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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, despite he did not bowl on the day three of a critical Ashes Test.

Stokes deployed a quintet of alternative bowlers as Australia moved to 271-4 in their follow-on, establishing a commanding lead of 356 runs at the venue.

The versatile all-rounder had earlier spent over five hours at the crease across two days to score 83 runs in England's initial batting effort.

A Grueling Innings

During his marathon 198-ball innings, the 34-year-old was hit on the helmet by a fast bowler and suffered bouts of cramp. He also needed a period off the field on the previous day after banging his head on the ground while trying to field the ball.

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

"Based on my knowledge, he's quite ready 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 game."

Past Fitness Concerns

Given his complicated injury history – Stokes has not been fully available in any of England's previous four series – any indication the star all-rounder might be nursing an issue attracts significant attention.

Eager to be in the thick of the action, Stokes' decision not to bowl on Friday was puzzling given it was England's last chance to stay in the Ashes series.

At 2-0 down and requiring a victory in Adelaide to keep their aspirations 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 visiting side could have stayed within the match by bowling out Australia for approximately 240 in their second knock and had faint chances at certain scorelines, only for the home team to accelerate away through Travis Head's not out 142.

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

"He didn't bowl but that's perhaps a different discussion with him," noted ex-New Zealand player Patel.

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

Precedent and Pressure

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

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

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

Facing Imminent Loss

England stand on the edge of yet another defeat in Australia, once again likely to be beaten inside the initial three matches of the series.

If the visitors' defeat is sealed on day four, it would mean the outcome of the Ashes has been decided in just ten days – the first and second Tests were over in short periods respectively.

Not since 1921, when Australia needed only eight playing days to win in England, has the winner of an Ashes series been determined so swiftly.

A Formidable Challenge

If a first goal is to extend this match into a final day, England will also have to pull off the greatest run-chase at the Adelaide Oval to keep the series ongoing.

"I still believe there's an opportunity for us," stated Patel. "It won't be easy, we're going to need something extraordinary. I think it's about time we witnessed something magical from us."

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