Who Should I Start? Puka Nacua or Tetairoa McMillan

Monday, October 5, 7:38 AM

Los Angeles Rams wide receiver Puka Nacua (hip/groin) is dealing with what ProFootballTalk described Monday as a "pre-hernia" issue. Erin Andrews first reported the condition during Sunday's broadcast, while head coach Sean McVay had previously said Nacua did not actually have a hernia. He certainly looked healthy enough in his return, catching nine passes for 125 yards in a 24-20 win over Philadelphia after missing the previous two games. The concern is what happens from here. ProFootballTalk noted that continued stress on the weakened area could potentially lead to a true hernia, which would require surgery, but there is no indication that has happened or that Nacua is currently expected to miss more time. He entered Week 4 without a game designation after practicing fully Friday. Fantasy managers should keep an eye on the Rams' practice reports this week, but Nacua remains a high-end WR1 as long as he continues to play through the issue without a setback.