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49ers Say Knee Swelling Has Them 'Concerned' About Ricky Pearsall

Swelling in the same PCL injury that cost him time in 2025 leaves the 49ers weighing surgery, veteran tryouts and increased rookie reps.

Overview

  • The 49ers said Wednesday that Pearsall is sidelined with swelling in his right knee tied to the posterior cruciate ligament injury he suffered in 2025 and that the team is evaluating all options.
  • Team reporters and club statements note there is 'some concern' and that surgery remains a possibility if the knee does not improve.
  • The setback arrived with other early camp injuries as running back Jordan James has a fractured rib and safety Malik Mustapha has a hamstring strain, both of which will cost them practice time.
  • San Francisco has held workouts for veteran receivers including Alex Bachman, D'Wayne Eskridge and Trenton Irwin and is increasing reps for rookies such as De'Zhaun Stribling and Kaelon Black to cover depth needs.
  • Pearsall’s recurring health issues complicate short-term game plans and longer-term roster decisions — including the club’s approach to the fifth-year option and whether to pursue a proven veteran — with the preseason opener on Aug. 13 now closer on the calendar.