Gary Naysmith is back in contention as Huddersfield bid to extend their unbeaten league run to 35 matches in their home clash.
Scotland international defender Naysmith has missed the Terriers' last four games due to a knee injury, but now provides manager Lee Clark with an alternative option at left-back.
Clark has no new injury or suspension worries and apart from goalkeeper Alex Smithies, sidelined long-term following knee surgery, will be able to choose from a full-strength squad.
Winger Gary Roberts and midfielder Anton Robinson are hoping to win recalls to the starting line-up after stepping off the bench last week, while striker Jordan Rhodes and defender Liam Cooper were unused substitutes.
The Terriers have not lost to Orient in their last five meetings.
Lee Butcher will start for Leyton Orient after their goalkeeping curse struck again.
Tottenham loanee Ben Alnwick became the latest victim when he suffered a groin injury, which will keep him out for a couple of weeks, prior to Tuesday night's Carling Cup defeat at Blackburn.
First-choice Jamie Jones and his replacement David Button, another loan signing from Spurs, suffered shoulder injuries earlier in the season, leaving Butcher as the last man standing.
The situation is not much brighter further up the field, although skipper Stephen Dawson (ankle) and striker Kevin Lisbie (thigh) resumed training on Thursday and will be handed fitness tests.
Defender Scott Cuthbert is still suspended, on-loan midfielder Tom Clarke cannot play against his parent club, Jamie Cureton (groin) remains doubtful and fellow forward Jonathan Tehoue is still missing with a broken wrist.