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England's captain Ben Stokes is said to be "worn out" but still "physically able" to bowl, according to assistant coach Jeetan Patel, even though he did not bowl on the third day of a pivotal Ashes Test.

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

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

A Demanding Knock

During his extended 198-ball innings, the veteran cricketer was struck on the head by a fast bowler and suffered bouts of cramp. 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 require some time to himself right now," commented Patel.

"Based on my knowledge, he's quite ready to bowl. I think he's just pretty knackered and he's expended a great deal out of himself to get through this point in the match."

Past Fitness Concerns

Considering his complicated injury history – Stokes has not played a full part in any of England's last four series – any indication the Durham man might be carrying a problem draws significant attention.

Always keen to be in the heat of battle, Stokes' decision not to bowl on Friday was curious given it was England's last chance to remain alive in the Ashes series.

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

"All I know 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 likely where he's at."

The tourists could have remained in the contest by dismissing Australia for approximately 240 in their second innings and had slim hopes at 53-2 and 149-4, only for the home team to pull away through Travis Head's not out 142.

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

"He abstained from bowling but that's probably a different discussion with him," noted ex-New Zealand player Patel.

"I'm not entirely sure. 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 most recent occasion Stokes limited his bowling was on the last day of the tied fourth Test against India at Old Trafford in July.

He afterwards was absent for the fifth Test at The Oval with a shoulder problem.

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 exerted himself any further in Adelaide.

Facing Imminent Loss

England stand on the edge of another loss in Australia, once again likely to be beaten 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 just ten days – the first and second Tests were over in short periods respectively.

Not since 1921, when Australia needed only eight days of play to win in England, has the victor 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 highest successful 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 magical. I think it's high time we saw something special from us."

"Three games in, we've landed some blows but taken a lot. It's time, now we're backed into a corner, to throw some haymakers."