All-rounder Stuart Broad is among the England players sidelined for Tuesday's warm-up contest against South Africa A.
Broad, 23, has had injections in his right shoulder in a bid to make the first one-day international on Friday but will not feature in Potchefstroom.
He incurred the damage in a practice match 11 days ago and missed both Twenty20 internationals against Graeme Smith's side.
"He's had a number of injections in the past few days and we are waiting to see the reaction to those injections, to see whether it settles," said England coach Andy Flower.
England are even considering calling up an extra bowler to the touring party, such is the current injury blight on the limited-overs squad.
Fast bowler James Anderson (knee) played in Sunday's 20-over mauling despite not being 100% fit, while Graeme Swann has an intercostal muscle problem and neither will be considered for Tuesday.
Paul Collingwood, another of the regular one-day bowlers, is also extremely doubtful with a recurrence of long-standing lower back discomfort.
"Unless it loosens up a lot today I don't think he will play in tomorrow's game either," Flower said.
Availability is such that the side virtually picks itself and Graham Onions will return following his back injury.
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