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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 did not bowl 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 commanding lead of 356 runs at the Adelaide Oval.

The dynamic player had previously battled for more than five hours at the wicket over two days to compile 83 runs in England's first innings.

A Demanding Knock

Throughout his extended 198-ball stay, the veteran cricketer was struck on the head by Mitchell Starc and experienced muscle cramps. He also required time 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," 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."

Injury History Scrutiny

Given his complicated injury history – Stokes has not been fully available in any of England's previous four series – any indication the star all-rounder might be nursing an issue draws considerable scrutiny.

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

At trailing 2-0 and requiring a victory in Adelaide to keep their aspirations of regaining the urn intact, England had given up a first-innings lead of 85 runs.

"All I know 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 match 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 abstained from bowling but that's probably a separate conversation with him," said former New Zealand international Patel.

"I'm not entirely sure. 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 curtailed his own bowling was on the last 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 injury.

Stokes has a reputation of driving himself to its absolute limit, and it was suggested 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 another loss in Australia, once again probably facing defeat inside the initial three matches of the series.

If the tourists' loss is sealed on day four, it would mean the destination of the Ashes has been decided in 10 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 Daunting Task Ahead

If a primary objective is to extend this match into a final day, England will also have to achieve the highest successful chase at the Adelaide Oval to keep the series alive.

"I remain convinced there's an opportunity for us," stated Patel. "It won't be easy, we're going to need something extraordinary. I think it's high time we saw something special 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."