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England's captain Ben Stokes is said to be "worn out" but still "physically able" to deliver overs, 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 moved to 271-4 in their follow-on, establishing a commanding lead of 356 runs at the Adelaide Oval.

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

A Grueling Innings

During his extended 198-ball innings, the veteran cricketer was struck on the head by a fast bowler and experienced bouts of cramp. He also required time off the field on Friday after banging his head on the turf while attempting a stop.

"He could be a bit tired and just require some time to himself right now," commented Patel.

"Based on my knowledge, he's pretty fit to bowl. I think he's just pretty knackered and he's expended a great deal out of himself to get through this point in the match."

Injury History Scrutiny

Considering his chequered injury past – Stokes has not played a full part in any of England's last four series – any suggestion the Durham man might be carrying a problem attracts considerable scrutiny.

Eager 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 trailing 2-0 and needing to win in Adelaide to keep their hopes of regaining the urn intact, England had given up a first-innings deficit 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 remained in the contest by bowling out Australia for around 240 in their second knock and had slim hopes at certain scorelines, only for the hosts to pull away through Travis Head's not out 142.

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

"He didn't bowl but that's probably a different discussion with him," said 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 most recent occasion Stokes limited his bowling was on the final day of the tied 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 reputation of pushing his body to its absolute limit, and it was put to Patel that the captain felt he might have risked injury if he exerted himself any further in Adelaide.

Facing Imminent Loss

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 Saturday's fourth day, it would mean the destination 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 first goal is to extend this match into a fifth day, England will also have to achieve 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 magical. I think it's about time we saw something special from us."

"Three games in, we've landed some blows but taken a lot. It's time, now we're backed into a corner, to throw some haymakers."