Watkins might have aggravated his surgically-repaired foot when he was stepped on during a walkthrough practice this week.
"I know it's a pain deal, there's no doubt about that," coach Rex Ryan said Friday. "I think he got stepped on during a walkthrough, so that probably never helped him."
Ryan said he didn't know exactly when the injury happened, and Watkins wasn't in the locker room Friday while reporters were present.
Said Ryan of Watkins' status for Sunday's game: "Probably not real good."
Watkins did not participate in any of the Bills' four practices this week. However, Ryan does not require his players to practice in order to play.
"If he feels good and he's up to it, then we'll put him in there," Ryan said. "If a guy's that good, we'll play him."
Wide receiver Robert Woods said Friday that he noticed his teammate was in pain.
"I just saw it in his face," said Woods, who also didn't know when the injury occurred. "He made a little face. It bothered him, whatever it was."
Watkins started and played 40 snaps in the Bills' loss to the New York Jets on Sept.15 after being listed as questionable on the injury report.
Watkins had injured foot stepped on during practice
ESPN Bills reporter Mike Rodak examines the chances Sammy Watkins suits up for Buffalo after having his injured foot stepped on during practice this week.