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England's captain Ben Stokes is said to be "worn out" but still "physically able" to deliver overs, according to team coach Jeetan Patel, despite he did not bowl on the day three of a pivotal Ashes Test.

Stokes utilized a quintet of alternative bowlers as the Australian side progressed to 271-4 in their follow-on, building a commanding lead of 356 runs at the venue.

The versatile all-rounder had earlier battled for more than five hours at the wicket across two days to compile 83 runs in England's initial batting effort.

A Grueling Innings

During his extended 198-ball stay, the 34-year-old was struck on the head by a fast bowler and experienced bouts of cramp. He also required time off the field on the previous day after hitting his head on the turf while trying to field the ball.

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

"Based on my knowledge, he's quite ready to bowl. I think he's just really exhausted and he's taken a lot out of himself to reach this point in the game."

Injury History Scrutiny

Considering his chequered injury past – Stokes has not been fully available in any of England's last four series – any indication the Durham man might be nursing an issue attracts significant attention.

Eager to be in the thick of the action, Stokes' absence from the attack on Friday was puzzling given it was England's final opportunity to stay in the Ashes series.

At 2-0 down and needing to win in Adelaide to keep their hopes of regaining the urn alive, England had given up a first-innings lead of 85 runs.

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

The tourists could have remained in the contest by dismissing Australia for around 240 in their second knock and had faint chances 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 did not use himself.

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

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

Past Instances and Current Strain

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

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

If the tourists' loss is sealed on day four, it would mean the outcome of the Ashes has been determined in just ten 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 Daunting Task Ahead

If a first goal 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 remain convinced there's an opportunity 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 with our backs to the wall, to fight back fiercely."