Bills Season Injury Review-Linebackers

Read up on the returning & new faces of the LB corps going into 2019 including how injuries may impact them.

As training camp approaches, optimism is high for the linebacking corps in 2019. The spotlight is placed on this unit due to the lack of availability in 2018 that was apparent as key injuries occurred. During the off-season, Brandon Beane made it an effort to find more talent in order to create competition at the position in the event that starters go down. Today’s post will review the injuries from 2018 and if it will impact 2019.

First up is LB Corey Thompson. The rookie UDFA out of LSU appeared in 6 games with 1 start. During his playing time, he was able to rack up 1 forced fumble, 14 combined tackles, 8 solo, 6 assisted, 1 tackle for loss, 1 QB hit. Injury-wise, he suffered a minor ankle injury during the loss to the Patriots. Thankfully, this was not an injury that appeared to be serious and does not have any repercussions going into 2019. However, Thompson will have a difficult time making the roster with all the additional depth and will have to make his mark on special teams to have a chance.

Next up is LB Deon Lacey. The veteran linebacker appeared in all 16 games with 0 starts, completing 7 combined tackles, 5 solo, 2 assisted. Most of Lacey’s playing time was spent on special teams where he did not appear to suffer any injuries but he will once again have to fight tooth and nail to earn another spot on the 53 man roster for 2019.

LB Julian Stanford makes the list as another primary special teams contributor from 2018. He appeared in 13 games with 1 start. He accumulated 1 forced fumble, 1 sack, 15 tackles, 13 solo, 2 assisted, 1 tackle for loss. While his contributions appear to be more versatile compared to his other special teams’ counterparts, he still is also not a lock to make the roster. Injury-wise, he suffered a broken nose during the last preseason game which caused him to miss the season opener. He also missed the last game of the season due to what appeared to be a high ankle sprain during the loss to the Patriots. This isn’t an injury that lingers but he will still have to fight in order to make this roster in 2019.

Next up is the ageless LB Lorenzo Alexander. Despite his age and time in the league, Alexander continues to produce, appearing in 16 games with 8 starts. During the season, he recorded 2 interceptions, 2 forced fumbles, 1 fumble recovery, 6.5 sacks, 74 combined tackles, 55 solo, 19 assisted, 11 tackles for loss, and 10 QB hits. On top of his stellar play, he continues to avoid injury through his rigorous recovery routine during the season. He is coming back to the team in 2019 as he is an incredibly vocal leader and will still prove to be valuable on both defense and special teams.

LB Tremaine Edmunds arrives next on the list with a solid rookie campaign but at times had injuries which limited his ability to fully showcase what made him a 1st round pick in 2018. His stats are as follows: 15 games, 15 starts with 2 interceptions, 2 forced fumbles, 2 sacks, 121 combined tackles, 80 solo, 41 assisted, 5 tackles for loss, 7 QB hits. While he was incredibly productive as the quarterback of the defense, injuries certainly impacted the ability to maximize his potential.

Edmunds suffered a concussion early in the season during the first Patriots game on MNF in where he collided with FB James Devlin and caused him to miss the next game against the Bears. Edmunds also suffered injuries to his right leg and low back during the season. The right leg injury was due to the foot getting caught in the turf and being hit by a falling body which could have caused some serious damage if he was falling the other way but thankfully he just tweaked things. He also suffered a back injury during the win over the Lions which did not cause him to miss anytime but he was labored in his movements following the hit from OL Frank Ragnow. None of the injuries were serious outside the concussion, but Edmunds has a lot of work to do to improve off his rookie season in 2019.

Finally, LB Matt Milano rounds out the linebacker group from the 2018 season. Milano was on pace for a Pro Bowl season appearing in 13 games with 13 starts accumulating 3 interceptions, 3 fumble recoveries, 1 sack, 78 combined tackles, 52 solo, 26 assisted, 12 tackles for loss, 3 QB hits before injury struck. Reviewing all his injuries, Milano suffered a head injury during the first game against the Jets. Considering he had the bye week right after the game, it was unknown if he was officially diagnosed with a concussion, but it was not something that appeared to cause any long term issues.

Unfortunately, Milano’s season was cut short with a gruesome ankle injury in where he broke his fibula as the result of QB Sam Darnold falling onto his ankle and Milano getting hit from behind. There was and still is much concern regarding how he is progressing in his rehab which I have detailed in my article with Buffalo Rumblings. He should be 100% going into the season and this is supported by his full participation in OTA’s. He is another component that will continue to shore up the linebacking corps in 2019 and take the defense to the next level.

New faces to the team include 5th round draft pick LB Vosean Joseph, UDFA’s Tyrel Dodson & Juwan Foggie, and FA Maurice Alexander. It’s likely that L. Alexander, Milano, Edmunds, Joseph, and M. Alexander all make the team with Dodson, Thompson, and Foggie possibly making the practice squad as they still have eligibility. As for Lacey, he still has a shot to earn a roster spot but as he is a veteran, there may be cheaper options on special teams. This will be a strong corps regardless who makes the final roster as McDermott has a penchant for linebackers and safeties on special teams. The top half of the linebackers is set, the bottom half will be fun to watch!

Continue to check back 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 online at www.bangedupbills.com. As always, thank you for reading and GO BILLS!!

Bills Week 15 Injury Review- Lions

Assessing the latest Bills injuries following the win over the Detroit Lions.

Sunday was certainly a nail biter! The Bills managed to squeak out a win over the lowly Lions 14-13 to move to 5-9 on the season. However, the win didn’t come without sacrifice as injuries continue to mount and will force the team to shuffle the roster around in order to get to the end of the season. Today’s post will assess the injuries sustained and what they mean going forward into Week 16.

The most serious injury of the day happened to RB Marcus Murphy (elbow) who suffered a dislocated elbow late in the 2nd quarter. Murphy ran up the middle and as he began going down, he planted his left arm on the turf and Lions LB Jarrad Davis came in and hit his elbow with enough force that it gave way and dislocated. As expected, he appeared to be in significant pain but was able to walk to the locker room with the assistance of the training staff. After the game, it was reported that the elbow had to be reduced or in other words, put back in place on the field by Ian Rappaport. As a result on the injury, his day was done. While the elbow itself is rather stable, it can dislocate just as any other joint and will still take 1-4 weeks for him to return to full function per most guidelines. My assessment is that it takes the better part of a month for him to regain full function without any associating fractures. If you recall, CB Phillip Gaines sustained the same injury earlier in the season, missing one game. However, Murphy would require greater use of his elbow to cradle the football and fend off defenders which would necessitate a longer recovery. Murphy has since been moved to IR which is the smartest move at this point as there is nothing to play for and he would not be able to return to 100% by the end of the season. He will be able to make a full recovery for OTA’s and have no lingering issues.

Another injury that appeared to be rather serious initially was WR Isaiah McKenzie (calf). The shifty wide out went down suddenly with no contact during a punt return midway through the 3rd quarter. Initial fears were an ACL tear or Achilles due to suddenly going down without contact. An Achilles tear was especially concerning when McKenzie began pointing to his right calf, eventually requiring a cart to get off the field. However, almost miraculously, he was able to return in the 4th quarter and finish out the game. This alone indicates he avoided serious injury with his ability to return. While riding on the cart, it was observed that he had his feet in full dorsiflexion by training staff. Thoughts later by @ProFootballDoc Dr. David Chao, speculated that he may have had a muscle cramp which required stretching and IV to recover. This appeared to be the case as there was no specific mechanism for injury or tell tale signs upon video review. The severity of the injury was magnified due to the presence of the cart which certainly altered my thought process at the time. As expected, McKenzie was still clearly not 100% during his return but was able to be available dealing with some residual pain and soreness. Believe it or not, this is an injury that he should not miss any time with and should finish out the season.

LB Tremaine Edmunds (back) required a quick assessment from training staff after getting blindsided by OL Frank Ragnow early in the 3rd quarter. Walking off the field, Edmunds appeared to be walking gingerly and motioning to his back. Edmunds was able to return to the game next defensive series and did not appear to be laboring through the rest of the game. This is not an injury that I expect him to miss any time or even find his way onto the injury report.

RB Keith Ford suffered what appears to be a left ankle injury late in the 3rd quarter which forced the team to go to FB Patrick DiMarco and at times, empty backfields, briefly before Ford was able to return early in the 4th quarter. The ankle injury that he sustained isn’t conclusive but may have been a typical inversion sprain or contusion that was taped up and allowed him to return. This is not an injury that should sideline him for any duration of time. He should play next week as the Bills have been running 3 running backs all season and with Murphy out, Ford moves up.

FB Patrick DiMarco (thigh/knee) and LB Corey Thompson (left leg) suffered what appears to be hard hits to the left thigh/knee area for both players when trying to run back up field towards the ball carrier on a punt return early in the 4th quarter. DiMarco got tangled up with LS Reid Ferguson who was knocked out of the way by DB Quadre Diggs, forcing Ferguson into DiMarco for some friendly fire. As for Thompson, he got tied up with S Tavon Wilson and went down injuring his left leg in the process. Both were able to return later in the game without any residual effects. No concerns for the rest of the season.

The Bills have since moved Murphy to IR and signed WR Victor Bolden from the 49ers practice squad to fill his roster spot and attempt to find another WR for potentially next year. The Bills should be able to get to the finish line with this roster barring any further injuries, hopefully finishing on a high note by beating both the Patriots and Dolphins. These past few weeks are the fears we all have as injuries can certainly derail a season. While this season is essentially done, it still is terrible to see guys who have worked hard all season end their year prematurely and not on their terms. Regardless, all these injuries still allow the players to come back at full health next season as they march towards a Super Bowl championship.

Continue to check back 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 online at www.bangedupbills.com. As always, thank you for reading and GO BILLS!!

 

Week 13 Bills Injury Review- Dolphins

Analyzing C Russell Bodine’s fibula fracture and other injuries sustained in the Bills loss to the Dolphins.

That loss hurt. We lose to the Patriots all the time, but we lose to the Jets and Dolphins more than we should. The NFL is “Any Given Sunday” but to lose in that fashion to the Dolphins stings. While there was an opportunity to win on the Bills final offensive play with that pass to TE Charles Clay, there were still many glaring mistakes that cost the Bills that game. Whether you thought QB Josh Allen could have thrown it better or Clay should have caught that, it doesn’t matter. There were other opportunities to win the game and that’s where the Bills have to improve on. While there were minimal injuries again this game, the injuries sustained were more significant than usual. Today’s post will review injuries in Sunday’s loss.

Overview-of-the-Fibula.png
Credit: teachmeanatomy.info

C Russell Bodine (fibula fx) is done for the season after breaking his fibula (seen above in red) midway through the 1st quarter on Sunday. Video is limited but Bodine is observed going down with DT Davon Godchaux falling on his leg while his knee is on the ground. The direct blow to the area from a 315 lb human will do some damage, in Bodine’s case, resulting in a fracture. Bodine was able to walk off the field without assistance because these guys are tough and won’t let pain stop them unless it’s truly unbearable. Add in the fact that the fibula is a non-weight-bearing bone which allowed him to still walk despite being part of the lower leg. The fibula makes up the outside portion of the ankle and goes up to the lower outside portion of the knee. This bone provides many attachments for the lower leg bone but does not have any actual weight bearing function in regards to walking.

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Credit: http://www.raynersmale.com

Bodine will miss the rest of the 2018 season, going to IR to have surgery with what is expected a full recovery for 2019. The surgeon performing the operation will be performing an ORIF which is short for open reduction, internal fixation on a fracture similar to the picture above. This means they will surgically open his leg, re-align the broken bone, and reinforce the fracture with screws and a plate to ensure proper healing to the area. Once the surgery is complete, Bodine will be non-weightbearing for at least 6 weeks. Despite the above statement that the fibula is not involved in walking or weight bearing, the leg still must avoid weight through the area due to the possibility of disrupting the healing process. If weight bearing were to occur, excess stress from the attached muscles performing their actions during walking could lead to weakness/instability to the healing bone. Other concerns would be a potential fall directly on the area or sudden jarring movements could lead the hardware to loosen or shift leading to the bone not healing properly. If he does indeed have the syndesmotic injury as Dr. Chao theorizes, then he could be non-weightbearing for 8-12 weeks according to this protocol which would require removal of the hardware. We will not know which type of surgery he will have and it may come down to surgeon preference or the amount of damage. Regardless, this will not affect recovery time which is about 12+ weeks. Seen below is a picture of what his ankle may look like on x-ray once surgery is completed.

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Credit: podiatrytoday.com

12 weeks will not allow him to be ready for football related activities, but will at least allow him to work towards getting back in shape. The timeline to return to football specific activities and return to full form is longer, but not exactly known. My best guess is ~6 months to fully regain what he has lost and resume activities as though he never suffered the injury. Everyone responds differently and Bodine is no exception. The Bills have begun working out centers but have not appeared to sign anyone at this point. It is likely that C/G Ryan Groy will step up and take over the starting role for the rest of the season.

Other injuries sustained were LB Tremaine Edmunds (knee/ankle) and CB Jordan Poyer (finger). Edmunds suffered an injury to his right leg midway through the 3rd quarter in which his foot got caught in the turf and he got hit from a falling body. The knee looked structurally fine as it was going into a varus position. This is when the knee is buckling out as the foot moves inward. This is opposite of the dreaded ACL/MCL mechanism of injury but Edmunds mechanism of injury could still cause damage to the knee under the right circumstances. Thankfully, the rookie LB was checked out by the medical staff, missed a few plays and was able to return rather quickly. He may be dealing with at most, a sprained ankle with the foot having been caught in the turf and rolled inward. He may show up on the injury report but it does not appear to be anything that will limit him next week.

Poyer suffered a right finger injury shortly after Edmunds sustained his injury in the 3rd quarter. He was attempting to secure an interception by QB Ryan Tannehill but was unable to come up with the ball. He appeared to be shaking his hand out as though he jammed his finger. He was able to return playing immediately and may or may not show up on the injury report. Even if he does, it is unlikely to affect his ability to play next Sunday.

Overall, the Bills did not lose much injury wise and should continue chugging along to next Sunday where they have their 2nd game against the Jets in what should be a winnable game. I am encouraged by how this offense is starting to click with the progression of QB Josh Allen & WR Zay Jones and optimistic how the team can upgrade with the cap money they have for 2019. Only time will tell how things play out.

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

 

Week 10 Bills Injury Review- Jets

Analyzing the latest Bills injuries following the beat down of the Jets and how the roster looks going into the bye.

This team, one week you’re ready to swear them off for good, next week, can’t get enough. What a complete win by the Bills over the Jets 41-10 to move to 3-7 sliding into the much needed bye week! There are so many positives coming out Sunday’s game, I will leave that to the pundits who know football more than I do to diagram the X’s and O’s. It was a fun win and reassures me that there is talent on the team, the coaching staff does have a plan, and hopefully next year they begin to bring personnel in to turn their grand plans into solid results. However, I am always here to assess the injuries sustained in the blowout and how they affect the Bills going into the Jaguars game two weeks from now.

Going in chronological order of injuries, starting off with WR Robert Foster (thumb). The rookie wide out sustained some type of left thumb injury early in the 1st quarter which required an assessment by trainers. At one point he was questionable to return, eventually returning to haul a huge pass from QB Matt Barkley in the 3rd quarter and finish with 105 yards on the day. As to the specific injury, he may have suffered a dislocated thumb.  He was observed going to the locker room with a trainer stabilizing the left hand at the carpometacarpal joint which is the lower portion of the thumb that connects to the wrist. While that does sound nasty, it is relatively minor. My guess is he somehow injured it on the fake punt play, it appeared he may have hit his thumb against a Jets defender coming down with the ball or he suffered it where there is no video available. In the event of a thumb dislocation, the thumb would be reduced and put back into place, he would be fitted with a thumb spica which is a small brace which would allow him some mobility to the area but reduce further injury. Foster was wearing gloves on both of his hands which prevent us from identifying if there is bracing under for support next time we got a close up. As he was able to return to the game, the week off should be good enough to allow him to heal effectively.

DE Jerry Hughes suffered a right knee injury during a tackle in the backfield and was able to walk off midway through the 2nd quarter. Upon review, he was pivoting up on his toe and rotating to the left, the mechanism suggested a minor MCL sprain but Hughes was observed jumping around and shaking his knee out, also grabbing at the front of the knee. He also did come down hard on the knee which then we are considering a contusion to the area which would explain the limping. Either way, he was able to return and continue to provide pressure on QB Josh McCown all day. The injury appeared to be minor and something that does not concern me moving forward.

CB Taron Johnson (shoulder) exited the game once again midway in the 2nd quarter and did not return. It appears that he suffered a re-aggravation of his right shoulder injury he has been dealing with all season. It is quite possible he subluxed the shoulder once again despite bracing to the affected area, though I was not able to see him wearing it Sunday. He suffered the injury on a hard tackle midway through the second quarter, tackling the offensive player with his left shoulder, and coming down hard on his right. After the play he was able to move it around, giving several high fives after shaking it out briefly. Interestingly, despite the upbeat activity after the play, Johnson did not return to the game which makes me suspect a subluxation as there is already laxity in the joint from previous injury. This means that less force is required to disrupt the joint, leading to easier and easier injures. This is something that he has experienced previously and may require rest and rehab in order to get ready for Week 12. It may be realistic that the Bills shut him down later this season if he continues to re-injure the area so that he can have surgery and be ready for OTA’s.

OG John Miller suffered what appeared to be a right knee injury on the scoring play by WR Zay Jones late in the 3rd quarter. Video is limited but he was pancaked and rolled back onto his own leg, appearing to twist his knee going down. He was able to walk off with a minor limp but yet another injury that does not appear to be serious. In the event that he needs to sit out any time, the coaching staff have been working in additional lineman to find the right scheme fits to spring the running game which appeared to be the case Sunday.

The most serious injury of the day is LB Matt Milano (head). The stalwart linebacker suffered a hard hit early in the 4th quarter that snapped his neck to the left upon contact with Milano going down instantly. It is unknown whether he lost consciousness but he was eventually able to stand up and enter the medical tent. On broadcast and initially getting up, he was favoring his left arm which may indicate that he suffered a stinger based on how he hit and the angle of his head/neck upon impact, but the more concerning injury is the blow to the head. He was eventually brought to the locker room for further evaluation but looking at video, there is cause for concern with a concussion. Whether he actually sustained one is not known yet, but in the event that he did, he will enter the concussion protocol as QB Derek Anderson is currently working through. Time will tell how he responds and hopefully he is cleared as he is having another standout season after a stellar rookie campaign.

Those that were questionable today going into the game were LB Tremaine Edmunds (concussion) and WR Andre Holmes (neck). Both appeared to play with full effectiveness and did not appear to be limited in their availability during Sunday’s win. I do not anticipate that they will continue to deal with their recent complaints and use the bye to rest up.

Overall, the Bills are in good shape going into the bye. While they are missing a lot of starters now, everyone with the exception of QB Derek Anderson appear to be ready to come back 100%. After the performance of QB Matt Barkley, there is question whether he should continue playing or to hand the reins over to QB Josh Allen. If Allen is 100%, play him and see what he can do. If there is any lingering issues which are possible considering the injury, rest him until he has no complaints or concerns. Barkley will eventually get figured out by opposing defenses which supports the idea that Allen should start, but at least the Bills have options moving forward. Personally, I would like to see Barkley or Allen starting Week 12 against the Jaguars, Anderson tutoring Allen as the 3rd QB, and QB Nathan Peterman cut and brought back on the practice squad to develop and be available if things go south.

As a fan, I am looking forward to having a week off from football. I do love the Bills, but they are mentally fatiguing at times and we all need rest. I suggest you all do the same. Over here at Banged Up Bills, continue to look for new content to help gear up for the remainder of the season. Feel free to ask questions or engage in discussions, I want you, the reader, to learn and understand these injuries so that you are a more educated fan and not a mindless lemming that is confused by clueless media reports regarding the health of the Buffalo Bills.

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

Week 10 Bills Injury Preview- Jets & Why Josh Allen Shouldn’t Play

Read the latest Bills injury prior to the Jets game including why Josh Allen shouldn’t play this week despite being listed as questionable.

The bye is rapidly approaching and the Bills are welcoming it with open arms. Over the past month, injuries have been rapidly piling on, the team is on a 4 game losing streak, and analysts openly questioning whether the Bills could even beat Alabama in a theoretical match up. As fans, while we do support our team though thick and thin, we need a break. Having a showdown against a Jets team that is also having a down season could allow the Bills to secure their 3rd win and rest up for the final 6 games to gain some respectability going into 2019. Today’s article will detail the injuries going into the Week 10 showdown, why QB Josh Allen shouldn’t play, and how things may look after the bye.

Those already ruled out of the Jets game include QB Derek Anderson (concussion), TE Charles Clay (right hamstring), and DE Trent Murphy (right knee). The veteran QB Anderson is still working his way back from a concussion suffered in the MNF loss and has been unable to practice since then. As we have no video of his presence in practice, I can only assume that he is still in Stage 1-2 of the concussion protocol. This would mean that he’s still not at baseline cognitive testing or if he is, he would be in stage 2 which would be a light aerobic graded exercise program which is possibly still bringing on symptoms. It has been noted he has been working with trainers off to the side, but that has been the extent of his activity so far. Until he is able to tolerate his exercise program, he will not be able to progress in his protocol. It is too early to tell whether he will end on IR with his concussion but it is not trending in the right direction.

Murphy is missing his 3rd straight game with a right MCL knee sprain suffered late in the loss to the Colts. While he has not practiced since the injury, it is expected that he is rehabbing daily and working hard to return to the field. The team is taking it slow with his recovery as he has dealt with a multitude of injuries since training camp and do not want to experience further serious injury. When healthy, he is effective, but he must rehab properly in order to be available. Barring any setbacks or unknown information, he should be back after the bye for the final stretch of the season.

Clay is ruled out due to suffering a right hamstring injury early in the 1st quarter of the loss to the Bears. He appeared to tweak his hamstring decelerating, then attempting to change direction, eventually limping off the field. While it is difficult to identify the severity of the hamstring strain on video, it appears to be minor as he did have it stretched out and at one point have his helmet on during the game, implying that he may have wanted to return. As a precaution, not practicing all week along with the bye should allow him to return fully healthy.

To note, WR Kelvin Benjamin (knee) appeared on the injury report with a knee injury but was limited only Wednesday, but practiced in full Thursday & Friday. He did suffer a shot to the right knee in the Bears game but only sat out 1-2 plays before returning. This does not appear to be anything more than soreness and should not be a factor in his abilities to play this weekend.

Those ruled questionable are: RB Chris Ivory (left shoulder), WR Andre Holmes (neck), LB Tremaine Edmunds (concussion), and QB Josh Allen (right elbow). Reviewing injuries, Ivory suffered a separated shoulder or AC joint sprain during a failed goal line plunge in the 4th quarter and was ruled out the remainder of the game. While Ivory was limited the past 2 days, it does not appear that he should be ready to take the brutal hits of the NFL. Plus, being limited in practice on Friday is typically not a good sign to play Sunday.

Holmes was dealing with a neck injury that was not apparent in Sunday’s game but it worth noting that he suffered a neck injury that sent him to IR at the end of last season. There was nothing on video that stood out so it is rather difficult to identify specifics of his malady. This may be an injury we have to watch moving forward and see if it limits his reps or abilities on the field. However, the fact that he was able to practice in full the past two days indicates that this may be a minor injury and should suit up come Sunday.

Edmunds is dealing with a concussion suffered at some point in the first half of the MNF game against the Patriots. He did take several shots to the head, most notably against FB James Develin which may have brought on a delayed response in concussion symptoms. As he did not practice last week and was limited this week, he is truly a questionable decision as he will need to be cleared by an independent neurologist before returning to the field. He has been practicing without a red jersey which prohibits contact which is a good sign but no guarantee for clearance. I would estimate that he is in stage 5 of the concussion protocol but has not been cleared yet. We have seen concussions cleared the day before or day of the game such as in the recent case of RB LeSean McCoy. This will truly be a game time decision and whether he clears protocol.

Finally, QB Josh Allen as we all know, injured his right throwing elbow during the Texans game. His absence during the past 3 games along with his rehab has been intensely scrutinized on when he will be ready to return and how he will perform. It was only this week that he began throwing, albeit with a brace and on a limited basis. During the limited video available, he was making a variety of throws around the field which is fantastic to see. However, while he does appear to be ahead of schedule with his rehab, it does not mean that returning to game play ahead of schedule is always recommended. We hear all the time how this player and that player are doing well in their recovery and ahead of schedule. We hear timelines with recovery from injury and always expect to take the under on weeks for them to return. As fans, we then get upset when they’re not back by what could be perceived as unrealistic outcomes for that player as every injury is unique.

Most protocols do state that this particular injury takes 6-10 weeks to heal, much less play at full efficiency. Coming off the bye will be 6 full weeks of recovery. While I have stated he appears ahead of schedule due to his throwing program, this doesn’t mean he is ready to fully play. He does have the advantage of highly skilled doctors, physical therapists, and athletic trainers treating him daily which may explain why is moving faster plus his youthful age does help.

Despite performing the ability to throw and go through all his motions, Allen still has not completed a full practice which means he has not gone game speed consistently. We have also have not seen him throw without a brace which currently provides stability and compression to the affected area. Most players do not want to wear any bracing on game day as it affects their movement. The bracing that he is currently wearing in practice would be limiting the ability to naturally move during throwing and could alter his throwing mechanics if he plays long term with it on. Rushing back into the game with a brace may do more harm than good as he may perceive that he is protected from injury from the brace and do more than he should.

From a therapist perspective, it is important to load the injured area and slowly stress the tissues to build up tolerance towards the activity before going full speed. Going too hard, too fast can and does lead to further injury. At this point in his healing process, he would not severely damage the ligament with his current activities unless he were to sustain similar trauma such as the original injury or a fall onto the elbow or outstretched arm, both of which are uncontrollable at game speed. Unfortunately, he could irritate the still healing ligament in his elbow or injure other areas of his arm attempting to compensate for the elbow if he returns too soon. This could lead to a potentially chronic complaint rather than the acute injury that it is currently.

He would benefit from another two weeks off, his body will be two weeks healthier and stronger to withstand the demands of his position to reduce his injury risk. If this were not his throwing elbow, he would have been back much sooner. As a physical therapist, I would want to see that he can make all his throws, that he can make the throws without bracing, that he has no pain up to several days after throwing, and that he has no compensation patterns as a result of the injury. I would also want to see consistency in all areas over a set timeline. One day things can look great, another day, it can be awful. In the video above, we may have just seen a great day; we’re typically not privy to the bad days during practice. At this point in time, there is just too many questions surrounding his abilities and a full week of participation in practice would prove that he’s ready to come back 100%.

This is already a lost season and rushing the future of the franchise out there in meaningless games does nothing for Allen. This would be a prime way to ruin a young quarterbacks development and set the stage to rush back from future injuries before he really understands how his body recovers from injury at the NFL level. I believe the Bills only listed Allen as questionable was due to the public relations angle plus forcing the Jets to consider game planning for him which may get them to overthink their strategy. Just because he looks good, doesn’t mean he is good yet. I expect the Bills to roll out their 4th starting quarterback of the season in QB Matt Barkley with QB Nathan Peterman as backup with a heavy emphasis on the running attack by RB LeSean McCoy & Co.

To add facts on facts, so far through Week 9, 53% of players listed as questionable on game day have been ruled inactive by the Bills. So based on those listed as questionable this week, theoretically, just over half will be ruled inactive; my bets are Ivory and Allen. Edmunds is a wildcard and could go either way but I’m leaning towards him playing. Based on what we know about everyone’s respective injuries, the extra week of rest during the bye will allow everyone in today’s article to come back to play in the Jaguars contest. As for the game prediction, I believe the Bills will get a much needed win over the Jets, moving to 3-7 which will allow them to regroup for the rest of the season.

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

Week 9 Bills Injury Preview- Bears

Read up on the latest Bills injury news & why Josh Allen is still not ready despite practicing this week.

The Bills enter the 2nd half of the season in the friendly confines of New Era Field with 5 of their next 8 games at home and hopes that the 2nd half is better than the first. We all knew that this season would be a step back, but none of us are ever truly ready for the enormity of the situation when a season goes off the rails. However, with a favorable schedule and home field advantage, this is the opportunity that the Bills can use to regain some respect and build for the future. Today’s post will break down the injuries prior to Sunday’s game.

The past several weeks has been tough dealing with several key injuries which has made this season harder to digest. Ruled out already as a result of Monday’s loss include QB Derek Anderson (concussion) & LB Tremaine Edmunds (concussion). Anderson suffered his late in the 4th quarter with the game essentially over and Edmunds sustained his sometime in the first half. Both were unable to practice during the week which is standard protocol while in the concussion protocol until they have worked their way up to tolerating mild exercise without symptom reproduction. The fact that they haven’t practiced doesn’t always equate to a more severe concussion, but rather that each concussion is unique and is on its own timeline. As it was a short week, both players will have another week to recover. It stands to reason that they could be ready next week against the Jets. Starting in place is QB Nathan Peterman & LB Julian Stanford, respectively.

Others ruled out include DE Trent Murphy (knee) & QB Josh Allen (elbow). Murphy suffered a right MCL sprain in the waning minutes of the Colts loss and has not practiced in two weeks. He may be practicing on a limited basis at best this coming week but I really don’t expect to see him return until after the bye. These types of injuries take 2-6 weeks to heal and considering his previous contralateral ACL injury, the training staff is not rushing him back. Thankfully the defense is playing lights out and can absorb his loss until he is ready to return.

The biggest change in the injury report is by far that QB Josh Allen is practicing on a limited basis. If you are reading my articles, you will have seen that he will not be ready until after the bye. This still stands true at this time. The reason he is limited is due to the fact that he is cleared for conditioning as outlined in rehab protocols for conservative management. He is most likely not having pain at rest or with simple movements which would let him to run with a normal motion, allowing the upper body to move naturally. In between this conditioning, he still continues to perform activities and exercises that encourage strengthening of the wrist and shoulder with healing to the medial elbow.

Within the next two weeks, Allen will ideally begin a throwing program, allowing him to slowly ramp up the speed and distance of his throws. If he begins having pain, training staff would back him off and reduce activity until pain is gone with activity and resume the program when ready. At no point will there be an opportunity for Allen to air it out to “see how it feels”. There is a systematic approach towards his recovery and the training staff will not deviate from this. I expect the rookie signal caller to be practicing on a limited basis into the bye. Pending his progress, he could be ready to play but not be 100% for the Jaguars game. The team may also continue to limit him until they are comfortable that he can perform to his maximum ability potentially causing further missed time. Overall, I believe he will return after the bye and regain his starting job.

It does not appear that there are any other injuries that were not on the injury report but could limit player effectiveness. RB LeSean McCoy is still recovering from his cracked rib cartilage from earlier this season, but his ineffectiveness is more due to the offensive line and play calling rather than his maladies. Many other players are dealing with minor injuries that they continue to play through, minimizing their time missed.

The Bills have to get through the bye, heal up a little bit, and can hopefully attack the rest of the season to end on a high note. Injuries are a part of the game, but thankfully we continue to avoid the ACL’s, Achilles, fractures, and freak accidents that can destroy a season. The Bills will get through this, they always do. As the front office build for the future, these losses now will begin to turn into wins in future seasons as their core players continue to gel and they get players to execute the game plan. This season will come to define “The Process” when we look back years from now, hopefully with a Lombardi trophy in view. I believe the Bills will snap this 3 game losing streak and send the Bears to a 4-4 record. Despite its offensive shortcomings, the Bills still have talent that can produce.

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

Week 8 Bills Injury Review- Patriots MNF

Read up on the latest injuries and news coming out of the Bills loss to the Patriots on MNF.

I want to be upset, but let’s face it, this loss was expected, even if it was on the national stage. The 25-6 loss to the Patriots leaves the Bills at 2-6 and with one of the worst records in the NFL. One of the bright spots of the night was former Bills great RB Thurman Thomas getting his #34 retired forever. It was an incredible ceremony for a truly special player. Unfortunately, along with the less than stellar record, the Bills suffered several key injuries which put the offense in even greater doubt heading into a Week 9 showdown with the Chicago Bears. Today’s post will review all the recent roster changes, injuries, and how these impact the Bills moving forward.

Recent personnel changes include P Corey Bojorquez (shoulder) and RB Taiwan Jones (neck) were sent to IR with their respective injuries. Bojorquez, if you recall, suffered a right shoulder injury in the failed field goal fake in the win over the Titans. I had suspected that he suffered a SLAP lesion which is short for superior labral tear from anterior to posterior. Basically, he tore his labrum which explains the shoulder brace that he had to wear the next several weeks. Expect him to get surgery to correct the tear and miss the rest of the season. This may have also been a way to stash a player they like on the roster for next season without releasing him. Jones continues to be a mystery, suffering a neck injury in the loss to the Texans, but as mentioned before, there was no mechanism of injury that I was able to observe during his time on the field which makes me wonder what he exactly did. It appears that this is a serious enough injury to warrant IR and I do not believe that he would be expected that he would be able to return. If new information is available, you will hear it here first.

As a result of the above mentioned going to IR, the Bills signed QB Matt Barkley, P Colton Schmidt, and WR Terrell Pryor. As you may recall, Schmidt was a member of the Bills from 2014-2017 until his release in 2018 prior to Week 1. As the result of Bojorquez’s injury, Schmidt comes back to a familiar special teams scheme. Barkley comes to the Bills as a free agent and will act as a backup in the event that QB Derek Anderson is not available. With Barkley’s signing, the team released CB Dontae Johnson who appeared in one game with no stats.

Finally, WR Terrell Pryor comes to the Bills via free agency after being released from the Jets with an injury settlement with a groin injury in Week 6. Over the past 2 seasons, Pryor has been injured with a deltoid ligament tear located in the medial ankle that eventually forced him to IR during his time in Washington. This injury led him to eventually sign with the Jets in the off-season. During off season workouts, Pryor broke his ankle which cost him most of training camp which eventually led to his limited role with the Jets and eventual release due to the previously mentioned groin strain. Pryor immediately upgrades the WR corps and adds a 3rd weapon for whoever is behind center come Sunday. While I do not believe his time in Buffalo will be long, he will hopefully add a new dimension to the offense in order to provide a spark. In the event that the Bills QB situation continues to be murky, he could provide another option behind center as he came into the league as a QB from Ohio State in 2011.

Reviewing injuries sustained in Monday’s loss include: LB Tremaine Edmunds (concussion), suffered a helmet to helmet hit on FB James Devlin with 10 minutes left in the 2nd quarter. He was able to finish out the half but had concussion like symptoms upon entering the locker room which led to his removal from the game. It may have been the Devlin hit or it could have been another routine play as he was heavily involved in the 1st half. Once he goes through the concussion protocol, he will be cleared but considering we are unable to identify the severity on film, only time will tell how he responds to recovery. In the event that Edmunds cannot start, LB Julian Stanford will get the start.

QB Derek Anderson (concussion) suffered his concussion with 2 minutes left in the 4th quarter on a sack from LB Kyle Van Noy with a clean tackle that forced Anderson’s head to appear to whiplash coming down which would have led to the concussion rather than a direct blow to the head. Similar to Edmunds, time will tell how he responds through the week. The above mentioned signing of QB Matt Barkley is insurance in the event that Anderson is not available Sunday. QB Nathan Peterman is slated to start in Anderson’s absence.

Finally, T Dion Dawkins suffered some time of ankle injury midway through the 3rd quarter according to the initial radio broadcast; however, reviewing film did not reveal any injury along with missed time and he was able to finish out the game. He did not show up on the injury report and this may be non-factor moving forward.

Overall, the Bills did have minimal injury coming out of Monday’s loss, however the uncertainty of the concussion’s of Edmunds and Anderson leaves the leaders of the defense and offense, respectively, in doubt. This team will have to scrape and claw for each and every win the rest of the season in order to just stay competitive. As a fan it is tough to see the front office staff punt this season away but their long term vision is much greater than one season and should lead to long term, sustained success.

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