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

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

The dynamic player had previously battled for more than 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 stay, the veteran cricketer was struck on the head by a fast bowler and experienced bouts of cramp. He also needed a period off the field on Friday after banging his head on the turf while trying to field the ball.

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

"From what I understand, 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 match."

Past Fitness Concerns

Considering his chequered injury history – Stokes has not played a full part in any of England's last four series – any suggestion the star all-rounder might be nursing an issue draws significant attention.

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

At 2-0 down and needing to win in Adelaide to keep their aspirations of winning back the Ashes alive, England had given up a first-innings deficit 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 bowling out Australia for around 240 in their second innings and had faint chances at certain scorelines, only for the hosts to accelerate away through Travis Head's unbeaten 142.

Even though England delivered 66 overs, Stokes chose not to bowl.

"He abstained from bowling but that's perhaps a separate conversation with him," said 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 risk, 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 history of pushing his body past breaking point, and it was suggested to Patel that the captain felt he might have risked injury if he pushed himself any further in Adelaide.

On the Brink of Defeat

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 tourists' loss is sealed on day four, it would mean the outcome of the Ashes has been decided in just ten days – the opening two matches were over in two and four days respectively.

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

A Daunting Task Ahead

If a primary objective is to prolong the game into a fifth 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 magical. I think it's about time we saw something special from us."

"Three games in, we've landed some blows but absorbed many. It's about time, now we're with our backs to the wall, to throw some haymakers."