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

Stokes deployed a quintet of alternative bowlers as the Australian side progressed to 271-4 in their follow-on, establishing a commanding lead of 356 runs at the venue.

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

A Grueling Innings

Throughout his marathon 198-ball innings, the veteran cricketer was hit on the helmet by a fast bowler and experienced bouts of cramp. He also needed a period off the field on the previous day after hitting his head on the ground 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 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."

Injury History Scrutiny

Considering his chequered injury history – Stokes has not played a full part in any of England's last four series – any indication the star all-rounder might be carrying a problem draws considerable scrutiny.

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 trailing 2-0 and needing to win in Adelaide to keep their aspirations of winning back the Ashes alive, England had given up a first-innings lead of 85 runs.

"My understanding is he operates 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 match by bowling out Australia for around 240 in their second innings and had slim hopes at 53-2 and 149-4, only for the hosts to accelerate away through Travis Head's unbeaten 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 former New Zealand international Patel.

"I'm not entirely sure. We all know he never performs at 80%. Maybe he thought he was a risk, so he didn't bowl."

Past Instances and Current Strain

The last time Stokes limited his bowling was on the final 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 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 exerted 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 first three Tests of the series.

If the visitors' defeat is sealed on day four, it would mean the outcome of the Ashes has been decided in just ten days – the opening two matches were over in short periods respectively.

Not since 1921, when Australia needed only eight days of play to win in England, has the winner of an Ashes series been decided this quickly.

A Daunting Task Ahead

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

"I still believe there's an chance for us," stated Patel. "It won't be easy, we're going to need something extraordinary. 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 time, now we're with our backs to the wall, to fight back fiercely."