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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 abstained from bowling on the day three of a pivotal Ashes Test.

Stokes deployed a quintet of alternative bowlers as the Australian side moved to 271-4 in their follow-on, building a commanding lead of 356 runs at the Adelaide Oval.

The dynamic player had earlier battled for more than five hours at the crease over two days to score 83 runs in England's first innings.

A Demanding Knock

Throughout his marathon 198-ball stay, the veteran cricketer was struck on the head by a fast bowler and experienced muscle cramps. He also needed a period 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.

"From what I understand, he's quite ready to bowl. I think he's just really exhausted and he's expended a great deal out of himself to get through this point in the game."

Injury History Scrutiny

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

Always keen to be in the heat of battle, Stokes' decision not to bowl 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 winning back the Ashes alive, England had conceded 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 probably where he's at."

The visiting side could have remained in the contest by dismissing Australia for approximately 240 in their second knock and had faint chances at 53-2 and 149-4, only for the hosts to pull away through Travis Head's unbeaten 142.

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

"He didn't bowl but that's probably a different discussion with him," said former New Zealand international Patel.

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

Past Instances and Current Strain

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

Stokes has a reputation 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.

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 tourists' loss is completed on day four, it would mean the destination of the Ashes has been decided in 10 days – the first and second Tests 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 determined so swiftly.

A Daunting Task Ahead

If a primary objective is to prolong the game into a final day, England will also have to achieve the greatest run-chase at the Adelaide Oval to keep the series ongoing.

"I still believe there's an opportunity for us," said Patel. "It won't be easy, we're going to need something extraordinary. I think it's about time we saw 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 throw some haymakers."