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England's captain Ben Stokes is reportedly "worn out" but still "physically able" to deliver overs, according to assistant coach Jeetan Patel, despite he did not bowl on the third day of a critical Ashes Test.

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

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

A Grueling Innings

During his extended 198-ball innings, the veteran cricketer was hit on the helmet by Mitchell Starc and experienced bouts of cramp. He also required time off the field on the previous day after banging his head on the turf while attempting a stop.

"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 get through this point in the game."

Past Fitness Concerns

Considering his chequered injury past – Stokes has not been fully available in any of England's previous four series – any indication the star all-rounder might be carrying a problem 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 last chance to remain alive 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%," 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 remained in the match by dismissing Australia for approximately 240 in their second knock and had faint chances at certain scorelines, only for the hosts to accelerate away through Travis Head's unbeaten 142.

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

"He abstained from bowling but that's probably a separate conversation with him," noted 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."

Precedent and Pressure

The most recent occasion Stokes curtailed his own bowling was on the last day of the drawn 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 reputation of driving himself past breaking point, and it was suggested to Patel that the captain felt he might have risked injury if he exerted himself any further in Adelaide.

Facing Imminent Loss

England are on the verge of another loss in Australia, once again probably facing defeat inside the first three Tests of the series.

If the tourists' loss 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 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 pull off the greatest run-chase at the Adelaide Oval to keep the series alive.

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

"After three matches, we've landed some blows but absorbed many. It's time, now we're with our backs to the wall, to fight back fiercely."