Stenhousemuir welcome back goalkeeper Chris McCluskey and defender Gary Thom from suspension.
Scott Fusco, Jordan Smith and Scott Dalziel all remain sidelined. Michael Devlin is a doubt with a dead leg.
East Fife manager John Robertson:"We need one more win to avoid the play-offs at the foot of the table and also need a win should the teams above us falter in their pursuit of a promotion play-off place.
"We are undefeated in our last three games and they were against sides above us in the table so we need to bring that type of form to a team below us now."
Stenhousemuir manager Davie Irons:"This would be a great game to win as it moves closer away from automatic relegation and would give us one of the three wins I believe is needed to avoid the play-offs as well.
"After a good run where we went five games without defeat we have slipped back a wee bit recently and need to get winning again."
Source: BBC Sport