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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 did not bowl on the third day of a critical Ashes Test.

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

The versatile all-rounder had earlier battled for more than five hours at the crease across two days to compile 83 runs in England's first innings.

A Grueling Innings

During his marathon 198-ball innings, the 34-year-old was hit on the helmet by a fast bowler and suffered bouts of cramp. He also required time off the field on Friday after hitting his head on the ground while trying to field the ball.

"He could be a little fatigued and just need a bit of 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 get through this point in the game."

Injury History Scrutiny

Given his complicated 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 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 needing to win in Adelaide to keep their hopes of winning back the Ashes 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 probably where he's at."

The tourists could have remained in the match by dismissing Australia for approximately 240 in their second innings and had faint chances at 53-2 and 149-4, only for the home team to pull away through Travis Head's not out 142.

Although England bowled 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 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."

Precedent and Pressure

The last time Stokes limited his bowling was on the final day of the drawn fourth Test against India at Old Trafford in July.

He afterwards missed the fifth Test at The Oval with a shoulder injury.

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 probably facing defeat inside the initial three matches of the series.

If the visitors' defeat is sealed on day four, it would mean the destination of the Ashes has been decided in 10 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 winner of an Ashes series been determined so swiftly.

A Daunting Task Ahead

If a first goal 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," said Patel. "It will be difficult, we're going to need something extraordinary. I think it's about time we saw something special from us."

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