England physio Gary Lewin will miss the rest of the World Cup after dislocating his ankle while celebrating Daniel Sturridge's equaliser against Italy.
Sturridge's goal came two minutes after Claudio Marchisio had put the Azzurri ahead in the World Cup Group D encounter at the Arena Amazonia.
Lewin, 50, was carried away on a stretcher after jumping off the bench.
"In celebrating the goal he jumped up, landed on a water bottle and dislocated his ankle," said boss Roy Hodgson.
"It was very painful," he added. "He was taken to hospital. The doctor set it, put it back in at the side of the field, but it's the end of the World Cup for Gary.
"That was a very sad moment for us."
A Football Association spokesperson said: "We do have another physio with us - Steve Kemp."
England lost the match 2-1, former Manchester City striker Mario Balotelli heading Italy's winner in the second half.