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Buffalo Bills Injury Primer: Week 5



This might be the biggest week of the regular season. A potential one seed is on the line Sunday night. So what do we do with our ailing players? There is one man that can change the tide of a game and he is questionable: Matt fucking Milano. (Commonly mistaken as my thinned out doppelgänger.) The Italian Stallion’s hamstring injury is the talk of the town. To play or not to play, that is the question.

Meanwhile, the Chiefs are in fair shape. However, their most important defensive stalwart, DE Chris Jones, is questionable as well. The two-time All-Pro did not practice all week. He has been dealing with a wrist injury for a few weeks now, but has not missed a game yet. Also, CB Charvarius Ward is questionable too. He participated fully to end the week and will likely be activated.


LB Matt Milano

Milano appeared to strain his left ‘hamstring’ in the second quarter last week. He was removed from the game and never returned. There is a flurry of nuggets here that we can use to debate if he will be active come Sunday night.

On the downside, Milano has had plenty of soft tissue injuries, especially his hamstring. This is now his fifth documented hamstring injury since the start of his career. Common sense would call it at least a two week recovery.

However, Milano has returned from a hamstring in less than a week before. Couple in that he was a limited participant at the end of the week, following two days of non-participation, one could assume he is very close to returning.

The conservative approach would be to rest. The game may be wet, he has a long history of recurrence, and the season is still young.

On the contrary, this game could decide the one seed. Currently, he is likely 80-90% healed, assuming his is a low grade 1 hamstring strain. Would the Bills roll the dice and play him. If we did, I would assume a limited snap count, with potential to be full-go at the end if it’s close. If he aggravates it, we can easily shut him down until after the Bye week, which would give him 21 days to recover.

This is a tantalizing situation. I am much more optimistic than at the beginning of the week. Unfortunately, I didn’t see enough in the limited film from practice. All he is shown doing is stretches. I think this is smoke and I am calling the Bills’ bluff. Look for Milano to potentially miss next week too, especially if we get the W this Sunday.

Prediction: OUT

RB Taiwan Jones

Taiwan is a special teams stalwart. However, he also has an extensive injury history, which includes several ‘hamstring’ strains. He generally has missed games in the past from his hamstring injuries. The fact he was a DNP for two days and then limited at the end of the week does provide hope. Unfortunately, based on his history, I think he at least misses one week.

Prediction: OUT

DE A.J. Epenesa

A.J. popped onto the injury report on Wednesday with a ‘foot’ injury. It has now been reported that A.J. injured his foot in practice on Wednesday

Matt Parrino on Twitter: “Sean McDermott says that A.J. Epenesa’s foot injury happened in practice yesterday. McDermott wants to get a look at him today before he decides about Sunday. / Twitter”

Sean McDermott says that A.J. Epenesa’s foot injury happened in practice yesterday. McDermott wants to get a look at him today before he decides about Sunday.

He was able to practice in a limited fashion on Friday. There is no story on this, so it is an absolute crapshoot. I think that since he couldn’t ramp up to full on Friday, he is probably going to miss a week here.

Foot injuries scream a few things to me. Either stress reactions in his metatarsal bones, or a mid-foot sprain. Both are usually a little tricky to recover from, so I think the team gives him a bit of rest.

Prediction: Inactive


CB Tre’Davious White

Tre White has a ‘shoulder’ injury. Usually a 100% snap count player, Tre only played 72% last week. Some of that might have been due to opponent and score, but he clearly is dealing with an injury now. He likely suffered a low grade AC joint sprain. He was seen in practice having no issue catching balls or doing tackling drills, so I do not see this hindering his participation this week. However, a rough tackle or a fall on that shoulder could aggravate the injury. He can be seen below with an obvious support under his left shoulder pad.

S Jordan Poyer

Jordan missed last week an ‘ankle’ injury. He had his left ankle rolled up on in the 4th quarter during the week 3 game against Washington and never returned. It appears he avoided a high ankle sprain, but likely sustained a grade 2 medial ankle sprain. He was seen in a boot after the game and was DNP the entire practice week.

The injury mechanism was near identical to Gabriel Davis’ ankle injury, as discussed previously. Medial ankle sprains are usually a little slower to heal, and need 1-2 weeks to return to play. Jordan was limited early in the week, but finished as a full participant. He was looking fluid on the field this week and is a full go.

DE Greg Rousseau

Groot was listed with a ‘toe’ injury this week. He did not practice on Wednesday, but finished the week fully active. Nothing jumped out on film last week as he finished the game deep into the 4th quarter. He was seen at practice a little gimpy on that right foot on Thursday. His 60% snap count was reduced to 38% last week and this toe injury is worth monitoring. Regardless, he is active. My guestimate is a very mild turf toe injury.

OL Jon Feliciano

Mongo played 100% of snaps in week 3. When the practice week started last Wednesday, he was listed with an ‘illness’ and limited. On Thursday, he was a DNP and the listing changed to ‘concussion’. The circumstances are unclear, as he either had delayed symptoms from the game or was injured in practice. He was limited early this week, but finished with two full participations in practice. He clearly is out of the concussion protocol, but the question is if he is still a starter.

CB Taron Johnson

Taron also played 100% of the snaps in week 3. However, he was listed as limited with a ‘groin’ injury on the Wednesday injury report last week. He was then downgraded to DNP for the next two practices. It is unclear if he sustained the injury in the game, practice, or just dealing with a lot of soreness. Fortunately, Taron was a full participant all week. He is locked in to play with no limitations.

DE Efe Obada

Efe has something going on with his ankle/calf and there is not much info available. He emerged on the injury report three weeks ago with a ‘calf’ injury and missed the Dolphins game. McDermott said it was partly an injury issue, but also a numbers issue. Two weeks ago, he was listed with the ‘calf’ but practiced in FULL the entire week. Last week, he was not listed initially on Wednesday. On Thursday, he was DNP with an ‘ankle’, but then practiced in full on Friday. This week he was a full participant all week and is ready to play if activated.

OT Spencer Brown

Spencer had his first start last week. He appeared to play well and had no ailments. However, it was reported he had a mild set back with his ‘knee’ at Wednesday’s practice. He finished the week as a full participant for the last two days. Spencer was seen wearing a brace on his left knee, which is the same knee he suffered a significant injury in high school.

CB Dane Jackson

Dane has been listed with a ‘knee’ injury earlier in the year, so something is bothering him. However, we have not seen him deactivated yet. He was limited on Wednesday, but was a full participant for the last two days of practice. No issues playing this Sunday.