West Ham's injury crisis has become so bad that Sam Allardyce has been forced to ban full-contact training over Christmas.
Hammers boss Allardyce insisted he could not risk losing any more players during the festive period as he faced up to the prospect of Carlton Cole being banned for three matches after Saturday's controversial 2-1 Barclays Premier League defeat to Everton.
Andy Carroll, Mohamed Diame, Yossi Benayoun and Ricardo Vaz Te were joined on the sidelines by the ill Guy Demel on Saturday, with Allardyce forced to select an 80% fit Gary O'Neil in his starting line-up and long-term injury victims Alou Diarra and Jack Collison on the bench.
"We had 10 players who were fit and one was about 80% fit and that was all we had," Allardyce said. "We had Jack Collison, who hasn't kicked a ball since the play-off final and Alou Diarra, who hasn't kicked a ball in three months, that is how bare bones we are at the moment."
West Ham's Boxing Day match at Arsenal has been postponed because of a planned tube strike, with their next game at Reading on Saturday, and Allardyce added: "Medical staff are busier than us as coaches at the moment.
"We can't afford any more contact or any more injuries, so we can't even do any training.
"If we try to do any training and try to do any shape or build-up for Reading, we will get contact between players and, if you get contact between players, you risk injury and we can't do that.
"We can't even get out on the field and do a bit of coaching at the moment."