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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 deployed five other bowlers as Australia progressed to 271-4 in their second innings, building a commanding lead of 356 runs at the venue.

The versatile all-rounder 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 marathon 198-ball innings, the 34-year-old 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 hitting his head on the ground while trying to field the ball.

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

"From what I understand, he's quite ready to bowl. I think he's just really exhausted and he's taken a lot out of himself to get through this point in the match."

Injury History Scrutiny

Considering his complicated injury history – Stokes has not played a full part in any of England's last four series – any indication the star all-rounder might be carrying a problem draws significant attention.

Always keen to be in the heat of battle, Stokes' absence from the attack on Friday was puzzling 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 winning back the Ashes alive, England had conceded a first-innings lead of 85 runs.

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

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

Even though England bowled 66 overs, Stokes did not use himself.

"He abstained from bowling but that's probably a separate conversation with him," noted ex-New Zealand player Patel.

"I don't actually know. We all know he never performs at 80%. Maybe he thought he was a liability, so he didn't bowl."

Precedent and Pressure

The most recent occasion 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 injury.

Stokes has a reputation of pushing his body to its absolute limit, and it was suggested 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 another loss 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 outcome of the Ashes has been determined in 10 days – the opening two matches were over in short periods 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 Formidable Challenge

If a primary objective is to extend this match into a final day, England will also have to pull off the greatest run-chase at the Adelaide Oval to keep the series alive.

"I still believe there's an chance for us," stated Patel. "It will be difficult, we're going to need something magical. I think it's about time we saw something special from us."

"Three games in, we've thrown some but taken a lot. It's time, now we're with our backs to the wall, to fight back fiercely."