England paceman Carse considered amputation of troublesome toe
The express paceman has battled against longstanding problems with the second toe of his left foot.
He was forced to pull out of England's Champions Trophy campaign in Pakistan in February and withdraw from a lucrative deal in the Indian Premier League.
"It ended up being quite a severe wound I was playing with for the majority of the winter, it got infected a couple of times," Carse said ahead of England's first T20 against the West Indies at his home ground of Durham on Friday.
"It is a bit running joke in the changing room, my second toe.