8:10pm: When speaking after the Browns’ Week 3 loss, Garrett said his foot issue is having a detrimental effect on his legs (h/t The Athletic’s Zac Jackson). Without time to heal, that problem could continue over at least the short term.
3:11pm: A foot issue led to some missed time for Myles Garrett in Week 2, but he did not carry a designation heading into today’s matchup. The reigning Defensive Player of the Year is not expected to miss game action as a result of the ailment, but surgery could be an option down the road. 
Specifically, Garrett is dealing with pain in both of his feet. NFL Network’s Tom Pelissero notes the three-time All-Pro underwent a procedure as a nine-year-old to address flat feet, which may be related to the current problem (video link). In any case, pain management will be required on Garrett’s part for an extended period. After the current campaign, a procedure will be considered.
“We talk about [surgery after the season] but that’s something that we’ll talk about further down the line,” the 28-year-old said (via ESPN’s Daniel Oyefusi). “The issue itself is something that I’ll probably have to deal with for however long I end up playing. So it’s about managing that and playing through it.”
The former No. 1 pick has played double-digit games every year of his career, and he will be able to do so again in 2024 if he can tolerate the pain level he is currently dealing with. Garrett added he is hopeful the issue will get better over time as the season progresses. If that does not turn out to be the case, though, it would not come as a surprise if surgery were to become a distinct possibility.
Garrett earned a Pro Bowl nod in 2018 and then each year from 2020-23. His 90.5 sacks since being drafted rank second in the NFL, underlying his importance to the Browns. Cleveland also has Za’Darius Smith and Ogbonnia Okoronkwo along the edge, but they of course play complementary roles to Garrett, the focal point of one of the league’s top defenses from 2023. Remaining strong on that side of the ball will be key to the Browns’ efforts to return to the postseason.
Garrett recorded a strip sack in each of his first two games, and he will again be counted on as one of the league’s top defensive players if he can stay on the field for the rest of the season. Whether or not he can do so with reasonable pain levels will be worth watching closely over the next few weeks in particular.