Southgate's team were knocked out of their stride by the loss of Downing, who hobbled off with a nasty-looking injury following aheavy challenge by Stiliyan Petrov.
Sudden lower back pain years after epidural or spinal anesthesia is more likely to be caused by a recent injury, heavy lifting, poor posture or positioning (such as during sleep or while carrying a backpack), or stress on the bones or muscles.
The game was littered with heavy tackles and tempers boiled over in injury time with a melee involving many players which ended without even a booking.