As the Three Lions' bench celebrated Daniel Sturridge's first-half equaliser against Italy in Manaus, the 50-year-old dislocated his ankle and was stretchered off
As Daniel Sturridge equalised for The Three Lions, the physio was caught amongst the celebrations on the bench and fell to the ground.
The incident caused the game to be held up as a stretcher was called to take Lewin away for further assessment.
"Yes it's a very sad moment for us," Roy Hodgson said after the 2-1 loss.
"In celebrating the goal he jumped up and landed on a water bottle. He's dislocated his ankle, it's very very painful. It's the end of the World Cup I'm afraid for Gary Lewin, it's very sad."
Uruguay are England's next opponents, on Thursday, and will be desperate for a win after suffering a 2-1 loss to Italy on Saturday night.