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England's captain Ben Stokes is reportedly "worn out" but still "physically able" to deliver overs, according to team coach Jeetan Patel, even though he abstained from bowling on the third day of a critical Ashes Test.

Stokes utilized a quintet of alternative bowlers as Australia progressed to 271-4 in their follow-on, building a substantial advantage of 356 runs at the Adelaide Oval.

The dynamic player had previously battled for more than five hours at the wicket across two days to score 83 runs in England's initial batting effort.

A Grueling Innings

During his extended 198-ball innings, the veteran cricketer was struck on the head by Mitchell Starc and experienced bouts of cramp. He also required time off the field on the previous day after hitting his head on the ground while trying to field the ball.

"He could be a little fatigued 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 pretty knackered and he's expended a great deal out of himself to reach this point in the game."

Past Fitness Concerns

Given his complicated injury history – Stokes has not played a full part in any of England's last four series – any suggestion the Durham man might be nursing an issue draws considerable scrutiny.

Eager to be in the heat of battle, Stokes' decision not to bowl on Friday was puzzling 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 aspirations of regaining the urn alive, England had given up a first-innings lead of 85 runs.

"My understanding 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 visiting side could have stayed within the match by bowling out Australia for around 240 in their second innings and had slim hopes at certain scorelines, only for the hosts to accelerate away through Travis Head's unbeaten 142.

Although England bowled 66 overs, Stokes did not use himself.

"He didn't bowl but that's perhaps a different discussion with him," noted ex-New Zealand player 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 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 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.

On the Brink of Defeat

England are on the verge of yet another defeat in Australia, once again likely to be beaten inside the first three Tests of the series.

If the visitors' defeat is sealed on Saturday's fourth day, it would mean the outcome of the Ashes has been decided in just ten days – the first and second Tests were over in short periods 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 Formidable Challenge

If a first goal is to extend this match into a final day, England will also have to pull off the greatest run-chase at the Adelaide Oval to keep the series alive.

"I remain convinced there's an opportunity for us," stated Patel. "It won't be easy, we're going to need something magical. I think it's high time we saw something magical from us."

"Three games in, we've thrown some but taken a lot. It's about time, now we're with our backs to the wall, to throw some haymakers."