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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, even though he abstained from bowling on the third day 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 dynamic player had earlier spent over five hours at the crease across two days to compile 83 runs in England's first innings.

A Demanding Knock

During his marathon 198-ball stay, the 34-year-old was struck on the head by a fast bowler and experienced muscle cramps. He also required time off the field on Friday after banging his head on the turf while trying to field the ball.

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

Past Fitness Concerns

Considering his complicated injury past – Stokes has not played a full part in any of England's last four series – any suggestion the star all-rounder might be nursing an issue draws considerable scrutiny.

Always keen to be in the thick of the action, Stokes' absence from the attack 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 aspirations of winning back the Ashes intact, England had conceded a first-innings deficit of 85 runs.

"All I know 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 stayed within the contest by bowling out Australia for around 240 in their second innings and had faint chances at 53-2 and 149-4, only for the home team to accelerate away through Travis Head's unbeaten 142.

Even though England bowled 66 overs, Stokes chose not to bowl.

"He didn't bowl but that's perhaps a different discussion with him," said former New Zealand international 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 limited his bowling was on the last 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 history of driving himself 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.

Facing Imminent Loss

England stand on the edge of yet another defeat in Australia, once again probably facing defeat inside the first three Tests of the series.

If the visitors' defeat is completed on Saturday's fourth day, it would mean the destination 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 primary objective is to extend this match 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 opportunity for us," stated Patel. "It will be difficult, we're going to need something magical. I think it's high time we witnessed something magical from us."

"Three games in, we've landed some blows but absorbed many. It's about time, now we're backed into a corner, to fight back fiercely."