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England's captain Ben Stokes is reportedly "worn out" but still "physically able" to bowl, per assistant coach Jeetan Patel, even though he did not bowl on the day three of a critical Ashes Test.

Stokes utilized a quintet of alternative bowlers as Australia moved to 271-4 in their follow-on, building a commanding lead of 356 runs at the Adelaide Oval.

The dynamic player had earlier battled for more than five hours at the wicket over two days to compile 83 runs in England's first innings.

A Grueling Innings

Throughout his marathon 198-ball stay, the 34-year-old was hit on the helmet by a fast bowler and experienced bouts of cramp. He also needed a period off the field on the previous day after hitting his head on the ground while attempting a stop.

"He could be a little fatigued and just need a bit of time to himself right now," commented Patel.

"From what I understand, he's pretty fit to bowl. I think he's just really exhausted and he's expended a great deal out of himself to reach this point in the match."

Injury History Scrutiny

Given his chequered injury history – Stokes has not been fully available in any of England's previous four series – any indication the star all-rounder might be carrying a problem draws considerable scrutiny.

Always keen to be in the heat of battle, Stokes' absence from the attack on Friday was puzzling given it was England's final opportunity to stay in the Ashes series.

At trailing 2-0 and requiring a victory in Adelaide to keep their aspirations of regaining the urn intact, England had given up a first-innings lead of 85 runs.

"My understanding is he goes at 100%," said Patel. "If he thinks he can't do it at 100%, I don't think he's going to do it. That's probably where he's at."

The tourists could have stayed within the match by bowling out Australia for approximately 240 in their second innings and had slim hopes at certain scorelines, only for the hosts to pull away through Travis Head's not out 142.

Even though England delivered 66 overs, Stokes chose not to bowl.

"He abstained from bowling but that's probably a separate conversation with him," said former New Zealand international Patel.

"I don't actually know. We all know he doesn't do anything at 80%. Maybe he thought he was a liability, so he didn't bowl."

Precedent and Pressure

The last time Stokes limited his bowling was on the final day of the tied fourth Test against India at Old Trafford in July.

He subsequently was absent for the fifth Test at The Oval with a shoulder injury.

Stokes has a history of pushing his body to its absolute limit, and it was suggested to Patel that the captain felt he might have risked injury if he pushed himself any further in Adelaide.

Facing Imminent Loss

England are on the verge of another loss in Australia, once again likely to be beaten inside the first three Tests of the series.

If the tourists' loss is sealed on day four, it would mean the destination of the Ashes has been decided in 10 days – the opening two matches were over in two and four days respectively.

Not since 1921, when Australia needed only eight playing days to win in England, has the victor of an Ashes series been decided this quickly.

A Formidable Challenge

If a primary objective is to prolong the game into a final day, England will also have to achieve the highest successful chase at the Adelaide Oval to keep the series alive.

"I still believe there's an opportunity for us," said Patel. "It will be difficult, we're going to need something extraordinary. I think it's high time we saw something magical from us."

"After three matches, we've landed some blows but absorbed many. It's time, now we're backed into a corner, to fight back fiercely."