Ben Stokes underwent a second operation on the finger he injured in April, placing the allrounder’s participation in the Ashes series in further doubt.

Stokes had two screws and scar tissue removed from the index finger on his left hand on Monday, the England and Wales Cricket Board said on Thursday, and will undergo an intensive period of rehabilitation for the next four weeks.

Stokes injured his finger while playing for Rajasthan Royals in the Indian Premier League in April.

He made a comeback in July, after a first operation, as an emergency captain of England’s makeshift one-day international team for a series against Pakistan. But he played in pain and required steroid injections to make it through the three games.

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Since then, the 30-year-old Stokes has been on an indefinite break from cricket because of the injury and to “prioritize his mental wellbeing.” It meant he missed the test series against India and was ruled out of the Twenty20 World Cup, which starts this month.

Stokes remains unlikely to feature in the Ashes — if the series goes ahead, given players’ concerns about pandemic-related restrictions in Australia — with England still not putting any timescale on Stokes’ return.

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Stokes is said to have had little contact with those in the team, apart from test captain Joe Root, who said days after it emerged Stokes was taking a break: “I just want my friend to be OK.”

On Tuesday, Stokes posted the first picture of himself on Instagram since July, showing his left finger with heavy strapping.

England is set to announce on Friday whether the team will travel to Australia for the Ashes, with Australian players’ chief Todd Greenberg indicating Root and his teammates are satisfied procedures are in place for England’s players and families to travel.

“The long and the short of it, for me, is the England players have handled themselves really well, they’ve asked the right questions, they’ve been really professional in the way they’ve dealt with that and all credit to them,” Greenberg told Australian newspapers The Age and The Sydney Morning Herald this week.

“They’re going to get a good result here because the conditions they’ll tour in will be fantastic, and we’ll have a great Ashes summer.”