England captain Michael Vaughan has been ruled out of making a return to India for the Test match series and his knee problem makes participation in the one-day matches unlikely.
Vaughan this week flew home from the sub-continent to have the problem in his right knee assessed by the specialist in Sheffield who operated on the joint in December.
After undergoing an ultrasound-guided injection in the knee, Vaughan has been advised to take it easy for the next fortnight.
"The specialist has advised Michael to rest the knee completely for two weeks before recommencing his rehabilitation programme under the supervision of the York-shire Country Cricket Club physiotherapist," said an England and Wales Cricket Board statement.
"Michael has been ruled out of the current Test series against India. His knee will be reassessed in due course but at this stage it is not anticipated that he will be fit for the One-Day International Series in India."
Vaughan's recent troubles revive memories of the injury problems which plagued him at the start of his Test career.
Having made his debut on Duncan Fletcher's first tour as England coach- to South Africa in 1999-00- Vaughan suffered a series of injuries which restricted him to 11 of the 25 Tests England played over the next two years.