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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, even though he abstained from bowling on the day three of a critical Ashes Test.

Stokes utilized five other bowlers as the Australian side moved to 271-4 in their second innings, establishing a substantial advantage of 356 runs at the venue.

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

A Grueling Innings

Throughout his extended 198-ball stay, the 34-year-old was hit on the helmet by Mitchell Starc and suffered bouts of cramp. He also required time off the field on the previous day after banging his head on the ground while attempting a stop.

"He could be a little fatigued 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 really exhausted and he's expended a great deal out of himself to reach this point in the match."

Injury History Scrutiny

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

Always keen to be in the thick of the action, Stokes' decision not to bowl on Friday was curious given it was England's final opportunity to stay in the Ashes series.

At trailing 2-0 and needing to win in Adelaide to keep their hopes of winning back the Ashes alive, England had given up a first-innings lead 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 likely 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 certain scorelines, only for the hosts to accelerate away through Travis Head's unbeaten 142.

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

"He didn't bowl but that's perhaps a different discussion with him," said ex-New Zealand player 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 last day of the drawn fourth Test against India at Old Trafford in July.

He subsequently was absent for the fifth Test at The Oval with a shoulder injury.

Stokes has a history of driving himself 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.

Facing Imminent Loss

England stand on the edge of yet another defeat in Australia, once again likely to be beaten 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 10 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 first goal is to prolong the game into a fifth 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."

"Three games in, we've thrown some but absorbed many. It's about time, now we're backed into a corner, to throw some haymakers."