Democratandchronicle.com

Week 7 Bills Injury Review- Dolphins

Breaking down the severity of Williams, Coleman, & Johnson’s injuries.

I love the Buffalo Bills, I really do. But that was one hard game to watch on Sunday. The Bills, coming off a 4-1 start & a bye week, hosted the 0-5 Miami Dolphins at New Era Field. While the final score of 31-21 was not as close the game really was, the Bills nearly gave Miami a win which would have dealt a blow to their playoff chances. Fortunately, the Bills moved to 5-1 with fewer injuries than they had following the Titans win. 

Prior to the game, it was announced that both LB Corey Thompson (ankle sx) & Matt Milano (hamstring) were ruled out indicating that the Bills would be short at the position Sunday. While Milano’s presence was missed, it was still the right move to not rush him back as there is still much more football to be played.

Others coming back from injury included WR John Brown (groin), TE Tyler Kroft (ankle), RB Devin Singletary (hamstring), & CB Taron Johnson (hamstring) were all able to return and did not appear to demonstrate any restrictions, though their production in play greatly varied. Moving to the Dolphins game, reviewing the injuries below:

 

CB Kurt Coleman (hamstring)

Going in chronological order, Coleman suffered a hamstring strain late in the 2nd quarter with 2:15 left on a punt return. It was difficult to see on the broadcast, but this occurred as he ran down the field as a gunner before coming up lame before the ball was even caught. 

Like all the other hamstring injuries this season, expect the Bills to be conservative in slowly bringing Coleman back into the special teams fold. Look for a minimum of 2 games before he is able to return. Observing the hamstring injuries so far this season, most have come on full out sprinting with some change of direction or deceleration incorporated into the injury. This doesn’t mean that the Bills are doing anything wrong in preventing these injuries, it just shows that going all out on every play, even the best, most conditioned athletes can get hurt. 

 

WR Duke Williams (right shoulder)

Williams suffered a right shoulder injury on a 23-yard completion late in the 3rd quarter. After hauling in the catch, Williams fell hard onto his right shoulder before rolling out of bounds in obvious pain. Miraculously, he was able to return late in the 4th quarter in a red zone package on the WR Cole Beasley touchdown. Later, it was reported that he went in for x-rays following the game.

Looking at the actual injury itself, it appears as though Williams suffered either a contusion or AC joint sprain, also known as a separated shoulder. The mechanism of injury for this is falling directly onto a shoulder without the ability to brace against the fall. Considering that he fell more on the top of the shoulder, I believe he may have sustained an AC joint sprain. This is the area that the acromion connects with the collarbone. This allows the collarbone to connect to the scapula and create a framework for the shoulder muscles to connect in order to move freely during arm motion and overhead movement.

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Credit: http://www.dovemed.com

There is a slight chance he could have suffered a glenoid labrum tear, but that is relatively unlikely considering the shoulder was slammed into the ground versus falling on an outstretched arm. If he sustained this, then I expect to see bracing on the area which will be a dead giveaway. There was also a chance he could have sustained some type of clavicle fracture due to the hit, but if he had sustained that, he would not have been cleared to return & a public report would have been made.

The fact that he was able to return to the game even in a limited fashion indicates that this may be more of the AC sprain/contusion variety. He may be limited in practice this week as he recovers, but his availability in practice will further dictate the specifics of the injury. Looking back at past research from other articles, the average time for a player to miss is 9.8 days according to data obtained from the NFL injury surveillance system. The fact that he doesn’t have to throw a football may accelerate his return. It’s very possible he plays next week. If he does miss any time, it should be minimal one game as a precaution.

 

LB Maurice Alexander (left hip)

Alexander, filling in for the injured Matt Milano, suffered a left hip injury while tackling Dolphins TE Mike Gesicki going out of bounds. The tackle itself was clean; the injury occurred when Alexander’s left hip fell on Gesicki’s foot while going down. He attempted to walk back to the field but quickly went down for medical attention, motioning to his left hip/back region.

Thankfully, he was able to return as the Bills were only carrying four linebackers Sunday. This injury may have been a hip pointer which is a deep bruise to the iliac crest. This is the portion of the hip where the core muscles attach and give that distinctive flair out seen in the hips. Considering the muscles attach there; twisting, side-bending, & engaging the core muscles further aggravate the injury with pain being the major limitation.

This may be an injury that Alexander doesn’t miss anytime with or even show up on the injury report. If he does miss anytime, I wouldn’t expect any more than one game. But noting these minor injuries here explain why the player went down & the possibilities of the injury.

 

CB Kevin Johnson (stinger)

Johnson suffered what has now been termed a stinger following evaluation for a head injury Sunday. These injuries are subtle on film and may not be apparent, but Johnson’s last play during the game came with 3:27 left in the 4th quarter. Johnson managed to tackle Dolphins WR DeVante Parker with assistance from Bills LB Tremaine Edmunds. 

While we are not certain that this play caused the stinger injury, it’s likely due to the fact that his head bent awkwardly & was rolled over as he hit the turf. He initially appeared dazed for a moment following the play & did not return. 

A stinger occurs as the result of the neck getting forcefully sideways and down, putting pressure on the cervical nerve roots coming from the spinal cord. These can be pinched by the vertebrae stacked above & below the nerve or can be the result of a disc protruding out & pushing on the nerve root. The nerve roots can also be overstretched due to traction from the neck getting hit in the opposite direction. A direct blow is yet another way for this to occur.  The pain associated with this is what gives it the name burner or stinger. The nerve root that is compressed sends a pain signal down that nerve & gives the unwelcome sensation. 

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Credit: http://www.aafp.org

This pain would only be produced in the affected nerve roots which means if someone sustains a stinger, they could feel it down in the specific parts of the arm/hand based on which nerve has impinged. This could be felt in places such as the 4th and 5th digits on the hand with resulting grip weakness or difficulty lifting the arm up overhead, indicating the specific nerve root affected. The effects of the stinger may linger for several days or the symptoms could resolve quickly.

Most of the time, these injuries are minor & don’t cause further issues. Return to sport would be indicated when the player is pain-free, full strength and range of motion have returned, and no flare-up of symptoms occurs. If this becomes recurring or linger, then further examination is warranted. This could involve getting an MRI or nerve conduction studies to further identify the specifics of the injury. It could lead to surgical consults if there was a need for cervical fusion due to instability or if the injury was high enough in the cervical region, potentially career-ending as in the case of former Bills C Eric Wood

I do not believe this to be the case. I merely lay out the possibility of the severity of the injury & what this means regarding stingers. It is still too early to determine if he misses any games or will be limited in practice.

Fortunately, the Bills walked away from Sunday with far fewer injuries than in previous contests. The injury report will be far smaller than in past weeks & indicates that the Bills are getting healthy as a critical stretch in their season approaches. While the quality of the opponent’s vary, they still all pose a threat to the Bills playoff chances. This team is built for depth but there is a clear difference between starter & replacement level players, evident over the past few games. This week’s practice will hopefully show progress for Thompson, Milano, and Johnson as the Bills prepare to host the Eagles next Sunday. 

Top Image Credit:

http://www.predictem.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 5 Bills Injury Review- Titans

Will the Bills survive Sunday’s injury massacre?

Thank god that game is over. For all you new readers, this is my 3rd season covering Buffalo Bills injuries & while there have been some tough injuries to stomach, today’s game as a whole was painful both literally & figuratively. I do not remember a time where I nearly lost track because the injuries came in so fast. Fortunately, the Bills have a bye next week & it couldn’t have come at a better time. Last time this year, the Bills walked into Houston with no one on the injury report. Amazing how one year can change so much. This is a team that will bend, bend, bend, but not break. As always, injury recap below in chronological order. 

Those ruled inactive prior to the game included: 

WR Robert Foster (groin/turf toe)

TE Tyler Kroft (ankle)

LB Corey Thompson (ankle sx)

CB Taron Johnson (hamstring)

RB Devin Singletary (hamstring)

OG Ike Boettger 

OT Ty Nsekhe (ankle)

Thompson & Kroft continue to be out until further notice. Foster, Johnson & Singletary are all dealing with soft tissue strains which could have been aggravated by the slick conditions. Nsekhe is dealing with an ankle injury that appears to have been an aggravation from 2 weeks ago. 

C Mitch Morse (ankle)

Morse was the first injury of the day, dealing with what appears to be a left ankle injury. The injury appears when RB Frank Gore ran up the middle with 9:25 left in the 2nd quarter and appeared to kick Morse by accident. Morse rolls over and appears to be favoring the ankle before getting up, walking with a slightly labored effort. 

He was able to play several more snaps before getting removed in favor of OG Jon Feliciano. Morse did not appear in the game the rest of the day but was on the sidelines appearing to stay loose. 

This may be more of a contusion, similar to an injury observed with a leg whip. There may have been other possibilities such as a low ankle sprain or mild high ankle sprain not readily noted on film, but this is most likely. This isn’t something that should hold him out for long, but reports indicated he was limping around the locker room after the game as evident by the video below.

During Monday’s presser, HC Sean McDermott noted that if it was needed, Morse could have gone back in and played if further injury occurred. This is incredibly promising as this indicates that the injury alone doesn’t appear to be serious if they were willing to play him. I believe he will be able to play against Miami.

C/G Jon Feliciano (right leg)

Feliciano was injured with 10:40 left in the 3rd quarter when QB Josh Allen threw a costly interception. The offensive mauler was attempting to bring down S Kevin Byard when he fell down attempting to get a tackle. Unfortunately, OT Dion Dawkins fell onto his right leg, leading to the injury. Friendly fire is never ideal but is a part of the game. 

He limped off but amazingly did not miss a snap, keenly aware of the lack of depth at the offensive line Sunday. I’m sure that he has some pain in the leg, but injury-wise, this doesn’t appear to be anything that should cause lasting effects. 

QB Josh Allen (left hand)

On the same play as Feliciano, Allen threw the costly interception and had a minor collision with Titans LB Harold Landry III in where his left hand appears to hit the shoulder pad, namely at the metacarpophalangeal joint. He may have jammed his left thumb or suffered a contusion, causing him to favor the area briefly after the play. Considering this isn’t his throwing hand & he didn’t miss a snap, this isn’t something that the team should be worried about. Even if something did happen such as a minor sprain, this is something that could potentially heal during the bye week. Worst case, he could wear a brace as it’s his non-throwing hand. Unless there is an injury update, consider this injury, like Feliciano’s to be a dead matter. 

OG Cody Ford (concussion)

Ford, unfortunately, suffered a holding penalty on the play that led to his exit from the game due to injury. With 4:53 left in the 3rd quarter, Ford engaged with his defensive lineman assignment & got pulled down, driven headfirst into the ground. It initially appeared as though he got the wind knocked out of him, but reports later indicated he was assessed for a head injury. 

He has since been placed into the concussion protocol since Monday’s press conference. To note, it’s not a guarantee that he moves through the protocol quickly like some of his counterparts. However, having the bye week to recover only benefits him. 

LB Matt Milano (left hamstring)

Milano, a beast all season, continued his stellar play this week until the injury bug hit. Milano tweaked his left hamstring while attempting to slow down & possibly change direction in preparation to take down the Titans TE Jonnu Smith on the long reception. On film, it shows that he grabs at his hamstring towards the very end but is able to walk around afterward.

He was able to participate in one more play before motioning to come out & did not return. Regrettably, the deceleration in slowing down due to the eccentric contraction of the muscle caused the injury. Considering the grass was slick due to the rain, it was smart for him to not return. 

Taking into account the fact that CB Taron Johnson & RB Devin Singletary did not play today due to the same injury, this led to Milano not returning. Based on identifying how the team manages hamstring injuries, it’s very possible Milano misses the Dolphins game. Even then, he could miss the Eagles game as well, but until we have more information, his timeline for return will be very fluid. 

To make a note, Milano dealt with some hamstring issues during his rookie year early on during the Panthers game in ‘17 & missed the playoff game after suffering a hamstring strain against the Dolphins. He did not appear to have any issues last year according to records. While he has a history of hamstring strains, I cannot find evidence that this was the same side nor do I believe that the rookie year strains are affecting his most recent injury.

DE Trent Murphy (concussion)

Murphy has been incredibly healthy all season up until early in the 4th quarter. With 14:12 left, he was closing in for a sack on the left side while LB Lorenzo Alexander was coming from the right. Alexander came in slightly more direct on Titans QB Marcus Mariota before Murphy came slightly outside and collided. As expected with any possible head injury, Murphy was assessed for a possible concussion, ending his day. 

Like Ford, he has since been placed in the protocol & the hope is that he progresses through swiftly. We will probably not know where he or Ford stand until next Wednesday when practice resumes. 

S Jordan Poyer (head)

Similar to Murphy’s hit, Poyer attempted to help take down the ball carrier, assisting LB Lorenzo Alexander before colliding with him with 8:20 left in the 4th quarter. He was quickly assessed, missing several plays. Based on his ability to return to the game, he did not have any concussion-related symptoms, but this doesn’t prevent him from developing issues later on.

Thankfully, there have been no reports of concussion protocol for Poyer, though Matthew Fairburn & Joe Buscaglia of The Athletic reported on the Buffalo Beat podcast that he got a stinger on the play. I haven’t been able to confirm this anywhere else, but when there are questionable head injuries, the team is required to remove the player for further evaluation until a determination has been made. I don’t expect that Poyer will miss anytime or end up on next week’s injury report barring any new information. 

DT Ed Oliver (left foot/ankle)

Finally, the carnage is over, the last injury of the game. Oliver appeared to injure his left foot/ankle with 4:53 left in the 4th as he attempted to tackle Titans RB Derrick Henry. He did succeed in his quest, but in the process, for flipped over & his left foot hit the turf. He was able to get to all fours but appeared in distress immediately. He was able to walk off under his own power after a brief assessment by trainers. He may have suffered a contusion or jammed his ankle as a result of the hard slam. He did not return to the game, but there was not an opportunity to as the offense was able to close out the final minutes of the game & seal the win. This may be yet another injury that may not make much noise & be quickly forgotten about.

This game is done, finito, finished, ceased to continue. The Bills escape Nashville with a hard-fought 14-7 win & a bevy of injuries, but a bye to look forward to next week. As for those still working through injury, this week off will ideally help several key players to recover to make their triumphant return to New Era Field against the Dolphins in Week 7.

Top Photo Credit:

Syracuse.com