2020 AFC Championship Bills Injury Review- Chiefs

How did Beasley partially fracture his fibula?

Yet again, the Buffalo Bills are not ending the season the way we wish, hoisting the Lombardi trophy. Instead, the Bills lost 38-24 to the Kansas City Chiefs on Sunday evening. To get to championship weekend with a legitimate chance to go play in the Super Bowl is something a large portion of the fan base hasn’t experienced in their lifetime or they are a generation removed. Looking back on this season which includes a 13-3 record, AFC East title, multiple All-Pro/Pro Bowl selections, franchise records, lots of young talent; there’s a lot to look forward to at this stage. 

Despite the loss, there didn’t appear to be any notable injuries that would have affected Buffalo in two weeks had they won. Below are the injury observations and early thoughts on the offseason.

In-game injuries:

WR Cole Beasley (Right calf)

Beasley went down following a catch to move the chains with 6 minutes left, limping off on his right toe to the sidelines. He immediately went to his back and the team began stretching out his calf which kept him out of several plays, most likely dealing with cramping. He returned later in the game, likely sore but finishing the game.

There aren’t any concerns regarding the cramping but noted the only “injury” observed in the game.

Other injury observations:

WR Gabriel Davis (ankle)

Davis was up and down all day prior as to whether he would play. After much consideration, I believed he would not play. The team had activated Kenny Stills from the practice squad for this exact reason yet Davis was a surprise active and Stills sat on the sidelines. 

He ended up playing in only 16 plays or 22% of the offensive snaps. He saw only 3 targets without any catches and saw most of his playing time in the 4th quarter. After the game, Sean McDermott defended playing Davis stating the medical staff felt that Davis could play and contribute. He then added in that he wanted to let guys who helped get them to that point play. 

Based on the video, it appeared he suffered a right low inversion ankle sprain. However, looking at the replay again, Ravens Marlon Humphrey did land on the other ankle as he fell down, and while it isn’t clear if he injured that ankle, it’s possible that could have been hampering him.

Hindsight is 20/20 and it’s fair to wonder if a healthy Stills possibly didn’t know the playbook as well as Davis did. It’s unfortunate that Davis couldn’t contribute at that point but he was a key member in getting the Bills to the AFC Championship.

WR Cole Beasley (Left fibula fracture) 

During locker clean-out day, several members of the Bills were interviewed including Cole Beasley who revealed he suffered a partial fracture of his fibula in Week 16 against the Patriots. 

This was certainly a surprising development as everyone knew he was battling through a knee injury, but not to that magnitude. Frankly, if anyone said that they thought that he did that, then either they are Nostradamus or they are lying through their teeth. 

I had thought that he was dealing with a meniscal injury based on the mechanism shown on film and the trainer pointing to the lateral knee on the sidelines indicating joint line tenderness. It also initially supported the timeline he went through to get back on the field. 

Understanding how he suffered the injury is difficult. He stutter-stepped and then fell down before coming up limping. There was a possibility that he was hit by the Patriots defender going down which could explain the hit to the knee leading to the fracture, but it’s not clear on film. This wasn’t an injury considered as a possibility at the time.

He most likely suffered a partial fibular head fracture as that portion lies right on the outside portion of the knee, hence why the team got away with saying knee on the injury report. They were right, but it was a loose use of the term. This would also support the use of the bracing on the knee during the Colts game to provide support to the area. It is important to note that Beasley was not wearing the brace during the Chiefs game.

Credit: Missoula Bone & Joint

According to the literature, these usually occur as the result of a direct blow to the area. An isolated fibular fracture is quite rare and the literature linked indicates there isn’t a lot of research on frequency. There are other ways to break the fibula but those involve more of the distal fibula down towards the ankle and are typically more severe in nature.

Credit: Sportsspecialists.ca

Either way, it explains why he slowly got better as he went in the playoffs due to the bone healing. As the fibula is a non-weight-bearing bone, it didn’t necessarily impact function, but more pain and tenderness due to the location. Thankfully, he does not require surgery and should have a full recovery without any possibility of long term issues.

Beasley clearly wanted to win and it showed playing through this injury. It’s something that’s respected but it shouldn’t be an expectation to play through this. He will take a much-deserved break to let all his injuries heal and then get back to training.

QB Josh Allen (General injury overview)

Allen also spoke to the media today more so about the AFC Championship loss, but he did reveal that he doesn’t have any crazy injuries and that he’s feeling pretty good. 

He did suffer a left shoulder injury along with injuring his right knee twice along with his ankle during the season. I had thought the shoulder injury was a subluxation which could have led to a labral tear. So based on what we saw back in Week 4, he suffered an AC joint sprain that took roughly 6 weeks to recover from with the bracing and tape. 

I’m glad I’m wrong because like Beasley, he doesn’t have to work through rehabilitation in the offseason and can work on his skillset even further. Things could change as exit physicals occur, but this is what is known at the time of publication.

Other thoughts:

Beasley’s fibular fracture is only the first layer of the onion that will reveal all the injuries various players played through this season. I would expect we see an onslaught of surgeries following the exit physicals this week. 

Already noted, Zach Moss has already gone through his Tightrope procedure on his left ankle and should be rehabbing in the coming weeks. 

As for the offseason for Banged Up Bills, make sure to check back periodically for injury updates. If the Bills report an injury, update, or surgery, it will be found here. Make sure to check out any podcast appearances, my draft prospect work over at Cover 1, draft selection updates/news over at Buffalo Rumblings, and weekly content over at The Game Day NFL.

Thank you to every single person that read the articles along with interacting on Twitter, Facebook, Reddit, and Instagram. It is impossible to be right all the time and while I would like to be, I still strive to give the most complete answers based on the information currently available. This was the most successful year of Banged Up Bills and I truly appreciate all the interactions and support. This is a ton of fun and I want to continue to provide the best content possible to the best fan base. Thank you and Go Bills!

Top Photo Credit: Yahoo Sports

2020 Wild Card Weekend Bills Injury Review- Colts

The Bills lose Zack Moss for the playoffs, how serious is the ankle injury?

The Buffalo Bills have done it!! They have secured a playoff win for the first time since 1995 over the Indianapolis Colts 27-24! While it wasn’t a win that was as dominating as it has been in recent weeks, it’s the playoffs, and blowout wins are far from expected as we saw this weekend. 

Coming into the game, the Bills were fairly healthy with only Cole Beasley and Stefon Diggs being the big concerns. Both ended up playing with varying degrees of effectiveness. Beasley led the team in receptions and moved the chains despite playing through obvious pain, Diggs led in receiving yards and added a touchdown.

Fortunately, the Bills ended the game with only one significant injury as they look to prepare for next week against the Baltimore Ravens. Check out the recap below.

In-game injuries:

T Dion Dawkins (Undisclosed)

Dawkins left the field briefly, going to the locker room early in the 2nd quarter before returning moments later adjusting his equipment. Looking at the video, there doesn’t appear to be anything to note injury-wise on film and he didn’t miss any offensive snaps during the time he was away. 

Unless he shows up on the injury report with a designation, this one’s a mystery. 

RB Zack Moss (Left ankle)

Moss went down with a rough-looking left ankle injury at the beginning of the 4th quarter, requiring the cart to leave the field. Upon review, his left foot gets caught between a lot of bodies and the ground with his foot turned out. This was a clear mechanism for a likely high ankle sprain and he was in obvious pain. The cart was required to get him off the field and does not always equal severity, but the inability to get to the locker room himself required the use of the cart.

Initial reports that came out after the game indicate that Moss’s postseason may be over but the possibility to return if there is a deep playoff run. This further supported the possible high ankle sprain observed on video. Even with a full week off, it would have been incredibly difficult to even attempt to play through this injury. There is considerable instability and swelling in the ankle and he would have a very difficult time generating force from the ankle/foot complex. 

However, reports came out Monday stating that his season was over but that he avoided a major injury according to his agent. There is the possibility that he may require surgery which is indicated for significant high ankle sprains, but no official determination on the intervention has been made yet. 

If Moss avoids surgery, he could take roughly 6-8 weeks to return to full health. If he requires surgery, it could take upwards of 6 months but most likely less than that to fully recover. With either timeline, he would still be fully ready for training camp. Based on the damage, he could realistically participate in most of OTA’s with potentially little to no restrictions.

Credit: ChrisButlerSportsPT.wordpress.com

There is the possibility that he could receive the Tightrope procedure that the Alabama Crimson Tide medical staff has popularized, but that hasn’t been generally accepted as a regular surgery in the NFL as of yet. If he does receive this procedure, there is a chance that he could rehabilitate quicker, but this won’t be known unless it is reported.

It’s a tough pill to swallow for Moss and the Bills, but they do have Devin Singletary as the lead back in the interim. They also have TJ Yeldon, Antonio Williams, and even Taiwan Jones as options, though Jones has exclusively been on special teams. They hypothetically could bring in someone from an eliminated team’s practice squad, but to have 4 days to prepare could be a large task. It’s an unfortunate injury, but something the Bills must deal with. 

Other observations:

WR Cole Beasley (Left knee)

Beasley “toughed it out” to play Saturday with 7 receptions for 57 yards but at times came up clearly limping around. Watching him trying to move the chains posed the question of whether it was worth it for him to suit up to play, but he did. He was mainly a possession receiver, catching the ball and then going down relatively soon after the catch. I did count two plays where he tried to get some extra yardage but he didn’t break any long runs like I suspected that he would have difficulty with. 

Unless he injured the knee further Saturday, I would expect that he doesn’t practice all week or is significantly limited except for Thursday and then do it all over again Saturday. It was also noted that he was wearing a brace under his pants to provide extra stability to the joint.

It’s the playoffs, he was going to gut it out in order to do whatever it took to win. That was my only argument as to whether he would play or not. It was evident that he probably would have not played had it been a regular-season game. 

There didn’t appear to be any other notable injuries from Saturday’s game but there will likely be some surprises on the injury report. Stefon Diggs was highly effective and the oblique injury he was dealing with did not appear to be a factor at all. This will be an incredibly long week as the Bills prepare to host the Ravens in primetime on Saturday for the right to move to the AFC Championship against the winner of the Chiefs-Browns game. I’d assume the Chiefs would be the opponent, but the way the Browns handled the Steelers Sunday, anything can happen. 

We will be watching both the Bills and Ravens injury report this week to identify any possible competitive advantages heading into Saturday. 

Top Photo Credit: Yardbarker.com

2020 Week 17 Bills Injury Review- Dolphins

Are there any injury concerns from Sunday?

Just start calling the Buffalo Bills “Rawhide”! Rollin’, Rollin’, Rollin’, Rawhide!!! That’s all they seem to do over these past few weeks, Rollin’ over anyone that is in their way, hanging 142 points over the last 3 games on their way to 13-3. This was really a point of emphasis with a 56-26 win over the Miami Dolphins Sunday.

This is simply incredible football that we are watching and it sure is fun! I always had this prevailing thought that they would be good again, but it’s here now and it’s really exciting. To see what this team has done not observed in 30 years and they continue to improve is scary. 

On top of that, they enter the postseason with very few injuries after dealing with many around midseason. In fact, they’ve only lost one starter in Cody Ford to a season-ending injury and have weathered many others with their incredible depth. Below are the injuries from Sunday, though it is important to note that the team only reported one injury for the entire day. 

CB Taron Johnson (right shoulder)

Johnson appeared to injure his right shoulder while trying to tackle Durham Smythe early in the game and unfortunately hit Matt Milano’s upper right thigh. He was down briefly while trainers assessed him before coming off for part of the first quarter.

Johnson briefly went to the medical tent to be examined before later returning. The fact that he returned to the game rather quickly indicates that there isn’t much going on other than recovering from a hard hit. He certainly could have had his neck jarred or had the wind knocked out of him, but there doesn’t appear to be any long term concerns for Saturday. 

LB Matt Milano (upper right thigh)

Milano got hit on the upper right thigh area tackling Durham Smythe before fellow teammate Taron Johnson hit him with his right shoulder. Milano was walking gingerly briefly before returning for the next play. 

He didn’t miss time, he will probably be sore, but there doesn’t appear to be anything limiting him for the playoff game. Just a hard hit that’s part of football. 

G Jon Feliciano (left knee)

Feliciano briefly limped around early in the 2nd quarter following a routine running play in the red zone. He continued his block as Zack Moss passed him and as the play began to end, a Dolphins defender rolled into the outside portion of his left leg, knocking him over.

He did not miss any snaps for the remainder of the drive which resulted in the Bills first touchdown of the day. Like all the other injuries, this doesn’t appear to be much of anything to be concerned about for Saturday. 

S Siran Neal (concussion check)

Neal briefly left the game following a knee to the head while trying to tackle DeVante Parker late in the 3rd quarter. The team assessed him for a concussion due to the hit by using his head to take out Parker’s left leg and initially requiring the training staff to meet him on the field. Fortunately, he returned 5 minutes later and resumed playing without missing a beat. 

The only other concern was when Stefon Diggs got hit from behind after he had already slid down midway through the 2nd quarter. Christian Wilkins came in late and hit Diggs on the back of the head, momentarily causing concern for a concussion. Thankfully, Diggs popped right back up and was also able to draw an unnecessary roughness call on Wilkins to continue the drive. 

The Bills did sit some starters and played others through the half which fortunately did not cause any injuries. This also allowed them to keep focused and in their routine for the playoffs.

Overall, this injury report should look pretty clean heading into Saturday’s matchup against the Colts. I expect Cole Beasley and Reggie Gilliam to be on the report with their respective injuries with a close eye on Beasley’s participation availability. Slight chance that Johnson and Feliciano make an appearance, but I don’t see their injuries being significant. Of course, there’s always surprises too. 

It’s the playoffs, Beasley has a chance to play. His practice participation will likely dictate whether he does. The team has indicated that Isaiah McKenzie can fill in for Beasley in the slot which may allow Beasley to get another week off which would be beneficial if it is indeed a meniscal tear of quadricep strain as I had speculated before. 

This will be a short week practice wise and much more will be known by Thursday. Enjoy the week Bills Mafia, this is what we’ve dreamed of for years.

Top Photo Credit: Vincent Carchietta/BillsWire-USA Today 

2020 Week 15 Bills Injury Review- Broncos

How serious is Diggs’ foot injury? What is the latest on Williams, White, and Roberts?

The Buffalo Bills are the 2020 AFC East Champions! That is incredibly satisfying to type, say/hear, read. I’d imagine that tasting a cold Labatt Blue at a tailgate bonfire would give you the final senses of enjoying what this means. It’s been a long 25 years and is another step towards the ultimate goals of a Super Bowl championship for the franchise. Division titles may not be that important to other franchises, but the Bills are not like other franchises. They are the Buffalo Bills, a team with a goal, and division titles with home playoff games are the building blocks.

While the Bills took care of business 48-19 over the Denver Broncos, there were numerous injuries that certainly had the fan base worried on Twitter. Not all the injury news is bad, but there are quite a few heading into Monday night against the New England Patriots. Below are all the publicly known injuries from Saturday.

TE Reggie Gilliam (knee)

Gilliam suffered a knee injury sometime in the 2nd or 3rd quarter and was initially ruled probable to return. It’s not clear when he suffered the knee injury or what he exactly did. My suspicion is that he injured it on a special teams play and was tended to by trainers on the sidelines. The camera angles were awful on special teams Sunday which made finding this injury very difficult. 

He ultimately returned to the game and this doesn’t appear to be a significant issue moving forward. 

TE Dawson Knox (stinger)

Knox left the game briefly for the second time in two weeks with a stinger but was able to return. I had said last week that there was a slight concern that if this occurs again, this could pose a problem or signify that something more is going on, however, there is not any definitive facts to support this at the time. 

It’s not clear when he suffered the stinger, my guess is when caught a long pass with 3:08 left in the 2nd quarter. He was out there until the 2-minute warning but there isn’t a definitive time when he suffered the injury. 

Like last week, I am not certain that he will show up on the injury report with this. Stingers are typically transient and the fact that Knox ended up returning support that this isn’t serious. He does have extra time to rest as the Bills don’t play until Monday night.

OT Daryl Williams (groin)

The injury to Williams may be the most concerning of the bunch due to his position and type of injury. This injury occurred sometime early in the 3rd quarter on the second touchdown run by Josh Allen. It isn’t clear when he suffered the injury, either with 11:32 or 11:05 in the 3rd quarter. The play with 11:32 had Williams lateral stepping and externally rotating his legs which is a classic mechanism to injure the groin in keeping up with his block to keep Josh Allen clean and did not appear labored getting through the next play. The next play was the second Josh Allen rushing touchdown where Williams was in a pile of bodies as Allen snuck in on the right side.

Credit: TeachMeAnatomy.info

Williams did not return and veteran Ty Nsekhe played admirably through the rest of the game in place. I have noted that groin injuries are difficult to determine on film unless it is blatantly obvious.

Credit: WNYUrology

Per the research, Williams could be out anywhere from 8-20 days with the average time off of 14 days and return to play pain free within 3 week. The overall re-injury rate is 8% once returning to play. I don’t see him playing Monday night unless his practice report says otherwise. 

At this point, let him rest and get ready for the playoffs. This also allows Nsekhe to get some needed reps in case injury occurs in the postseason.

WR Andre Roberts (low back)

The versatile return man suffered a low back injury sometime in the 3rd quarter, though it isn’t obvious when he suffered the injury. He was only noted as having a low back injury when the team reported it after Micah Hyde began returning punts in his place. It was initially thought Roberts was benched due to his muffed catch which resulted in a Broncos score, but the injury ended his day.

On his last return before going out, he was tackled by 3 different Broncos players and appeared to take a good shot to the low back. This could be a simple contusion, back spasms, or something else not known without further examination.

He will be one to watch on the injury report whether he practices at all this week. He does have the extra time to rest with the Monday night game but this is going to be a wait and see. 

CB Tre’Davious White (stinger)

The veteran cornerback scared the fan base when he went down briefly following a routine tackle on Tim Patrick in the 4th quarter. 

On review, I had no idea what he had injured because the hit seemed so routine and clean. Looking at where the trainers were looking at and how he hit, it looked to be the right shoulder area where he suffered the stinger. 

He did suffer a stinger on what appeared to be the left side last year in the Steelers game, but last year’s stinger doesn’t appear to have any correlation with this most recent one. White must have hit just right that he sustained the injury but was able to quickly return. He should be fine to play unless he has persisting symptoms for which he would likely end up on the injury report. 

CB Levi Wallace (right ankle)

Wallace is an interesting injury. He suffered an ankle injury shortly after White went down with his stinger. He ran down the field and then came back to try to scoop the ball up off the turf as it was dropped for a possible interception by Taron Johnson. He didn’t appear to roll it or sustain any visible injury. He did take an extra step onto his right leg when trying to reach down for the ball, possibly jamming up his ankle a little bit, but he quickly returned to the game.

For those thinking he re-injured his ankle from the Raiders game, it was his left ankle which ultimately sent him to IR for 3 weeks. This doesn’t appear to be anything long term and the extra time off should do well for Wallace to play Monday. 

DE AJ Epenesa (head)

Epenesa went to the sidelines under protest to get evaluated for a head injury while trying to avoid a late hit with 5:46 left in the 4th quarter. He flipped over Drew Lock and hit with his right shoulder and head on the turf. 

The team did not announce that he was in the concussion protocol during Monday’s press conference. The in game checks are precautionary and part of the concussion protocol, but it does not appear that he has entered it at this point. Wednesday will be telling if he shows up on the report with anything at all. 

DT Vernon Butler (left ankle)

During the same play that Epenesa got injured, Butler had his left ankle rolled up on moments before as the defense attempted to contain Drew Lock. Butler required an assessment by the training staff on the field and missed several plays but was able to return. 

He may have tweaked the ankle, but appeared to avoid serious injury as he played the rest of the game. I question if he even shows up on the injury report. 

WR Stefon Diggs (left foot)

This injury may be the most worrisome injury at least from a social media standpoint from Saturday. Diggs was quietly carted to the locker room with a foot injury late in the 4th quarter. 

He came back out on the cart with his left shoe off and hopping around on the sidelines leading to a lot of speculation as to what happened. Fortunately, I found what he did and when he suffered the injury. 

This occurred with 7:16 left in the 4th when Diggs was engaged with his block on a Zack Moss run to the right. Diggs disengages and while attempting to get out of the way of the play, gets his left foot stepped on. He immediately began to limp around briefly before setting up for the next play. During that play, he took several steps but did not try to be actively engaged in the play possibly due to the pain.

Diggs later left the field and then refined as mentioned earlier. By video, this seems like he got cleated on the outside portion of the foot and he should be fine. The reports coming out after the game were optimistic and Monday’s press conference only reinforced that news. 

Since this is more of a pain issue, I would not be concerned with Diggs being limited or even DNP Wednesday and Thursday. The team has off Friday for Christmas and then practices Saturday. Even if he’s limited every day, I’d still expect him to play Monday.

Overall, the Bills are in decent shape despite all the injuries from this game. The only ones I want to watch closely are Williams, Roberts, and to a lesser extent Epenesa. It would not alarm me if there were a few extra names on the injury report in addition to what’s in the article today. 

The Bills have the division locked up but can still fight to maintain the 2nd seed which will guarantee them 2 home playoff games and even 3 if the Chiefs get knocked off. They currently have the tiebreaker over the Pittsburgh Steelers who lost unexpectedly to the Cincinnati Bengals Monday night. 

I would hope the Bills can begin to rest some starters but I don’t expect everyone to sit right away. This is a Bills team that is smart with their sports medicine and will not jeopardize health to maximize winning. These next few weeks are all about taking care of business and hitting the playoffs hot so Buffalo can get a long awaited deep playoff run. There is still a lot of football to play and it’s great knowing the Bills took care of business. 

Top Photo Credit: DraftKings Nation

2020 Week 13 Bills Injury Review- 49ers

What happened to Jon Feliciano? Updates on Cody Ford and Isaiah Hodgins

The Bills regime and team as a whole continue to break down barriers and set new standards year by year. The first Bills Monday Night Football win in the 21st century, first since 1999, this time over the San Francisco 49ers 34-24. It seems as though every time there is a stat line that the Bills haven’t accomplished something in a while, the Bills set it as a goal and in most cases, win! It almost seems like Sean McDermott has the proverbial carrot in front of the team, always chasing, never satisfied. 

On top of the team stacking wins, the team continues to avoid serious injury with a flurry of activity early in the game before things calmed down later. Below are the injury highlights and updates on several surgeries over the past week.

WR Cole Beasley (concussion check)

Beasley took a hard hit to the head while hauling in a 31-yard pass in the first quarter. He was slightly slow to get up and returned to the sidelines where he was evaluated for a concussion. Thankfully he did not have any symptoms as he quickly passed through the screening and returned to the field to complete a career day in receiving yards. 

The loss of Beasley underneath would have hurt the Bills as they continued to focus on different aspects of the offense to keep the defense guessing. Even with delayed onset of concussion symptoms, it would have been known by now if Beasley suffered one as he would have been announced to be in the concussion protocol during yesterday’s press conference. Thankfully, he appears to be alright.

RB Devin Singletary (Right knee)

Singletary required medical attention shortly after Beasley went in for his concussion check with a run up the left side with 13:08 left in the 1st quarter. It isn’t clear what Singletary did to his knee, but his right knee was directly hit by Jimmie Ward, leading to Singletary missing several plays. 

He was able to return quickly and play the majority of snaps for the remainder of the game signifying that this was not an injury to be concerned about. He was likely pressed into greater service due to Zack Moss’s fumble, but if there was an issue, I believe the team would have played Moss more to ensure Singletary’s health. I’m not certain that Singletary even shows up on the injury report this week though it is possible with how the team has reported several injuries this year.

RB Zack Moss (Right knee)

Right after Singletary went out, Moss followed behind with his fumble that was initially reviewed but eventually overturned. I had initially thought that he suffered a possible concussion as he got a shot to the head while going down. However, he got up and was walking with some discomfort to the sidelines before Singletary returned. Upon review, the outside of Moss’s right knee was hit as he was going down which explains the discomfort walking to the sidelines. 

Moss eventually was able to return to the game though his lack of play was more due to his fumbling issues in the end zone rather than injury. Based on video, the right knee injury appears to be a contusion or at worst a minor MCL sprain. He was able to play through it and did not have any evidence of bracing on the area later in the game. He is also another one that I wouldn’t expect to be on the injury report, but if he is, this instance may be the reason.

G Jon Feliciano (Left leg/knee)

Feliciano went down with a knee injury with 10:12 left in the 3rd quarter. During the play, he fell forward, the left leg appears to disappear into a pile of bodies before he comes out laying on his right side. There was nothing to suggest that he suffered any injury until trainers began tending to his brace. He missed the rest of the series which resulted in the Isaiah McKenzie touchdown before returning.

Feliciano played up until the 4th quarter following the Gabriel Davis touchdown, leaving the field to be replaced by Brian Winters. Looking at the film, there is nothing to suggest that he suffered a further injury after he returned the first time. Going back to look at the original play again in what I’ll refer to as the “Madden view”, his left thigh did get struck by Kevin Givens which could explain why the bracing needed adjusting. To note, this did take me many viewings with many more slowed down to catch this.

It’s possible he could have a contusion that led to the muscle tightening up as the game progressed, but it’s also possible the game began to tilt more in favor of the Bills and they were able to sub Winters in for playing time. Considering Feliciano was mentioned in Tuesday’s press conference, this is something the team acknowledged and it’s possible he appears on the injury report with a quad or knee injury. However, this appears something he can play through and is minor unless he has multiple DNP’s this week indicating a greater severity than originally appears.

Other injury thoughts:

LB Matt Milano (Left pectoral)

Milano finally returned to play against the 49ers after missing the past month of football recovering from his partially torn pectoral muscle from Week 4. While he only played on obvious passing downs, he was more involved in the defense, seeing 19 snaps which is the same from what he saw in Week 7. 

He was able to get a quarterback hit, fully wrapping up Nick Mullens along with two solo tackles in his limited playing time. Hopefully, the team continues to wean him back in as he slowly regains his starting role. The team can take their time with this due to the emergence of AJ Klein, but this just allows the Bills to scheme various plays to keep the opposing offense guessing. Milano still probably isn’t 100% prior to the injury, but he’s obviously close enough to return playing with improved results.

WR Isaiah Hodgins (Left shoulder surgery)

It was announced Tuesday night on Hodgins’s Instagram and Twitter that he had successful shoulder surgery earlier Tuesday. While the exact details are not known what he required surgery on, the team had alluded to the possibility of this back at the beginning of the season when he was placed on injured reserve.

He was observed wearing a shoulder harness during training camp which suggested that he tore his labrum though there wasn’t any past publicly reported medical history to support that. There also wasn’t anything in camp to suggest he further injured his shoulder other than sitting out several practices. However, Sean McDermott did state that Hodgins was being placed on IR to let the shoulder calm down a little bit and get some strength in it. I had interpreted this as a rotator cuff issue which it very well could have been.

Hodgins did return to practice right before Thanksgiving and participated briefly before exiting, not being seen again until this announcement was made public. Once there is more details, a firmer rehab timeline can be established. If it is a rotator cuff repair, he is looking at roughly 6 months; if it is labrum, he is looking at 6-9 months with a more likely return at the 6-month mark due to his positional demands.

G Cody Ford (Right meniscus tear)

It has already been reported that Ford was moving to IR on November 27th with a torn meniscus. This injury was suffered in practice on November 25th according to reports and it was announced he would have season-ending surgery. At the time, it was unknown which knee suffered the injury.

According to Bills Wire reporter Bradley Gelber, Ford had surgery sometime during the first week of December on the right knee as viewed in the picture above. This confirms that he did suffer the right knee meniscal tear which is the same knee injured against the Chiefs. It is possible that he originally tore the meniscus back then, but at the time, the mechanism did not suggest that it was a meniscus, rather, an MCL sprain.

I expect that there are more injuries on the report later Wednesday but hopefully, the list does not grow like it did in past weeks. The Bills are practicing on a short week as they prepare to host the Pittsburgh Steelers on Sunday Night Football with the Steelers coming off a loss to the Washington Football Team Monday night. They are dinged up on the defensive side of the ball, losing linebacker Bud Dupree to a right ACL tear last week and their secondary suffering various injuries as well.

It is too soon to tell who will play Sunday for the Steelers but the Bills health is trending upwards allowing a possible mismatch against one of the AFC’s top teams. Like last year, this will be another opportunity for the Bills to showcase their talents on a national stage and garner further respect as they near the playoffs.

Top Photo Credit: Buffalo Rumblings

2020 Week 10 Bills Injury Preview- Cardinals

Will Hyde and Ford suit up with their respective ankle injuries?

Things are finally trending up for the Bills on the injury front! While the list is still long, the players are getting healthier which is incredibly important heading into the bye next week. If you look around the league, many teams have long injury lists, but how those injuries have affected those teams’ records is interesting. Some have kept marching along and others have been decimated as a result.

Fortunately, the Bills are in the former group as they prepare to head out to Arizona to play the 5-3 Cardinals. A win Sunday would put the team as just the 8th team in franchise history to go 8-2 through 10 games according to fellow Bills content creator Circling the Wagons podcast. All those but one reached their respective league championship game. The one that didn’t in 1988 still made the AFC title game.

That’s some great information to look fondly back on. But before we start counting the chickens before they hatch, check out the injuries below. 

OUT:

RB Taiwan Jones (hamstring)

Jones misses his second game of the season with a hamstring strain suffered in the win over the Patriots. With how the team has managed the hamstring strains since Sean McDermott has been coaching, for Jones to miss 2 games is no surprise. 

It’s possible that Jones could have been a candidate for IR, but considering the bye is next week, the team can use that to their advantage and avoid roster moves. Hopefully, he comes off the report following the bye. 

QUESTIONABLE:

G Cody Ford (right ankle)

Ford was limited in practice all week with an ankle injury sustained in the win over Seattle midway through the 1st quarter. He later appeared on the sidelines, potentially able to play but never returned. By video, it appears he suffered a low ankle sprain when he got clipped by Zack Moss during the play. 

The fact that he was limited all week says that he can potentially play Sunday if he needs to. He may still be dealing with swelling and pain in the area, making him more of a true game-time decision. I suspect that he plays and allows the Bills to field the offensive line group that they haven’t been able to produce as originally envisioned for Week 1 (Dawkins, Ford, Morse, Feliciano, Williams). If he doesn’t play, then this may be out of an abundance of caution and using the bye week to get healthy.

S Micah Hyde (ankle)

Hyde suffered an ankle injury during Thursday’s practice that left him limited and he did not practice Friday. While he is questionable, it may truly be a game-time decision whether he plays Sunday. We do not have specifics of the injury, only a timeframe of when it occurred. Frankly, I do not like the DNP designation on Friday. Those typically don’t bode well to play Sunday’s from my past observations of the injury report.

To note, he did have left ankle injuries in Week 1 and Week 3 of which he was able to play through. It’s not known whether he injured the same ankle again or if it is the other side. I’m not certain he plays Sunday, but I would be glad to be wrong. 

INJURED RESERVE:

LB Del’Shawn Phillips (quadricep)

Phillips lands on IR again, this time ending his season with a quadriceps injury. It appears that this is the same injury that he suffered in Week 1 against the Jets, went on IR, and then potentially injured again against the Seahawks. 

It appeared that he had suffered a strain in Week 1, but this seems to be an injury that Phillips cannot get past. His 2020 season consisted of 14 special teams plays over the two games. He goes to IR which ends his season as he has already had one trip to short-term IR. This opens a coveted roster spot for several possible players to be called up for depth.

ACTIVE: 

QB Josh Allen (left shoulder)

Another week, another Josh Allen sighting on the injury report with this shoulder injury. We have seen his play appear to be affected by the shoulder injury with his follow through and ability to throw the deep ball. We have also seen the level of bracing change from a shoulder harness to a brace to kinesotape for stability. This is now 6 weeks he has been on the report. The team obviously won’t tell us the specifics, but we continue to watch and see what’s going on with his play. 

WR John Brown (left knee)

Brown continues to work through the knee injury sustained in practice that caused him to miss the Week 5 matchup against the Titans and re-injured against the Chiefs. Sunday against the Seahawks appeared as though he was finally back on track with a stat line that matched his 2019 levels. He continues to work through these nagging injuries and will hopefully get healthy enough following the bye to become the WR2 that the team envisioned at the beginning of this season. 

G Jon Feliciano (back)

Little is known about Feliciano’s back other than the designation. He has played in 100% of snaps since returning and it’s possible that he has generalized back soreness from getting back into game shape. As he has no designation, this isn’t something I’m concerned about unless he lingers on the report as some of his teammates. 

DE Jerry Hughes (foot)

Hughes has been battling a foot ailment over the past few weeks that hasn’t hampered his abilities to perform. As his snap counts and production have not suffered, it’s hard to identify the actual specifics of the injury. He continues to show up week in and week out since his trade in 2013; I do not expect that to change. 

C Mitch Morse (concussion)

Morse cleared the concussion protocol Wednesday following his 5th documented concussion in the win over the Patriots. The protocol is there for a reason to ensure players return safely at their own pace. He has cleared protocol, then I would have no reservations about him playing. The chance to suffer another concussion is there, but it has been there the entire time. If he for some reason doesn’t play, it would be deemed a healthy scratch and would likely come at the agreement of Morse, training staff, and the team collectively.

CB Josh Norman (left hamstring)

With no designation next to his name, Josh Norman returns to the field. This allows the Bills to showcase their cornerback depth for the first time since Week 4 when Norman returned off IR before Levi Wallace got hurt against the Raiders. Hopefully, Norman stays healthy for this game and then uses the bye to prepare for the final stretch of the season. 

While this season has not been what Bills and Norman envisioned, my hope is that he provides needed depth and veteran leadership at the position once the Bills enter the playoffs. I’m excited to see what he and Levi Wallace can do opposite Tre’Davious White for a full game.

CB Tre’Davious White (left ankle)

It seems anytime Tre’Davious White goes down, there is an audible gasp from fans. White has become the heart and soul of the secondary with his exemplary play as he has ascended to the ranks of the NFL’s best cornerbacks. 

He appeared to suffer a medial eversion ankle sprain late in the 4th quarter against the Seahawks. He was in pain on the field before hopping over to the bench to get it taped up, appearing ready to go back in if needed.

He practiced this week with a limited designation on Thursday and full on Friday indicating that this was not going to be an issue. He had also stated to the media that he would play. Despite the injury, he will likely not see any ill effects as he will probably have the ankle taped up and or braced. Arizona has some talented wide receivers and it will be White’s job to lock down whoever it may be, most likely DeAndre Hopkins

G Brian Winters (knee)

Winters appears on the injury report again with a knee ailment. He did exit the game briefly on Sunday with what appeared to be a knee contusion before returning later in the game. While he may have some acute injuries, this may be more of an acute on chronic issue that he continues to battle as the season progresses. 

RB TJ Yeldon (back)

Still, nothing is known about Yeldon’s back injury but he does not have a game status attached to him. This situation reminds me of several years ago when former Bills OL John Miller was on the injury report with an ankle injury for nearly 6 weeks despite not playing. 

Yeldon doesn’t appear to be in the game plans this Sunday and will likely be inactive. However, knowing he is healthy is good to know in the event that either Devin Singletary or Zack Moss goes down in the future. 

Inactives:

QB Jake Fromm

RB TJ Yeldon

S Micah Hyde

TE Lee Smith* active due to TE Tyler Kroft on COVID list

RB Taiwan Jones 

DT Harrison Phillips 

COVID list: Josh Norman, Dean Marlowe, Tyler Kroft, Levi Wallace

Elevated for COVID and PS call ups include Darron Lee, Daryl Worley, Jake Kumerow, Josh Thomas, Dane Jackson

The Cardinals are a talented team but the Bills match up well with them. Looking at the injury report for Arizona, they have several injuries that could impact their ability to match up as well as they have with other teams in the past weeks. Budda Baker is questionable with a groin injury, Kenyan Drake is still working through an ankle injury that you can read more about at The Game Day. Drake may play but I highly question his effectiveness. He may be best served to sit out one more game.

Dre Kirkpatrick their top corner is also working through a thigh injury and Dionte Thompson addressing a knee injury. On top of that, former Bill Jordan Phillips will miss the game with a hamstring strain. 

Even though the Bills are still working through some injuries, at worst they will not have Micah Hyde, Cody Ford, and they are already without Matt Milano. That is far better than the Cardinals potentially missing most of their secondary along with key offensive weapons. The Bills have shown they can plug up the holes required to get by without them for short durations. 

If the Bills play at all how they did last week, they have a very realistic shot to move to 8-2 heading into the bye. These games are incredibly stressful at times to watch but also insanely fun because this team is competitive and every single play means something now. It’s always been fun to be a part of Bills Mafia, but it’s so fantastic to be a Bills fan when they’re finally winning, it’s been worth the wait!

Top Photo Credit: Buffalo News

2020 Week 9 Bills Injury Review- Seahawks

Looks like the Bills may finally be getting healthier.

The Bills are 7-2 for the first time since 1993 and in control of the AFC East following a convincing win over the Seattle Seahawks on Sunday. To put it into context, I was 5 when this last happened. A lot has changed since then, but the Bills are finally contenders again and it’s a great feeling! On top of the excellent start, there were minimal injuries that have been termed day-to-day from Sunday.

In-game injuries:

G Cody Ford (right ankle)

Ford suffered a right ankle injury on the first TD of the day to TE Tyler Kroft. This was the result of Ford getting knocked backward from his block before tripping over RB Zack Moss as he tumbled backward. It wasn’t clear initially what he had injured, but based on how he fell outward, it appeared that he rolled his ankle. It’s also possible he could have stepped on Moss as he came through, leading to the injury. Here’s the play below.

He made it to the sidelines before getting carted to the locker room for further evaluation. He eventually returned to the sidelines later in the game. He was even observed holding his helmet and jogging, ultimately not returning to the game. Considering he was coming off the right MCL injury and now dealing with a right ankle, it appears the team did not want to risk further injury and kept him out as a precaution.

Unless the practice reports show otherwise, he may be limited with an ankle sprain this week and tape it up for Sunday. Small possibility they have him sit to maximize his healing time with the bye coming up.

G Brian Winters (left knee)

Shortly after Ford went down, Winters suffered a left knee injury with 14:23 left in the 2nd quarter. He fell down in a pile of bodies as the pocket collapsed, leading to him having some difficulty getting off the field.

On broadcast, he was observed rubbing the inner portion of the knee indicating a possible mild MCL sprain or patellar contusion. It’s also not clear if this is the same knee that he has been limited with the past 2 weeks. He eventually returned roughly a half-hour later to finish out the game. He may continue to show up on the injury report this week with a knee ailment, but it doesn’t appear that this is a concerning issue.

T Daryl Williams (leg)

Williams may be the most difficult injury to observe on film similar to Winters, also falling in a pile of bodies with 6:40 left in the 2nd quarter. He landed on his left side and appeared to be favoring the left side slightly walking off.

The injury did not appear to be an issue as he returned several plays later and finished out the game. Based on the pile of bodies and short time missed, it was likely that he suffered a general contusion that required brief attention before returning. Normally, injuries to Williams and Winters are inconsequential, but at one point the Bills were without 3 offensive linemen available to protect QB Josh Allen.

CB Tre’Davious White (left ankle)

White sustained an ankle injury late in the 4th quarter with 3:16 left, quickly getting tended to by trainers before hopping off to get taped. Upon further review, it appears he suffered a medial eversion ankle sprain. There was a possibility that he suffered a mild high ankle sprain, but his foot appeared to be pointed down more towards neutral than upward into dorsiflexion, avoiding the more severe injury observed in the top picture below.

White quickly got taped up and was walking around on the sidelines, possibly waiting to return. He was designated as questionable to return but ultimately was not needed as the team iced the game with the recovery of the onside kick.

It appears that White avoided major injury and he should play next week. It’s possible that if the ankle is worse than originally thought, he could miss the next game considering the bye coming up, but the video and sideline impressions following the injury don’t imply that it was.

Other thoughts:

G/C Jon Feliciano (pectoral)

Feliciano continues to play in 100% of the snaps in the absence of C Mitch Morse following his concussion. For someone 3 months removed from tearing his pectoral muscle, he looks pretty good out there. I had hoped that he would be worked in to not stress the surgically repaired area, but at this point, it doesn’t appear to be an option. The band-aid has been ripped off; there is no point in trying to restrict him now. Hopefully, he continues to work back into shape and round into form for the late-season stretch.

LB Matt Milano (pectoral)

Milano was placed on IR on Saturday to better manage his pectoral injury. He missed the Titans and Chiefs game but returned for the Jets and Patriots game, but was on a pitch count and obviously limited. Based on what he was doing out there, he was able to play and did make a difference in pass coverage, but when asked to tackle or stop the run, he simply could not wrap up his tackles. This was a concern of mine returning from the injury and it appears to be true.

I question whether he had a setback with regards to the timeline the team has taken with this injury. He could have re-injured some of the healing tissue in the pectoral region, leading to putting him on the shelf. It’s more likely that they weren’t satisfied with his play and limited availability, leading to the shutdown.

The team saw an opportunity to put him on IR to maximize his healing time while minimizing games lost. He does have to miss 3 games which means he was out for the Seahawks game and will be out for the Cardinals and Chargers game.

In addition, he will use the bye to get an entire month off to recover. A whole month of no football activities to allow the pectoral muscle to heal in addition to the past month of rehab he’s already performed should work out in his favor. With this timeline, he could potentially come back close to 100% when he returns.

I saw some comments on social media questioning the handling of Milano’s injury. I can say with a moderate level of confidence that they handled it the best they could with the information they had at the moment. That’s all you can do in situations like this. They had the physical testing, the imaging, and they made an informed decision. The research supported his ability to return when he did. Injuries like this, a likely Grade 2 strain, do take upwards of 6 weeks to heal, but in the NFL, these players don’t typically get that time to fully recover, leading to him returning after 2 games.

In rehab, I have had countless patients “fail PT” or not progress as expected. This is due to other circumstances that play into the decision-making process or are considered in the plan of care but overtake the issue at hand, preventing the patient from reaching their goals.

Sometimes, those other issues need to be addressed before therapy can be successful. For example, people with arthritic knees that can’t tolerate progressing exercises secondary to pain, sometimes they need a cortisone injection to help calm things down before they can complete PT.

In other cases, a surgically repaired area needs further healing before therapy can be initiated or progressed. Sometimes a chronic health condition can become problematic and must be addressed to maximize rehab. I have had many cases where this needed to be completed in order for the patient to ultimately be successful at rehab.

In Milano’s case, they let the research and imaging dictate when he returned. They probably realized he wasn’t as effective as he could have been and ran the risk to suffer further injury and shut him down. Medicine is a lot of trial and error at the end of the day based on the research and experience of the providers treating those issues. The providers are allowed to change their minds if something isn’t working or adverse effects occur. The poor decision would have been to be stubborn and continue to play through the injury, potentially leading to a worse outcome.

Fortunately, the team has the short term IR to allow him to rest and not waste a roster spot. In other years, he probably would have continued to try and gut it out like we saw LB Tremaine Edmunds do earlier this season, though it’s important to note that the injuries were different.

As the theme has been this year, there will likely be an injury here or there that shows up on Wednesday that we did not expect. My hope is that some of these injuries do fall off the list because if the list grows anymore, we may need a magnifying glass to look at some of these names. However, the bye is coming up and while it feels much later than usual, it is perfectly timed. I would rather have a late bye with all these injuries to get right for the final push rather than limp into the postseason. The Bills are 7-2, life is good.

2020 Week 6 Bills Injury Preview- Chiefs

Will Milano & White play? What is going on with Edmunds shoulder?

The Bills are getting healthier but are still dealing with injuries to several key players which could affect their availability for Monday. It’s no surprise that they will look to rebound at home after a bad loss that showed just how beat up they were. Below are all the injuries including who will be out & thoughts on who may play, & their effectiveness against the Chiefs.

OUT

TE Dawson Knox (calf)

Knox missed practice all week with a calf injury from Tuesday’s loss. It isn’t clear how he hurt the calf, only when he generally injured the area. This occurred early in the 2nd quarter before he disappeared with a report later saying he was questionable with a calf injury. He possibly strained it and it’s not apparent on film or the calf was hit, causing the injury. He was tackled low in that area just prior to going out of the game. Either way, calf injuries, specifically strains, usually take longer than one week to heal and can linger if he tries to rush back. The hope is that he comes back next week.

QUESTIONABLE:

LB Matt Milano (left pectoral)

To see Matt Milano practicing in full is a real positive sign. It’s good to see him back out there on the field and it’s good to see him hitting with pads. In the video below, you see him hitting the tackling skid with his right shoulder. By video, it appears he’s wearing a shoulder harness that supports the pectoral injury. 

Despite the full designations, I am still reserved about him playing against the Chiefs Monday night. He does great hitting a stationary object, he does great running around with his legs. I am concerned about trying to wrap up players, especially as they run away from him or try to juke him, like in the case of Raiders RB Josh Jacobs, which is how the original injury occurred.

If his target gets outside of him, especially on the left side, I question how effective Milano could be. I had thought he’d miss at least 2 games in my Buffalo Rumblings article and I’m still sticking to that. In the picture below, we do get confirmation that he is wearing a shoulder harness. 

Credit: James P. McCoy/Buffalo News

If he does play, the Bills are the ones making that decision and they have far more information than I ever could have. So if he plays, then that means he’s healthy enough and this would also signify that the injury was truly minor.

CB Tre’Davious White (back)

White continues to battle back from a back injury that flared up in practice last week according to Sean McDermott. Details still aren’t clear regarding what White is dealing with. It appears that it is more pain-related due to the wording “flare-up”. What’s causing that pain isn’t known.

As it is a back injury, there are lots of possibilities that can cause pain but aren’t apparent on film. McDermott also explained that he will let the doctors make the determination of whether he plays or not which also indicates that there could be something more going on. The doctors will educate White and explain the pros and cons of playing. 

We still aren’t even sure which part of the back he is dealing with. My theory is that it’s lumbar because that’s where we typically see more complications and that’s where the weight-bearing portion of the spine that helps keep us upright. 

He does look good on film moving around but I do question how close to full speed he is going. He is still questionable on the injury report which may mean that it could come down to how he feels Monday pain wise. Considering the type of person that Tre’Davious White has shown himself to be over his time in Buffalo, I’d expect that he wants to play. But he’s also an educated adult and may err on the side of caution once he has all the facts in place. I will lean towards him playing because he is a competitor, but will not be alarmed if he missed another game. 

WR John Brown (left knee)

Brown continues to battle through foot, calf, and now knee injuries. This started as the foot injuries which could have been tied to overuse due to the altered ramp-up period from training camp. The calf injury could have been isolated and also as a result of gameplay as we saw him first deal with this during the Rams game. Add in the knee injury from practice and you got a player who needed a week off. 

The knee injury may have been more acute which led to missing Week 5. He has practiced in full the past 2 days and limited Saturday with the possibility that he plays Monday. Having had the week off should make a big difference in the effectiveness of his play if he suits up.

G Quinton Spain (foot)

Still not much is known about Spain. He was a surprise inactive on Tuesday with “foot soreness”. He hasn’t dealt with any publicly known foot injuries since last year in training camp when he had foot soreness as well. I can’t even speculate on what’s going on because there aren’t even any details. 

As he is no longer a starter, it’s possible he sits out again, especially if he injured the foot on Tuesday during warmups. 

ACTIVE:

Josh Allen (left shoulder)

Allen continues to show up on the injury report with the left shoulder & he continues to practice in full. I had noted that he took fewer runs on Tuesday & appeared to avoid hits to the shoulder in general. We still don’t know the official details of the injury; this will become clearer as the season progresses. It will be important to note whether he takes further shots to the shoulder or if he continues to wear the brace. Fortunately, this isn’t something that will drastically affect his play with the exception of reducing the hits he takes to that shoulder.

Tremaine Edmunds (right shoulder)

Edmunds cropped back up on the injury report due to his right shoulder injury. I had stated in previous articles that it appears to be an AC joint sprain based on the timeline that has been established so far. I had speculated several other injuries, but the latest news and observations don’t appear to support them. The severity of the injury just appears greater than originally thought which could explain some of his struggles. Joe Buscaglia of the Athletic pointed this out in practice which sums up the red jersey thoughts, more succinct than I could ever express below.

I did note in the Matt Milano video that Edmunds was hitting with his left shoulder and not his right. This could have been to avoid further contact with the area or it could have simply been a part of the drill. He has continued to play since missing the Dolphins game and barring a setback which further aggravates his injury, he should continue to play with his effectiveness improving.

Zack Moss (toe)

Moss missed his 3rd game in a row with what appears to be a turf toe injury. I had thought he’d only miss one game and then come back to play, but this has stretched out longer than I had anticipated. He continues to fall in the general timeframes we see for turf toe, but stretching towards the more conservative timeline. 

We also have seen the Bills take a more conservative approach towards their rookies, holding them out to ensure they are fully healthy. We saw this last year with RB Devin Singletary who missed 3 games due to a hamstring injury. Moss doesn’t have a designation this week so this means that he is finally reappearing after his hiatus.

S Micah Hyde (unknown, possible ankle/knee)

Hyde went down with some type of injury in the game against the Titans but came back after a brief hiatus. It still isn’t clear if it was an ankle or knee but it’s important to note that he isn’t on the injury report for this week. In this world of constant information, it’s easy to forget things even though they happened just days before. I’m glad to see Hyde not on the report, but it will be interesting to see if he continues to battle through his ankle issues from earlier on.

Other injury news:

G Jon Feliciano (right pectoral injury)

Feliciano continues to work back from his pectoral injury suffered back in July while weightlifting. He was activated last week but he still hasn’t been placed on the 53-man roster. Due to the change in IR rules, he had to stay a minimum of 3 weeks on IR before his window could open. From there, he has 21 days to practice before he has to either go back to IR or go to the active roster. He officially started practicing on October 7th, which makes his final day to practice before they have to make a decision on October 27th.

I don’t anticipate that they will wait that long, though they could. I can see the Bills watch how things play out against the Chiefs with injury or quality of play, then make a decision on who to cut or send to IR in order to clear space for Feliciano. I envision a scenario where he comes back in a limited role for the Jets game & begins to work his way into the lineup that way. He still needs live game reps and all the practice reps in the world won’t prepare him to take 100% of snaps right away. 

Inactives:

TE Dawson Knox

RB TJ Yeldon

QB Jake Fromm

LB Matt Milano

G Quinton Spain

The Bills are getting healthier as they prepare to face one of their toughest opponents in 2020 so far. The Chiefs are also dealing with a number of injuries themselves, though they have more players practicing in full comparatively. They did lose G Kelechi Osemele for the season due to double tendon ruptures in the knees which is a blow to their offensive line.

Former Bills WR Sammy Watkins is dealing with a hamstring strain that will keep him out for Monday night which could be beneficial if Tre’Davious White doesn’t play. LB Anthony Hitchens is dealing with a hand injury & illness which could affect his availability for Sunday. One final surprise, OT Mitchell Schwartz was ruled questionable with a back designation. If he is out, losing 2 out of 5 starting offensive lineman in a week would not bode well for any NFL team.

This game should be close with the Bills being healthier and should serve as a rebound game to get back on track. Even if they lose, I would not expect them to lose in a similar fashion from Tuesday night. It should be an exciting game considering how electric both offenses are. I always want a Bills win, but the Chiefs are coming off a loss themselves and want to prove something. Regardless of the outcome, I expect an entertaining game.

Top Photo Credit: James P. McCoy/Buffalo News

2020 Week 5 Bills Injury Review- Titans

How beat up are the Bills?

We’re Bills fans. We’ve suffered a few losses over the years. I’m not certain that Tuesday’s loss is drastically different, but it does hurt after a 4-0 start. However, what is different is the expectations. To just make the playoffs before 2017 was a pipe dream. Now it’s not only an expectation, it’s not enough. This year needs a playoff win, an AFC title game appearance, hell, Super Bowl or bust! 

Let that sink in. In 2017, that wasn’t even fathomable to consider. Losses hurt, but the bar for success is now higher. This is why we feel this way, we now expect to win. What’s different for this season and a downside of 2020 for the Bills is the effect that injuries have had on this roster after being one of the healthiest teams over the past few years is noticeable. Below is the injury recap including those that were declared inactive & in-game injuries. 

In-game injuries:

G Quinton Spain (foot soreness)

Spain was a surprise inactive with foot soreness just prior to the release of inactives. Besides the designation, nothing is known regarding what led to the foot soreness. He was not on the injury report last week and has not dealt with foot soreness since the preseason from 2019 from my records. I do not believe they are related at this time. Sean McDermott reported Wednesday that he was improving since last night. Despite not starting anymore, to lose him as depth hurt Tuesday night.

TE Dawson Knox (calf)

Knox left early in the 2nd quarter with a calf injury that was not reported until much later in the game. He wasn’t terribly effective on Tuesday but dealing with a calf injury won’t help his availability come next Monday. It is not clear when he suffered the injury as he ran up through the line on his last play with 12:25 left in the 2nd quarter. Following that play, he then exited the field. Several plays before that, he caught a pass on the right side of the field and was tackled low, potentially hitting his calf at 13:49.  Calf injuries like groin injuries are subtle and not always clear on film. 

Credit: WebMD

According to a study from 2017, it looked at a single NFL team’s calf injuries over a 13 year period. The average time to return following a calf strain was 17.4 days. Based on film with Knox, he may have suffered a Grade 1 as he was able to exit the field on his own and the injury wasn’t apparent at the time. So if 17.4 days is the average between Grades 1-3, the standard deviation for the study was 14.6 days. So the recovery time could be as short as 3 days. 

Can’t say for certain how long Knox will take, but we have seen teammate John Brown play through a likely calf strain, its possible Knox can too. He could miss a week with what we know right now, but things can and do change. The team reports that he received imaging on the calf to determine the severity. We will have to see if Knox participates in practice this week at all. 

S Micah Hyde (possible ankle/knee)

Hyde scared the fan base when he went down with a non-contact injury, grabbing at his knee with 11 minutes left in the 3rd quarter. The initial fear was something severe, especially when a player goes down without any contact, but fears were reduced once Hyde came back out later.

In this clip from Cover 1, you can clearly see the moment Hyde went down and it appears that he injures something. I had to watch this clip multiple times before settling on what appears to be an ankle injury. He has battled low ankle sprains frequently this season and the sudden direction could have caused him to roll his ankle. However, it could be his knee; we simply need more information including body part designation.

Other injuries 

CB Tre’Davious White (back)

Prior to the inactives getting announced, CB Dane Jackson was called up from the practice squad. That was a sign that either Tre’Davious would not play or that Jackson was available in the event that he could not finish the game. Unfortunately, Tre’Davious did not suit up indicating that this back injury is real. We still don’t know the specifics of the injury and it’s not certain that the team will release that information. 

Sean McDermott did note that he had an injury that flared up in practice last week which likely indicates that his injury predates the Raiders game. Nothing on film suggests that he suffered an injury. His snap percentages going in order by week for this season: 79%, 96%, 100%, 100%. If this was a worsening injury, I would expect his snap counts to decrease as the season progresses. Hints like what McDermott said today at least help to begin to narrow down the possibilities. This will be something that will be monitored. 

Those believing that White missed the game due to COVID concerns, just think about how crazy that sounds. Many players play hurt, many players strive to give everything they can to be part of an NFL roster. For White to sit, that simply doesn’t appear to be in his DNA. If the team reports he has an injury, then he has an injury. End of story. We will get more details hopefully later. 

WR John Brown (left knee)

Brown was ruled out prior to the game with several nagging injuries already this season, adding in a knee injury sustained in practice on Thursday. While it was possible for him to play, it was best that he sat out a week to give his body a much-needed break. None of these injuries are season-threatening, but the culmination of the foot, calf, and knee injuries led to missing Week 5. Hopefully the night off allowed him to get right and he can come back for Week 6.

RB Zack Moss (toe)

Moss missed yet another game with a toe injury, his third one in a row. He practiced in full this past week towards the end and it appeared he was trending towards playing. Either Moss is being held back as he is a rookie, wanting to get him fully right or he wasn’t needed in the game plans. I still believe that he has turf toe and it does take 2-4 weeks to recover from as noted in my previous articles. I’ve learned that the literature shows the guidelines for recovery and the NFL tends to be more aggressive in returning players to play, hence my aggressive timeline as well. It’s very possible the team is simply protecting their assets.

LB Tremaine Edmunds (right shoulder)

Edmunds does not look as good as he has the past 2 seasons due to the right shoulder injury he suffered in Week 1 against the Jets. The team acknowledges that he’s battling through the injury and he continues to improve. I had been conflicted about the initial injury due to several things I was seeing following the injury, but I have settled on the fact that it is an AC joint sprain looking at the mechanism of injury. Based on what we’ve seen so far, we know this appears to be more of a grade 2-3 sprain as he missed 1 game and hasn’t looked great against the Rams with slowly improving quality of play against the Raiders & Titans.

According to Dr. Colberg at the Andrews Sports Medicine and Orthopedic Center, Grade 2 sprains can take 3-4 weeks to heal and Grade 3’s can take up to 8 weeks. This is with proper rest & rehab under these circumstances. Edmunds continues to play football, potentially re-injuring the area at times, though he has avoided contact to the right sides when tackling. He will continue to play and get better through the season, but things still may not look pretty for several weeks. If he can get right for the second half of the season and it appears he’s trending towards that, then he could be playing his best football come December & January.

LB Matt Milano (left pectoral)

Milano was the only expected injury to miss with the left pectoral injury suffered in the win over the Raiders. He was ruled out prior to the game and I am not expecting that he plays in the Chiefs game either. McDermott notes that Milano is improving, but he will need several full practices before he should even be considered to play. 

QB Josh Allen (left shoulder)

Allen was noted to be playing with the shoulder harness that he was wearing at practice last week and following the initial injury against the Raiders. I had thought that he would run less in the offense to protect the shoulder and it appeared that he did. He only had 4 rushes for 18 yards and from my observations, he was less inclined to take a hit, instead going down to avoid contact. The 4 rushes are not a career low but is something to note. It’s not known if this was game planned or to avoid injury. Allen will still continue to play this season and hopefully improve on his performance from Tuesday.

I expect that there are new injuries added to the report by this afternoon. There seems to always be an injury or two that show up that wasn’t apparent during the game. The Bills will continue battle through injuries as they prepare for Kansas City on Monday night. 

Top Photo Credit: RochesterFirst

2020 Week 5 Bills Injury Preview- Titans

Which of the questionable players will suit up?

Heading into Tuesday’s unusual matchup against the Tennessee Titans, the Bills are fairly beat up with injury designations already determined on Saturday afternoon. While the injury list looks dire, things actually aren’t all that bad. Check out the details below. Let’s hope this game gets played & put in the rearview mirror.

OUT

LB Matt Milano (Left pectoral)

Milano has since been ruled out for Tuesday’s contest which isn’t a surprise considering he did not practice all week.

Milano is coming off what appears to be a left pectoral strain. Based on the literature, it’s no surprise that he will be out for the short term. In my article at Buffalo Rumblings, I had detailed that he would be out at least 2 games and potentially more. The fact that he hasn’t been placed on IR also hints at the timeline the team thinks he may return sooner than later.

QUESTIONABLE

WR John Brown (Left knee)

Brown has been battling calf and foot problems all season, none of which have been serious enough to miss any time. Brown did appear to tweak something on the left side as shown in the video below.

Per the injury report, he is dealing with a knee injury now. While there is video of the injury, it’s hard to discern what he exactly did. In the video, he planted his left foot and pushed right before taking another step and then began hopping in pain.

He took several hard steps on his left leg to turn back to the right to catch the pass. His knee appeared to bow out on the next step, but it’s possible he could have tweaked the MCL or inside knee ligament on the prior step, felt it, took an uneven step which where we saw the bowing out, and then the final hopping off the field.

Credit: PTHealth.ca

If this injury was in isolation, I would say he’s alright to play especially with the few extra days off. But considering he’s dealing with foot & calf injuries, he may be best suited to take a week off. May come down to how he feels. This is one position where the team has healthy depth.

G Cody Ford (Groin/left shoulder)

Ford is battling a groin strain apparently suffered in the Raiders game. Sean McDermott did note that Ford was battling through some things during the Raiders game. I believe he was referring more to the left shoulder which could be anything at this point. There is nothing definitive on film & would need more information for a specific injury. There is a possibility that he’s dealing with a rotator cuff issue or labral injury due to the brace, but something to monitor.

As for the groin, also not sure when he injured it which makes it difficult to determine how it will affect him. The one upside is that playing on the interior part of the line; he will not have to use as much lateral movement or sprinting which can reduce strain on the area. If he doesn’t go, then G Quinton Spain would likely get the start.

RB Zack Moss (Toe)

Moss continues to be limited with a toe injury that appears to be turf toe. He was potentially able to play Sunday against the Raiders, but he ultimately did not suit up.

He has missed the last 2 games which fits in the timeline for a turf toe. The hope is that he returns for Tuesday’s game with a few extra days rest & is more of a factor than RB TJ Yeldon. Considering all the questionable players & that he practiced in full leads me to believe he will play.

LB Del’Shawn Phillips (Left quadriceps)

Phillips has returned to practice & began practicing in full which is an excellent sign for the special teams linebacker. He has missed the last 3 games following a quadriceps injury that appeared to be a strain by video.

I expect most of his playing time to be on special teams once again unless he is called upon to play on defense if injury occurs. I also expect that he will continue to be slowly worked back in as he acclimates to not playing football for nearly a month.

Update: Phillips has since been placed on IR. The team promoted LB Deon Lacey in his spot.

WR Andre Roberts (Ankle)

There is no information on Roberts other than he injured his ankle. Nothing on film indicates that he suffered an injury and nothing in the media reports indicate the type of injury he is dealing with. The fact that he hasn’t practiced all week isn’t a great sign either.

The only two instances I could find for a possible injury came in the 1st quarter. The first was a right end around where Roberts lost 3 yards when he was flipped upside down by S Johnathan Abram. The other, three plays later, when Roberts caught a 6 yard pass to the left and was taken down by CB Nevin Lawson.

He had his left ankle get clipped on the first tackle and on the second, he was twisted down. Hard to identify if this is when he hurt his ankle or what the exact injury could be.

This will be something to monitor as the season progresses.

CB Tre’Davious White (Back)

This has been a mystery. White played in every defensive snap on Sunday & has been fairly durable throughout this season & career. He has not practiced this past week & it’s not clear whether he is even at the facility.

Watching film from Week 4, he appears to move well around the field and is not labored or slow to get up. As this is a back injury, these are harder to identify the injuries as there is typically not bracing or specific movements that are limited by the injury.

More information would be needed in order to identify what he’s dealing with. I could list a bunch of injuries & conditions, but trying to identify this injury is like throwing a dart in the dark at the dart board. The only reason that he could possibly be questionable after not practicing is if it’s a pain related issue where the team is hoping that things can calm down before Tuesday. But even that doesn’t narrow things down.

I have heard severe people say that he got his money & is not playing as hard anymore or that he is attempting to opt out because of the COVID concerns with the Titans with the team saying he has a back injury. Sure, there’s always that possibility that he is phoning it in now that he got paid. If he was, then that was a poor decision by the team to sign him to an extension. If he is not trying anymore, that’s on him. I don’t believe the Bills want guys on the team like that. I personally don’t believe this to be the case.

The COVID concerns are real, but to have the team say he has a back injury in order to keep him away from the facility, that’s a stretch. They could list him with an injury, we do see guys on injury reports often every week and don’t appear to have anything wrong. If I recall, Tom Brady was notorious for that with his right shoulder.

But to fake an injury would go against the competitive balance & intention of the injury report. To use it to cover up for something else makes me think the NFL wouldn’t take too kindly to that.

Right now, I am going with the fact that he has a back injury, details are not available, and the hope is that it isn’t serious. If he doesn’t go, the team has CB Dane Jackson they can call up for depth.

G Brian Winters (Right knee)

Winters appeared to injure his right knee on the same play that Josh Allen injured his shoulder. He fell hard on the right knee and was labored upon getting up and trying to get back into the play.

It appears to be a generalized contusion, but considering he hasn’t practiced in the past week, there’s potential it could be other things. He could have injured the bursa which is a fluid filled sac that helps lubricate the joint. A direct blow to that could cause inflammation to the area, limiting range of motion.

There are other possible injuries that he could have suffered but without more information, hard to establish a timeline. Considering the team has a bevy of offensive lineman, he could afford to sit this week.

INJURED RESERVE

CB Levi Wallace (Left ankle)

This move was a possibility but not certain as low ankle sprains can be played through, depending on the severity. Unfortunately for Wallace, he appears to have suffered a Grade 2 low ankle sprain early against the Raiders. This is due to the fact that he was placed on IR on Wednesday which requires a 3 week stay indicating a timeline for severity.

Credit: Medium.com

According to this picture sent in by a fellow Twitter user, Wallace appears to be off crutches and the swelling in the left ankle looks minimal. However, there is still likely instability due to the ligaments getting stretched out from the injury.

What we also don’t see in this picture is if he is on crutches and he put them down for the picture. We also don’t see how much weight he is putting through his left foot. Both feet could be down but he could be leaning more to the right to off weight the leg. Whatever he’s doing, he can rest for the next 3 weeks now that CB Josh Norman has returned from IR.

ACTIVE

WR Cole Beasley (Left foot)

Beasley continues to battle with numerous injuries including previous injuries to his thumb and hip. After being limited in practice earlier this week, Beasley was a full participant which signifies that he is healthy enough to play. The extra days off will certainly help his foot to heal further which will allow him to make those cuts over the middle effectively and use his speed to work around the field.

QB Josh Allen (left shoulder)

Allen practiced in full every day despite the left shoulder designation from Sunday’s injury. The injury designation officially notes that he does have an injury and that it could affect his ability to play. The concern is that he has either an AC joint sprain, rotator cuff injury, or labral tear.

He did have a brace on for Wednesday’s practice and kinesiotape on for Thursday’s practice. The hope is that he has the AC joint sprain & it’ll heal on its own. My worry still remains that he had more damage in there as mentioned above. I would anticipate to see some bracing on for Tuesday regardless of the injury.

As the season progresses, the injury will become more clear if he takes further hits to the shoulder or if he continues to wear bracing.

Inactives:

LB Matt Milano
TE Lee Smith
G Brian Winters
QB Jake Fromm
RB TJ Yeldon

A bye week would be beneficial like it was last year at this time, but the Bills are not due for one for some time. These kinds of weeks will really test the depth at each position and the training staff’s ability to get each guy ready. It is important to note that a player may be active but may not get much play, only available for depth if needed. The team was forced to do this several times last year.

While the Titans are healthier as evidenced by the list below, they also have not had the ability to practice as a team in the last 2 weeks, unless you could the unauthorized practices after their facility closed. They also still have a number of players on the COVID reserve list.

Even if they’re healthier, I would be concerned about in-game injuries due to the sudden ramping back up of game play. I do not wish injury on anyone, but there is a greater risk. That along with not having the ability to fully implement their game plan may help be an equalizer in the game.

Remember, this is a team that was an AFC finalist last year. This team is no slouch. I would expect the Bills to win because I am biased and believe we have the better team. But if they lose, they are a worthy opponent. I’d like to see a win, but more importantly, minimal injuries as the Bills prepare for a short week against the Chiefs in Week 6 at home.

Top Photo Credit: Bleacher Report