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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, even though he did not bowl on the third day of a pivotal Ashes Test.

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

The versatile all-rounder had previously spent over five hours at the crease across two days to compile 83 runs in England's initial batting effort.

A Grueling Innings

During his marathon 198-ball stay, the 34-year-old was hit on the helmet by a fast bowler and experienced muscle cramps. He also required time off the field on Friday after hitting his head on the turf while attempting a stop.

"He could be a little fatigued and just need a bit of time to himself right now," commented Patel.

"From what I understand, he's quite ready 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 match."

Past Fitness Concerns

Given his chequered injury past – Stokes has not been fully available in any of England's last four series – any suggestion the Durham man might be carrying a problem attracts considerable scrutiny.

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

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

"My understanding is he operates 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 visiting side could have stayed within the contest by bowling out Australia for approximately 240 in their second innings and had faint chances at certain scorelines, only for the hosts to pull away through Travis Head's unbeaten 142.

Although England delivered 66 overs, Stokes chose not to bowl.

"He abstained from bowling but that's perhaps a different discussion 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 last time Stokes curtailed his own bowling was on the last day of the tied fourth Test against India at Old Trafford in July.

He afterwards missed the fifth Test at The Oval with a shoulder problem.

Stokes has a reputation of driving himself past breaking point, and it was put to Patel that the captain felt he might have risked injury if he exerted 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 Saturday's fourth day, it would mean the destination of the Ashes has been determined in just ten days – the first and second Tests 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 first goal 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 ongoing.

"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 witnessed something special from us."

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