Everton's injury problems show no sign of easing after David Moyes revealed that Sylvain Distin was struggling with a hamstring strain.
The former Manchester City and Portsmouth star is a major doubt for the Europa League clash against AEK Athens as the Toffees attempt to kick-start their faltering campaign.
Lucas Neill and John Heitinga are ineligible for the game, while Joseph Yobo also has a hamstring injury, so Moyes may have to start with Shane Duffy or Shkodran Mustafi alongside Tony Hibbert in a make-shift central defensive partnership.
Moyes said:"We've had to do with the likes of Tony Hibbert and Phil Neville playing at centre-half already this season and it makes the game more difficult.
"We've got to look at it for what it is. We'll be going into the game with possibly a really young centre-half depending on how Sylvain is.
"For me the Europa League is a great tournament and I hope we stay in and progress further in it.
"I see this being a tough game, it will be hard for us, but we need to try and start to build on Sunday's improved performance.
"It's well-documented that I don't think the surface is the best but the stadium is fabulous. I look forward to Everton playing here."