Captain Michael Vaughan is fighting to be fit for Wednesday's first Test match against India in Nagpur after a recurrence of his knee injury.
Vaughan, aged 31, had a cortisone injection in his right knee on Wednesday and was ruled out of the first-class match with the Indian Board President's XI here yesterday.
Fast bowler Simon Jones was unavailable due to a stomach bug while Paul Collingwood, a possible replacement for Vaughan, was unfit. To cap it all, Kevin Pietersen, the only batsman to truly impose himself yesterday, had to retire hurt with a back injury.
England's preparations were thrown into such chaos, Shaun Udal being checked over at a hospital due to a sore abdomen, that what happened on the field - a below-par 238 - almost became a secondary matter.
Vaughan has undergone three operations on his knee which is a worry. Duncan Fletcher, the England coach, said: "As captain he has done well for us and he is a major player. We have always had this worry that in the future he might not be fit."
Vaughan missed the opening Test in Pakistan after the problem flared up in a warmup match and opted out of the one-day series to undergo an operation. His recovery appeared to be going to plan until the past couple of days.
England's chief medical officer Dr Peter Gregory said: "[The knee injection] will take at least 48 hours to take effect but I asked him to try his knee out today to see if he was able to play. He wasn't so we decided to rest him and hope the injection will make him all right for next week."
The team management has not called for reinforcements yet, preferring to allow a few days to reassess the health of the camp.
Pietersen's condition hampered his batting. One mighty pulled six caused him to grimace in pain.
Gregory said: "He feels quite confident, he had something like it a few years ago and he said it responded quite quickly to treatment, so we are quite optimistic there."
England, meanwhile, rued Simon Jones' absence.
Fletcher said: "We wanted to give him a chance but he was in such a bad state we sent him back to the hotel." ..SUPL: