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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, despite he abstained from bowling on the day three of a critical Ashes Test.

Stokes utilized five other bowlers as Australia progressed to 271-4 in their follow-on, building a commanding lead of 356 runs at the venue.

The versatile all-rounder had previously 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 extended 198-ball innings, the 34-year-old was struck on the head by a fast bowler and experienced muscle cramps. He also needed a period off the field on Friday after hitting his head on the ground while trying to field the ball.

"He might be a bit tired and just require some time to himself right now," stated Patel.

"Based on my knowledge, he's pretty fit to bowl. I think he's just really exhausted and he's taken a lot out of himself to get through this point in the match."

Injury History Scrutiny

Given his chequered injury past – Stokes has not played a full part in any of England's last four series – any indication the star all-rounder might be nursing an issue 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 winning back the Ashes alive, England had conceded a first-innings lead of 85 runs.

"All I know is he operates 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 stayed within the contest by dismissing Australia for around 240 in their second innings and had slim hopes at 53-2 and 149-4, only for the hosts to accelerate 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 perhaps a different discussion with him," said 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."

Past Instances and Current Strain

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 reputation of driving himself to its absolute limit, and it was put to Patel that the captain felt he might have endangered himself if he pushed himself any further in Adelaide.

Facing Imminent Loss

England are on the verge 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 determined in 10 days – the opening two matches were over in two and four days respectively.

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

A Daunting Task Ahead

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

"I still believe there's an chance for us," stated Patel. "It will be difficult, we're going to need something extraordinary. I think it's about time we witnessed something magical from us."

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