Week 12 Bills Injury Preview- Jaguars

Read on the latest injuries coming off the bye as the Bills get ready to face the Jaguars.

I hope you all enjoyed your week free of Bills football along with Thanksgiving! As a devoted Bills fan, make sure you are recharged and ready to hunker down to take on the last 6 games of this season. This season has been a dramatic step back from last season’s successes and while it is tough to see that the Bills lose more than they win, they are still building towards something greater than the 2018 season. Regardless of outcomes, I do I enjoy watching the Bills every Sunday and today’s post will review the injuries going into the Jaguars game.

Those coming off injury from the Jets game include LB Matt Milano (concussion) & CB Taron Johnson (shoulder). Milano has cleared the concussion protocol and practiced in full which is an excellent sign and should continue his stellar 2nd season as an integral part of the defense. As for Johnson, unfortunately suffered another injury to his right shoulder in where he continues to sublux/dislocate his shoulder during direct blows to the area. He was observed to not wearing his shoulder harness during the Jets game which reduces the shoulder movement in order to limit dislocation which may have resulted in the most recent re-injury. The direct hits to the shoulder continue to dislodge the humerus from the socket, causing pain, weakness, and limited strength. This in turn has caused him to miss short stretches of the season. This is something that he will continue to play through until he feels he cannot anymore or until the end of the season, whichever comes first. He was limited in practice this week and will continue to play at less than 100% until he gets surgery to correct the problem. To note, we have full confirmation of his shoulder injury based on GM Brandon Beane’s appearance on One Bills Live this afternoon, outlined in this tweet here. I expect that Johnson will still suit up come Sunday.

Others practicing in full include RB Chris Ivory (shoulder) and QB Josh Allen (elbow). Ivory was dealing with a left AC joint sprain that caused him to miss the Jets game after suffering the injury during the loss to the Bears. He should have no limitations on Sunday and relieves RB LeSean McCoy as a change of pace back. Allen has been a big talking point when it comes to injury this season, missing 4 games due to the sprained right UCL suffered in the loss to the Texans. He has progressed as expected; Allen himself has reported that his elbow continues to feel better and news reports are showing him making all his passes without obvious compensation. Interestingly, he is still wearing a brace on his right elbow which does concern me, but he may play with the bracing on the elbow as he may be comfortable with the throwing motion with it on. I would prefer to see him play without it, but the medical staff knows best and will ensure that he will minimize re-injury. The only benefit to the brace would be to provide protection in case of a direct blow to the area. While he could re-injure it throwing, the chances are significantly reduced as he has given himself an appropriate time to heal to where he is able to play at a high level. He may not be 100% healed but enough that the medical staff feels he can perform without causing further injury. 

Others limited in practice include: C Russell Bodine (shoulder), QB Derek Anderson (concussion), and DE Trent Murphy (knee). I am not sure what Bodine did to his shoulder as he did not appear to require medical attention during the Jets game but this could be an injury sustained in a previous game with re-aggravation or could be a new injury. Until we have more information, I cannot even speculate what he is dealing with.

Anderson continues to battle back from the concussion sustained late in the 4th quarter of the Patriots loss on MNF. He has been slowly working his way back into shape with his limited designation, but is clearly not ready yet. Based on being limited, he appears to be in Stage 3-4 of the concussion protocol, allowing him to go through sport specific activities and perform aerobic activities. Unfortunately, he has since been ruled out for Sunday’s game, dealing with concussion symptoms for nearly a month now. While this is atypical from what we usually see during a concussion recovery, this would be considered normal for concussion management outside of the NFL as not all concussions are mild with a quick turnaround time. Hopefully he continues to improve and help Josh Allen develop.

Murphy continues to battle back from injury after injury. The latest injury is a right MCL sprain suffered halfway through the 4th quarter in the loss to the Colts. He has since missed 3 games and is slow to return but the vibe is that he will be ready come Sunday to help contain the rushing attack. The veteran DE has had 4 weeks to fully recover which is within the expected recovery times for an MCL injury. With his recent injury history, the Bills training staff were not in a position to rush him back and cause further complaints.

Those not practicing are TE Charles Clay (hamstring) and DE Shaq Lawson   (elbow). Clay pulled his hamstring running a route early in the Bears game and was unable to return. He since missed the Jets game and right now could potentially miss the Jaguars game. Lawson suffered an elbow injury during practice early in the week which makes it nearly impossible to diagnose. Reports indicate that he tweaked his elbow and is considered day-to-day. Until we get further information, I will not speculate as to what he is dealing with at the moment. 

Overall, while the list does look long, with QB Derek Anderson ruled out, TE Charles Clay is doubtful, and those questionable include: C Russell Bodine, CB Taron Johnson, DE Shaq Lawson, and DE Trent Murphy. Clay will not play and even if he somehow suits up, he will not be effective. Those questionable that I expect to play are Murphy and Johnson. We do not know whether Bodine or Lawson are ready to play based on the fact that we do not know the extent of their injuries. If they do indeed sit out, this fits with the roughly 50% of questionable’s not playing this year. I do have a feeling Lawson will be available.

With injuries beginning to take their toll, this is also the time of year where we begin to see players go on IR quickly if they have an injury that will take longer to heal than the remainder of the season so that the team can roster healthy players or guys they want to take a longer look at in game action. Do not be surprised if we see players such as QB Derek Anderson and CB Taron Johnson go on IR in the near future so they can fully address their medical complaints in order to be healthy next season.

Continue to follow for the latest updates and news coming out of One Bills Drive. Follow on Twitter @BangedUpBills, on Facebook at Banged Up Bills, on reddit u/BangedUpBills, and online at http://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 Preview- Patriots MNF

Brush up on the latest Bills injury news prior to the MNF game against the New England Patriots.

How things have changed! Two weeks ago, the Bills demonstrated a true rarity in today’s NFL: an injury report devoid of injury. Fast forward and they are beginning to show some cracks in their base heading into a huge matchup against the vaunted New England Patriots in a rare Monday night game in Western New York. Today’s post will dive into the injuries and how they impact Monday night.

Those already ruled out for Monday’s game are QB Josh Allen (elbow), DE Trent Murphy (knee), and RB Taiwan Jones (neck). Do not expect to see Allen before the bye and possibly until he is 100% which may be towards the very end of the season. Jones continues to be a mystery dealing with a neck injury that has prevented him from participating in any football activities since the Texans game. The only information I have found is that he suffered the neck injury during the Texans game which was finally revealed Thursday. As to what he is exactly dealing with remains unclear. I have reviewed film twice watching every special teams play and while Jones did get hit several times, he never required medical attention after the play, he was never slow to get up, and appeared in 71% of special teams plays which is near the top of the reps on special teams. If anyone out there sees something that I missed, I would look forward to that conversation.

Murphy is dealing with a right knee injury that he suffered late in the loss to the Colts which ended his day. I had speculated that he suffered a right MCL sprain and that still appears to be the case. There has not been any reports that he had to have any imaging or surgical procedures which indicate that this is indeed only a sprain. To note, his sprain is in the right knee; he tore the left ACL last year. As he has battled injury all season, the Bills should be cautious to rush him back. He would benefit from sitting out the next 3 games and using the bye to get back to 100% which would be a reasonable timeline for this type of injury. There would be concern if he came back too quickly that he could place undue stress on his left leg as a result or further injure his right leg leading to injured reserve. He should be able to come back healthy but time is not on his side.

Those limited in practice this week include RB LeSean McCoy (concussion), T Jordan Mills (knee), QB Derek Anderson (back/calf), & RB Chris Ivory (hamstring). We already know that Anderson will play Monday as he’s been named the starter and is limited due to shaking off the rust as he returns to form. Ivory suffered a left foot injury Sunday that does not appear to be an issue but suffered a hamstring strain on Wednesday that thankfully will not cause him to miss the game.

Mills has a knee injury that is new to Friday’s practice but does not appear to be a concern as he practiced in full on Saturday. Going forward, the big question is RB LeSean McCoy’s concussion suffered early in Sunday’s loss. He appears to be going through the concussion protocol very well, appearing to be in stage 4 or 5 of the 5 stage process, but still needs to be able to perform full contact and activity without reproduction of symptoms for 24 hours. While he was limited in practice, it is far from a guarantee that he will be cleared. Until the team says he’s clear, there is no way to speculate the severity of the original injury and whether he will be cleared.

As of Saturday, he has been ruled questionable with things trending towards that he’ll play Monday. If he is cleared, I believe that he will be able to perform close to his expected level though may need extra rest breaks due to fatigue. He may also not be as sharp cognitively but depending on the severity of the original concussion will determine his recovery to baseline.

While it is not opportune for key players to be injured during any portion of the season, this one appears to hurt worse going into a key primetime game against the Patriots. I am sure that ABC/ESPN executives did not envision QB Derek Anderson leading the charge against Tom Brady & the Patriots when they scheduled this game. However, this is what the Bills are working with and have shown depth at all positions to allow them to stay competitive. An interesting note: the two previous numbers that the Bills have retired, they have lost each game. 2001 saw the Bills retire Jim Kelly’s #12 with the team losing to the Seattle Seahawks 23-20. 2016 saw the Bills retire Bruce Smith’s #78 with an awful loss to the Jets 37-31. We can only hope when the Bills retire Thurman Thomas’ #34, they find a way to win on the big stage that is MNF.

While I am not anticipating a win, anything can and does happen in the NFL. These Bills have a fight in them despite some of the lopsided losses this season. This is a division game, the Patriots are our most hated rival, and we will not be embarrassed! I look forward to going to the game and enjoying the atmosphere that is New Era Field & Bills Mafia.

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

Week 7 Bills Injury Review- Colts

Read up on the latest Bills injuries and how they impact the upcoming MNF game.

Bills fans, we’ve been though this before. That 3 week stretch last year, yes, this feels a lot like this. No I do not anticipate that we will go on a tear and win and make the playoffs by some miraculous play. But 5 out of the first 7 games were on the road and the team did much better at home last year. There is still much football to be played and winnable games later this season. However, these wins will be harder to come by as starters begin going down with injury. Today’s post will review these injuries sustained in the brutal loss to the Colts.

Prior to the game, QB Josh Allen (elbow) and RB Taiwan Jones (neck) were ruled out. Allen’s issues are well documented and Jones is a mystery. The injury report this week will shed some additional light on Jones’ complaints. According to reports, Jones is week to week, but that doesn’t tell us much more than its something more serious than neck spasms. We already know that Allen has been ruled out for Monday’s game.

Those injured during Sunday’s tough loss to the Colts include RB LeSean McCoy (Head/ankle), RB Chris Ivory (left foot), and DE Trent Murphy (right knee). McCoy managed to injure both his head and what appeared to be his medial right ankle during a tackle out of bounds on the 2nd play of the game. Assessing the ankle, he appeared to tweak his deltoid ligament on the inside portion of the ankle. This is known as a medial eversion sprain and this is a very difficult ligament to injure due to the biomechanics of the ankle with greater mobility on the outside portion of the ankle compared to inside. It has also since been reported that McCoy also suffered a concussion on the same play and was ruled out for the day. It can take anywhere from 7-10 days for a player to return to play but players have returned quicker, but have also taken longer. They must pass through 5 stages successfully prior to returning to playing and be symptom free following full contact. (Do check out the previous link as it details the NFL concussion protocol and what it entails.) As it stands right now, McCoy may miss the MNF game but if he gets cleared, then there’s no question about his ability to be ready. Only practice and his progression through the protocol will determine whether he will be available for Monday night. As for his ankle, he could get that taped up for support if there is pain present and this does not appear to be potentially a long term issue. This is also an injury that should heal up fairly quickly. Considering that he will be doing little to no athletic activity until the end stages of the concussion protocol, it will only give his ankle more opportunity to heal.

RB Chris Ivory injured his left foot while being brought down early in the 3rd quarter after a run up the middle. He was observed grasping at his midfoot after the play but was eventually able to return. He had stated that the injury was minor and that it was no big deal. It appeared that he may have suffered a midfoot sprain due to the foot being pointed down or in plantar flexion and the foot twisted up underneath. This injury may be worse than it appeared and he truly is alright or this may be something that lands him on the injury report. We will have to wait and see whether it will but considering that he was able to return to play and described it as minor leads me to believe that this will not affect him going into Monday night. It is possible that this could be something he has to deal with as the season progresses, but video does not make me think otherwise and he is reporting that he feels good. If he is unable to go, RB Marcus Murphy would get the start.

DE Trent Murphy injured his right knee late in the 4th quarter with the game already out of hand. He was in the process of engaging an offensive player during a block when another player got thrown into his knee with his knee bent and foot on the ground. The blow did have the makings of a potential ACL tear mechanism; fortunately, we know this not to be the case as it would have been reported by now. Based on video, it appears as though he suffered a Grade 1-2 MCL sprain, similar to what DT Kyle Williams suffered in the preseason against the Browns. As mentioned in previous articles, the MCL is the ligament that runs on the inside portion of the knee and is commonly injured when a blow to the outside of the knee occurs or when a player is pivoting and the foot gets caught in the turf and the knee is overcome by the forces of changing direction. Recovery time takes between 2-6 weeks to return fully without compensation in ideal cases but as in football, players do attempt to come back sooner.

Murphy is week to week according to HC Sean McDermott and this is expected based on the suspected severity. He will most likely miss the Monday night game and may miss the next several games, using the bye in Week 11 to return to full health. As this is the opposite side of his ACL tear from last year, the team will be more cautious to let him back out on the field before he is fully healthy. He also requires more agility out of his position than Kyle Williams which would explain why he will most likely require a longer healing time compared to others with the same injury. There is also a possibility that he may have suffered a minor meniscus tear as the mechanism of injury is similar to that of the MCL, but initial evaluation by medical personnel and Murphy’s reaction on the field indicates that this is more MCL related. The mechanism fits MCL, he had difficulty bending the knee with assistance, and from the video angle, there did not appear to be a rotational component unlike TE Charles Clay’s knee injury from last year. However, I cannot rule out meniscus tear until the team releases further information. Regardless of outcome, I expect Murphy to miss the next 2-3 games, favoring the over due to his previous injury history.

This may be the Bills toughest stretch in regards to injuries as several major names are on the mend at this point. Thankfully, the depth is still strong at most positions and season ending injuries have been at a minimum compared to others in the league. The good news is that all the players should be able to return rather quickly to give the Bills the best chance to win. While I am not expecting a Bills win come Monday night, I expect the Bills to show up for national TV, I expect them to give QB Tom Brady and Co. a dogfight, and I expect it to be a competitive game. Considering all the pomp and circumstance of former Bills great RB Thurman Thomas jersey retirement ceremony, Bills Mafia will be out in full force providing home field advantage.

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

Week 6 Bills Injury Review- Texans & Allen’s Elbow

Read about the latest Bills injury to QB Josh Allen and what this means going forward.

Well this isn’t good, this isn’t good at all. The ultimate form of adding insult to injury, though reversed. The Bills lost a very winnable game, dropping to 2-4 on the year, losing to the flawed Houston Texans 20-13 on a QB Nathan Peterman pick 6 to give the Texans the lead and the game. Adding the injury part, QB Josh Allen suffered what appeared to be a rather innocuous elbow injury, glancing his elbow off DE Whitney Mercilus’ helmet. However, he was able to attempt one more pass before exiting the game. Unfortunately, recent news has shed light on the severity of the injury. Today’s article will assess what Josh Allen did to his elbow and what it means going forward.

Credit: physio-pedia.com

To give a brief anatomy lesson, the elbow is made up of 3 bones: the ulna, radius, and humerus. The elbow is primary comprised of the capitulum on the humerus fitting inside the semilunar notch which is part of the olecranon process on the ulna to make a hinge joint. Surrounding the joint are ligaments that provide support to the joint to provide support. These ligaments are the lateral collateral ligament, the ulnar collateral ligament, and annular ligament. The lateral collateral sits on the outside portion of the elbow, mostly injured due to fracture or dislocation. The annular ligament holds the head of the radius in place along the elbow joint, and the ulnar collateral ligament sits on the inside of the elbow. This is similar to the MCL of the knee in its function. It is more of a stabilizing ligament due to the throwing motion required in the human body. This ligament is made up of 3 bundles that spread out like a fan to cover the entire inside portion of the elbow. The elbow is a rather stable joint as compared to the shoulder or ankle, but as with any joint, can be injured with the proper forces.

In true Bills fashion, QB Josh Allen suffered a UCL (ulnar collateral ligament) injury to the elbow. This was the result of a bang bang play as Allen got hit from the left by Clowney, followed by Mercilus hit from the right, coming up underneath, hyperextending the rookie’s elbow. Initial thoughts were that he hit his funny bone off the helmet and had some residual numbness, similar though, to a lesser extent of the QB Marcus Mariota injury. However, later video review showed the arm in hyperextension which was worse but not terrible injury. At that point, I began thinking maybe he can come back this week or miss one game. However, recent video from Thad Brown revealed ironclad proof that this is an injury more severe than anyone thought.

The ulnar collateral ligament helps to provide medial support to the elbow so that the ulna does not shift off the humerus during elbow flexion/extension. This ligament also provides support during the throwing motion seen in many sporting activities. Injuries occur to this area as the result of acute hyperextension, excessive external rotation of the shoulder leading to chronic issues such as pitching, or a sudden forceful lateral stress to the joint during elbow extension which was the case with Allen.

Credit: eorthopod.com

In the video above, you can see the medical staff performing a milking technique or moving valgus stress test. The arm is put into full external rotation and the elbow is moved throughout its range, attempting to assess whether there is a painful response. In the video, there is clearly a painful response indicating a positive test. This test would not specify which band is injured, only the area in general. Due to this testing along with the mechanism of the injury, an MRI was performed to determine the severity of the injury. At this point in time, we know that this is not a season ending injury and we know that he will not require surgery as reported by Dr. James Andrews following a second opinion.

The reason it was the UCL that was injured was due to where the force came from. It came from below and outside the arm, pushing the inner portion of the arm up and out via the hyperextension, partially tearing the ligament. The reason everyone is hyper-concerned is that this is a rather famous ligament made popular by Dr. Frank Jobe and baseball player Tommy John in 1974. This is the ligament that stabilizes the inner elbow when a pitcher is throwing a baseball 100 mph. Dr. Jobe was able to surgically repair the ligament that Tommy John had torn and John was able to return to playing, racking up more wins in the process than he had prior to the injury. Today, this is known as Tommy John surgery and is typically a death blow to a pitcher’s season, hence the concern with Allen. Incidentally, many pitchers have since tore this ligament as a result of being bigger, faster, stronger along with overuse and sport specialization.

According to Dr. Andrews, Allen does not appear to require surgery nor will he be sidelined for the remaining season with the information that we currently have. This is something that many of us in the medical community believed prior to the Andrews report. This is an injury that like any ligamentous injury, will take some time to heal. Many conservative rehab guides along with medical professionals are looking in the neighborhood of 6 weeks for this to heal to the point of playing which would take the Bills past the bye week. I believe within this amount of time, he would be able to come back and while not 100%, would be close enough to be effective and continue to grow as a player. There are reports that he could miss 2-3 games but I think the Bills would be foolish to rush him back that quickly. It is likely that he will have some type of bracing on the elbow for protection.

While this is incredibly terrible, this will allow the Bills to let Allen rest and learn until he is ready rather than rushing him back out there and causing further damage to his arm. If this had been his non-throwing elbow, it would be more likely he would have been back by next week with bracing. This is an injury that despite best prevention, could not have been avoided. It was a collision and even with padding and protection, forces can still overcome the preventative measures.

Overall, UCL injuries are relatively rare in the NFL. Studies show that from 1994-2008, there were 10 UCL injuries with 9 taking 26.4 days to return and not requiring surgery. In addition, from 2010-2018, there were 12 UCL injuries with only one requiring surgery. Based on the past 25 years from those two studies, there has been 22 UCL injuries to QB’s in the NFL with only 2 requiring surgery. These numbers are smaller due to the relatively small sample size available. This is evident in the difference of the style of the throw, the amount of times the player is throwing, how many consecutive times a throw is performed, and the speed of the throw; all significantly less in football compared to baseball. While it is the same injury, the incidence is drastically different.

Thankfully, from baseball, we know how to treat this effectively. The non-operative rehab will consist of regaining full, pain free ROM in the elbow. They will also begin light resistive training to the area involving bicep/triceps work and grip/wrist exercises to build the muscles up around the area to give support as the muscles that perform flexion in the wrist and hand attach very closely to the UCL on the medial epicondyle of the elbow. As the ligament heals, he will begin to work on dynamic stability with grip and weight bearing through the arm. He will progress towards throwing progressively weighted balls along with strength training all while managing pain before resuming football activities. This injury, along with all other injuries, DOES NOT fit the motto of no pain, no gain. That motto doesn’t fly in therapy and will only delay his return to the field. The limited NFL research along with what we know about the baseball injuries will dictate when he returns. As he is young, he can heal quicker than an older QB, but this is not an injury that he should play through before he is ready as greater damage may occur as a result.

While this was a majority of the article as it is a major topic, there were other injuries that occurred during the game. DE Trent Murphy injured his left ankle late in the 2nd quarter. He appeared to take an odd step and came up limping slightly, missing several plays. He was able to return and it does not appear that he sustained any noteworthy damage at this time.

OG Vladimir Ducasse suffered what was reported a left knee injury early in the 4th quarter and was questionable to return. He was able to jog off the field with a small limp and was seen after the game walking in the tunnel without apparent pain. On video, he got hit from behind and got rolled up on. My initial reaction thought maybe mild high ankle sprain with how he fell or some type of contusion to the calf region. He could have also came directly down on his knee due to getting hit, causing discomfort. Either way, it doesn’t appear to be serious and we will know more once the injury report comes out tomorrow.

While this was an incredibly lengthy article, I hope that you walk away from this knowing that Josh Allen will be ok, not all injuries are avoidable, and the Bills are still relatively healthy compared to other teams in the league.

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 at u/BangedUpBills, and www.bangedupbills.com. As always, thank you for reading and GO BILLS!!

Week 4 Bills Injury Preview- Packers

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

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

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

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

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

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

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

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

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