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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, despite he did not bowl on the day three of a pivotal Ashes Test.

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

The versatile all-rounder had previously spent over five hours at the crease over two days to compile 83 runs in England's first innings.

A Grueling Innings

Throughout his extended 198-ball stay, the 34-year-old was hit on the helmet by a fast bowler and experienced muscle cramps. He also required time off the field on the previous day after hitting his head on the turf while attempting a stop.

"He could 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 match."

Past Fitness Concerns

Given 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 carrying a problem draws significant attention.

Eager to be in the thick of the action, 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 aspirations of regaining the urn intact, England had given up a first-innings deficit of 85 runs.

"My understanding 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 visiting side could have stayed within the match by dismissing Australia for approximately 240 in their second knock and had slim hopes at 53-2 and 149-4, only for the home team to accelerate away through Travis Head's not out 142.

Even though England delivered 66 overs, Stokes did not use himself.

"He didn't bowl but that's perhaps a separate conversation with him," noted 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 last 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 injury.

Stokes has a history of pushing his body to its absolute limit, and it was put 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 Saturday's fourth day, 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 days of play 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 alive.

"I remain convinced there's an chance for us," said Patel. "It will be difficult, we're going to need something magical. I think it's high time we saw something special from us."

"After three matches, we've thrown some but absorbed many. It's about time, now we're with our backs to the wall, to throw some haymakers."