Los Angeles Rams star wideout Puka Nacua sustained what was diagnosed as a left ankle injury in Sunday’s 17–3 win over Baltimore. Head coach Sean McVay confirmed after the game that Nacua had hurt his ankle while attempting a catch in the end zone, though he was able to return in a limited role down the stretch for 5 plays, mostly playing decoy. Despite finishing the contest, his availability for the Rams’ Week 7 showdown in London against the Jaguars is considered to be doubtful by our own ProFootball Doc.

The ankle injury suffered today could be a strain of the peroneal muscle, as Puka was seen testing that out on the sidelines. While Nacua’s toughness was on display today, his injury history suggests a cautious approach is warranted. A serious ankle injury is new territory for him, but in the NFL, he’s previously had stints with knee injuries, including a PCL sprain that cost him significant time back in 2024, when he missed Weeks 2 through 7. 

Given the location of the injury (ankle), his prior sensitivity to lower-leg and knee trauma, and the Rams’ need to manage their star receiver’s long-term health, it would be prudent for the team to hold Nacua out of the Week 7 London game as a precaution. With the travel, field conditions, and one-week ramp-up, rushing him back might risk further damage. Barring a fast recovery and encouraging medical reports, odds favor him sitting out in London to ensure he’s truly ready when he returns.

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