​Indianapolis Colts wide receiver Alec Pierce sustained a heel injury in Sunday’s game against the Kansas City Chiefs and had to be carried to the sideline medical tent. Pierce pulled up hopping on one leg after suffering the injury on a route in the first quarter. He couldn’t put weight on the leg and had to be carried to the tent by two trainers. He eventually left the field sitting on a cart.Alec Pierce (leg) headed to the medical tentpic.twitter.com/yp78GqnHR1— Pick 6 Pack (@Pick6PackFB) September 21, 2026Shortly after he left the field, the Colts announced that he had a heel injury. They quickly ruled him out from there. The precise nature of Pierce’s injury wasn’t initially clear. Colts WR Alec Pierce is questionable to return vs. the Chiefs with a heel injury.(📺 NBC) pic.twitter.com/9r1sm1dqNO— NFL on ESPN (@ESPNNFL) September 21, 2026Pierce had surgery to repair the ankle on the same leg in the offseason. It’s not clear if the two injuries are related. Pierce had the procedure to address an injury that had lingered since the end of the 2024 season. The Colts characterized the surgery as a “clean-up procedure.”Pierce, 26, is the Colts’ No. 1 receiver and has led the NFL in yards per reception in each of the last two seasons. He signed a four-year, $114 million contract in the offseason to remain with the Colts.Pierce is coming off the most productive season of his career. He tallied 47 receptions for 1,003 yards (21.3 yards per catch) and 6 touchdowns in 2025. A foot injury of any kind is of significant concern for a player like Pierce who thrives as a downfield threat and playmaker in Indianapolis’ offense. With Pierce out, Josh Downs slots in as the Colts’ top receiver, and Keenan Allen projects to play a larger role. Tyler Warren is already one of the league’s most productive pass-catching tight ends and could be asked to take on a larger role.