Football is centered on physical play, but life’s hardest battles usually happen far away from the bright lights. This past weekend, former Dallas Cowboys defensive lineman Tony Casillas, a standout from the famed Troy Aikman era, shared a deeply personal message about the trials one of his friends is facing.
Casillas, who helped anchor one of the most dominant defensive fronts in Cowboys history, took to Instagram alongside his wife, Tamara, to ask fans and the public for support for a close friend.
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“We’re asking for prayers, positive thoughts, and good energy for our dear friend Howard during this difficult time,” he wrote. “He’s strong, but every prayer matters.” His heartfelt appeal reflected the personal nature of the situation and the close bond shared with Howard.
For Cowboys fans, Casillas is a beloved former player. He is a symbol of the dynasty years under Troy Aikman, when the team captured three Super Bowl titles and dominated the league. Casillas was a key part of that success and those values of loyalty, perseverance, and compassion remain central to him today.
Personal connection beyond football
The relationship between Howard McKay and the Casillases is rooted in years of trust and care. Tamara has been one of Howard‘s long-term clients, and their connection has grown into a genuine friendship that goes beyond professional boundaries.
Tamara herself has shared her journey as a breast cancer survivor on the Skintastic doctors’ YouTube channel, reflecting on how Howard‘s care helped restore her confidence and sense of self.
“I walked out of that office feeling fantastic,” she said. “It meant the world to feel normal and beautiful again during such a difficult time.”
Now, the roles have reversed. McKay, a respected nurse practitioner known for his work in hormone therapy, weight management, and cosmetic treatments, is facing a serious health battle of his own.
He has been diagnosed with Budd-Chiari syndrome, a rare condition caused by blood clots that block veins and put severe strain on the liver. Since mid-December, Howard has been hospitalized, confronting a fight that has touched everyone who knows him.
The outpouring of support from former clients, friends, and fans alike shows how deeply one life can influence many, both on and off the field. Casillas‘ plea is a reminder that compassion and solidarity are as powerful as any victory on the football field, proving that the values forged in the NFL can carry far beyond the game.
While Howard continues his recovery, the Casillases hope that each message and expression of support will provide strength and comfort.









