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England's captain Ben Stokes is reportedly "worn out" but still "physically able" to bowl, according to team coach Jeetan Patel, even though he abstained from bowling on the day three of a critical Ashes Test.

Stokes utilized a quintet of alternative bowlers as Australia progressed to 271-4 in their follow-on, establishing a substantial advantage of 356 runs at the venue.

The versatile all-rounder had previously spent over five hours at the wicket over two days to compile 83 runs in England's initial batting effort.

A Grueling Innings

During his extended 198-ball innings, the veteran cricketer was struck on the head by a fast bowler and suffered muscle cramps. He also required time off the field on the previous day after hitting his head on the ground while attempting a stop.

"He might 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 pretty knackered and he's taken a lot out of himself to get through this point in the game."

Injury History Scrutiny

Given his complicated injury history – Stokes has not been fully available in any of England's last four series – any indication the Durham man might be carrying a problem draws considerable scrutiny.

Eager to be in the heat of battle, Stokes' decision not to bowl on Friday was curious 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 hopes of winning back the Ashes alive, England had conceded a first-innings lead of 85 runs.

"My understanding is he goes at 100%," remarked 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 remained in the match by dismissing Australia for approximately 240 in their second innings and had slim hopes at certain scorelines, only for the home team to accelerate away through Travis Head's not out 142.

Even though England bowled 66 overs, Stokes did not use himself.

"He didn't bowl but that's perhaps a separate conversation with him," noted former New Zealand international Patel.

"I'm not entirely sure. We all know he never performs at 80%. Maybe he thought he was a liability, so he didn't bowl."

Precedent and Pressure

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

He subsequently missed the fifth Test at The Oval with a shoulder problem.

Stokes has a reputation of driving himself past breaking point, and it was suggested to Patel that the captain felt he might have endangered himself if he pushed himself any further in Adelaide.

Facing Imminent Loss

England stand on the edge of another loss in Australia, once again probably facing defeat inside the first three Tests of the series.

If the visitors' defeat is completed on day four, it would mean the outcome of the Ashes has been determined in 10 days – the opening two matches were over in short periods respectively.

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

A Formidable Challenge

If a primary objective is to extend this match into a fifth day, England will also have to pull off the greatest run-chase at the Adelaide Oval to keep the series alive.

"I remain convinced there's an chance for us," stated 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 thrown some but absorbed many. It's time, now we're backed into a corner, to fight back fiercely."