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England's captain Ben Stokes is reportedly "worn out" but still "physically able" to bowl, according to assistant coach Jeetan Patel, despite 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 second innings, establishing a substantial advantage of 356 runs at the Adelaide Oval.

The dynamic player had earlier spent over five hours at the wicket over two days to compile 83 runs in England's initial batting effort.

A Demanding Knock

During his extended 198-ball innings, the veteran cricketer was struck on the head by Mitchell Starc and suffered muscle cramps. He also required time off the field on Friday after banging his head on the ground while trying to field the ball.

"He might be a little fatigued 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 taken a lot out of himself to reach this point in the match."

Past Fitness Concerns

Given his complicated injury past – Stokes has not been fully available in any of England's last four series – any indication the star all-rounder might be carrying a problem attracts significant attention.

Eager to be in the heat of battle, Stokes' decision not to bowl on Friday was puzzling given it was England's last chance to remain alive in the Ashes series.

At trailing 2-0 and requiring a victory in Adelaide to keep their aspirations of winning back the Ashes intact, England had conceded a first-innings deficit 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 likely where he's at."

The tourists could have remained in the contest by dismissing Australia for approximately 240 in their second knock and had slim hopes at 53-2 and 149-4, only for the home team to pull away through Travis Head's unbeaten 142.

Although England delivered 66 overs, Stokes did not use himself.

"He abstained from bowling but that's probably a separate conversation with him," noted 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 last time Stokes limited his bowling was on the final day of the drawn fourth Test against India at Old Trafford in July.

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

Stokes has a history 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 are on the verge of yet another defeat in Australia, once again probably facing defeat inside the first three Tests of the series.

If the tourists' loss is sealed on day four, it would mean the outcome of the Ashes has been decided 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 days of play 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 achieve the highest successful chase at the Adelaide Oval to keep the series ongoing.

"I still believe there's an opportunity for us," stated Patel. "It won't be easy, we're going to need something extraordinary. I think it's about time we witnessed something magical from us."

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