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England's captain Ben Stokes is said to be "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 critical Ashes Test.

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

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

A Demanding Knock

Throughout his extended 198-ball stay, the veteran cricketer was hit on the helmet by Mitchell Starc and suffered bouts of cramp. He also needed a period 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 need a bit of time to himself right now," commented Patel.

"Based on my knowledge, he's quite ready to bowl. I think he's just pretty knackered and he's taken a lot out of himself to reach this point in the game."

Injury History Scrutiny

Given his complicated injury history – Stokes has not been fully available in any of England's previous four series – any suggestion the star all-rounder might be nursing an issue draws considerable scrutiny.

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

At 2-0 down and requiring a victory in Adelaide to keep their aspirations of winning back the Ashes intact, England had given up a first-innings deficit of 85 runs.

"All I know is he goes 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 likely where he's at."

The visiting side could have remained in the match by dismissing Australia for around 240 in their second knock and had slim hopes at 53-2 and 149-4, only for the hosts to accelerate away through Travis Head's not out 142.

Even though England delivered 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 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 missed the fifth Test at The Oval with a shoulder injury.

Stokes has a reputation of driving himself past breaking point, and it was suggested to Patel that the captain felt he might have endangered himself if he pushed himself any further in Adelaide.

On the Brink of Defeat

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

If the visitors' defeat is sealed on day four, it would mean the outcome of the Ashes has been determined in just ten 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 decided this quickly.

A Daunting Task Ahead

If a first goal 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 ongoing.

"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 about time we saw something special from us."

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