Quick Read
- James Cook suffered an ankle injury against the Chiefs but finished the game after getting it re-taped.
- Cook did not practice Wednesday, raising uncertainty about his status for Sunday’s game versus the Dolphins.
- Several other key Bills players, including Joey Bosa and AJ Epenesa, also missed practice due to injuries.
- The Bills made roster changes to address depth, signing Phidarian Mathis and adding two players to the practice squad.
James Cook’s Injury Adds to Buffalo Bills’ Growing Concerns
As the Buffalo Bills gear up for a crucial AFC East showdown against the Miami Dolphins, the team faces a mounting challenge: a swelling injury list that now includes star running back James Cook. Wednesday’s practice session brought unwelcome news as Cook, along with two defensive ends—Joey Bosa and AJ Epenesa—were marked absent, raising questions about their availability for Sunday’s pivotal game.
Cook’s Ankle Setback: What Happened and What’s Next?
James Cook’s ankle injury occurred early during the Bills’ hard-fought 28-21 victory over the Kansas City Chiefs. Despite the setback, Cook demonstrated resilience, getting his ankle re-taped and powering through to record a career-high 27 carries. While the fact that he finished the game suggests the injury may not be severe, his absence from practice signals that the Bills’ medical staff are taking no chances. Head coach Sean McDermott, known for his cautious approach to player health, did not elaborate on the severity of Cook’s injury, leaving fans and analysts alike to speculate.
Precaution or Problem? That’s the question hovering over One Bills Drive. In the past, McDermott has often rested key players during the week to ensure they’re ready for gameday, but with Cook’s pivotal role in the offense, any limitation could reshape Buffalo’s game plan against Miami.
Injury Report: Not Just Cook Feeling the Strain
Cook’s situation is just one thread in a larger tapestry of injuries. Joey Bosa, who sustained a wrist injury, and AJ Epenesa, now in concussion protocol after being checked post-game, also sat out practice. Both played through their respective injuries against the Chiefs, but their status remains in flux. Epenesa’s concussion triggers a mandatory protocol, requiring him to clear several stages before he can suit up on Sunday.
The list doesn’t stop there. Cornerback Taron Johnson (groin), defensive tackle DaQuan Jones (calf), and linebacker Shaq Thompson (hamstring) also missed practice. Wide receiver Joshua Palmer and linebacker Terrell Bernard were limited by ankle injuries. For a team with playoff aspirations, the timing couldn’t be worse.
Roster Moves: The Bills Adapt on the Fly
To counteract the injury wave, Buffalo’s front office acted swiftly, signing defensive tackle Phidarian Mathis to the 53-man roster from the practice squad. Mathis had already used up two of his allowed elevations, and the coaching staff clearly saw enough to trust him with a permanent spot. He joins Jordan Phillips, Larry Ogunjobi, and Deone Walker in a defensive rotation stretched thin by DaQuan Jones’s lingering calf injury.
Michael Hoecht, who tore his Achilles against the Chiefs, was placed on season-ending injured reserve, making room for Mathis. The practice squad also saw turnover, with linebacker Jimmy Ciarlo released and defensive back Te’Cory Couch and defensive end Kingsley Jonathan brought in. Both have prior stints with the Bills, giving them a familiarity that could prove valuable as the team navigates this turbulent period.
How Will the Bills Respond?
Buffalo’s coaching staff faces a delicate balancing act. The decision to rest Cook and others could be strategic, allowing them to heal while minimizing risk. However, with a division rival looming, every absence matters. The Bills’ running game has leaned heavily on Cook’s explosive style, and his potential absence would force McDermott to pivot, likely increasing the workload for backups and relying more on the passing attack led by quarterback Josh Allen.
On defense, the loss of multiple starters puts added pressure on the secondary and the linebacking corps. Miami’s offense, known for its speed and versatility, could exploit any lack of depth, especially if key defenders remain sidelined.
The situation is fluid, and McDermott’s “one day at a time” mantra underscores the uncertainty. DaQuan Jones’s rehab, described as a day-by-day process, exemplifies the broader challenge: keeping the roster healthy enough to compete while not rushing anyone back prematurely.
Looking Ahead: The Stakes Against Miami
Sunday’s matchup against the Dolphins is more than just another regular season game. It’s a test of Buffalo’s resilience, both physically and mentally. The outcome could have significant playoff implications, especially if the Bills are forced to field a makeshift lineup. Fans will watch closely for updates on Cook and his fellow injured teammates, hoping for positive news as game day approaches.
For now, the only certainty is uncertainty. Injuries are part of football, but the Bills’ current predicament feels particularly acute. How they respond—on the field and in the locker room—may define the rest of their season.
Assessment: The Buffalo Bills’ handling of James Cook’s injury and the wider roster challenges will be a litmus test for their depth and adaptability. If Cook and other key players recover in time, Buffalo’s playoff push remains on track. If not, McDermott’s ability to adjust and motivate a depleted squad could determine whether the Bills remain contenders or falter under the weight of adversity.

