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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 day three of a critical Ashes Test.

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

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

A Demanding Knock

Throughout his extended 198-ball stay, the 34-year-old was struck on the head by a fast bowler and suffered bouts of cramp. He also required time off the field on Friday after banging his head on the ground while attempting a stop.

"He might 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 really exhausted and he's expended a great deal out of himself to get through this point in the game."

Past Fitness Concerns

Considering his complicated 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 attracts significant attention.

Always keen to be in the heat of battle, Stokes' absence from the attack on Friday was curious given it was England's final opportunity to stay in the Ashes series.

At 2-0 down and needing to win in Adelaide to keep their aspirations of regaining the urn alive, England had given up a first-innings deficit of 85 runs.

"My understanding 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 probably where he's at."

The tourists could have stayed within the contest by bowling out 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 unbeaten 142.

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

"He abstained from bowling but that's probably a different discussion with him," said former New Zealand international Patel.

"I don't actually know. 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 most recent occasion Stokes limited his bowling was on the final day of the drawn 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 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 yet another defeat in Australia, once again likely to be beaten inside the first three Tests of the series.

If the tourists' loss is completed on day four, it would mean the destination 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 playing days to win in England, has the winner of an Ashes series been decided this quickly.

A Formidable Challenge

If a primary objective is to prolong the game into a final day, England will also have to pull off the highest successful chase at the Adelaide Oval to keep the series alive.

"I still believe there's an chance for us," said Patel. "It won't be easy, we're going to need something extraordinary. I think it's high time we witnessed something special 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."