The Buffalo Bills entered the offseason looking for answers following another painful playoff exit. Instead, they left their first major press conference of 2026 with a new concern that could impact the future. This time, it had little to do with coaching or roster moves.Josh Allen’s health is now at the center of Buffalo’s plans. And for the first time in years, there is real confusion around how his body will hold up going into a critical season for the franchise.After a messy season, this news landed hard. During a recent press conference meant to address Sean McDermott’s firing, the Bills’ officials revealed that their QB may need foot surgery.
Brandon Beane confirms Josh Allen may need a foot procedure before OTAs
On Tuesday, Bills owner Terry Pegula and general manager Brandon Beane spoke to reporters in Orchard Park for the first time since McDermott’s termination. Late in the session, Beane confirmed that Allen is dealing with a lingering foot injury.“He could have something done to his foot potentially here soon,” Beane said during the press session. “But it would not impact like OTA stuff if he does.”The injury first appeared in Week 16 against the Cleveland Browns on Dec. 21, 2025. The star QB was visibly uncomfortable in that matchup but stayed on the gridiron. The issue carried into the postseason and worsened during the AFC Wild Card loss to the Denver Broncos on Jan. 19 at Empower Field. Allen entered that game with three separate injury designations, including foot, knee, and finger issues. He still played every snap.Despite the concern, Beane said the crew expects Allen to be ready for Organized Team Activities in late May 2026. No surgery has been scheduled yet, but further medical testing is ongoing.The bigger issue is the pattern. Allen has now played through major injuries in four straight seasons. In 2022, he suffered a partial UCL tear in his elbow but never missed a start. In 2025, he dealt with a throwing hand injury early in the year and later a right elbow contusion. Now comes the foot.Allen has not missed a single game since 2018, when he sat out four weeks with an elbow injury. He currently holds the longest active starting streak among NFL quarterbacks. That toughness is part of what makes him special. It is also what worries the Bills.Allen finished the 2025 season with 3,668 passing yards, 579 rushing yards, and 39 total TDs. He followed his 2024 MVP campaign with another elite year, even while playing in constant pain. He will turn 30 before the 2026 season begins. With a new head coach coming in and the Buffs still chasing their first Super Bowl, the margin for error is gone.The Bills are not panicking yet. But this is the first time Allen’s health has entered real offseason discussion. If surgery helps protect his long-term future, Buffalo will likely take that route. For a league built entirely around one player, keeping Josh Allen upright might be the most important move they make all year.