“He Tried to Push Through It for the Team” — 49ers Head Coach Reveals the Truth Behind the Injury That Forced This Player Off the Field Midgame

The San Francisco 49ers walked out of Levi’s Stadium with a convincing 37–24 win over the Tennessee Titans, but the victory came with a sobering moment when Ricky Pearsall was forced to leave the game early. At first, it appeared to be a routine injury substitution. What head coach Kyle Shanahan revealed afterward, however, told a far deeper story — one of pain tolerance, sacrifice, and an unshakable team-first mentality.

According to Shanahan, Pearsall didn’t exit the game because he couldn’t compete. He left because he had already pushed his body past its limits. The rookie wide receiver had been playing through a lingering knee issue all season, and during the Titans game, he aggravated a low-grade ankle sprain. Continuing to fight through the pain ultimately led to a flare-up that required immediate medical intervention.

Speaking to reporters on Monday, Shanahan made it clear the decision to pull Pearsall was about protecting the player, not questioning his toughness. “He tried to push through it for the team,” Shanahan said. “Those kinds of injuries can be extremely painful at first. Sometimes they calm down, sometimes they don’t. We had to step in before it became something much worse.”

For Pearsall, that mindset is nothing new. In a season that has tested the 49ers more than most, younger players have been asked to shoulder significant responsibility earlier than expected. Rather than backing off, Pearsall continued to run routes, take hits, and compete until his body simply wouldn’t allow it anymore.

“I was only thinking about the team,” Pearsall said after the game. “When you put this jersey on, you don’t want to leave the field because you’re hurting. You want to be out there with your brothers, fighting until you physically can’t anymore.” His words captured the culture Shanahan and the coaching staff have worked tirelessly to build.

Pearsall’s situation has become emblematic of what has been an injury-riddled season in San Francisco. All-Pro linebacker Fred Warner, All-Pro edge rusher Nick Bosa, and wide receiver Brandon Aiyuk are just a few of the major names lost along the way. And yet, the 49ers sit at 10–4, riding a four-game winning streak and firmly entrenched in the NFC playoff race.

As of now, Pearsall’s availability for Week 16’s Monday Night Football matchup against the Colts remains uncertain. Shanahan described his status as “day-to-day,” with the team prioritizing long-term health over short-term urgency.

But whether Pearsall suits up next week or not, his effort hasn’t gone unnoticed inside the locker room. His willingness to endure pain for the sake of the team reflects the broader identity of the 2025 49ers — a group that continues to compete, sacrifice, and believe, no matter how steep the adversity becomes.

In a season where wins are hard-earned and health is never guaranteed, Pearsall’s story serves as a powerful reminder: sometimes the most important victories aren’t recorded on the scoreboard, but in the commitment players show to one another when it matters most.