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England's captain Ben Stokes is reportedly "worn out" but still "physically able" to deliver overs, according to assistant coach Jeetan Patel, despite he did not bowl on the third day of a critical Ashes Test.

Stokes utilized a quintet of alternative bowlers as the Australian side progressed to 271-4 in their second innings, building a substantial advantage of 356 runs at the Adelaide Oval.

The versatile all-rounder had previously spent over five hours at the crease across two days to score 83 runs in England's first innings.

A Grueling Innings

Throughout his marathon 198-ball innings, the 34-year-old was hit on the helmet by Mitchell Starc and suffered muscle cramps. He also required time off the field on Friday after hitting his head on the ground while trying to field the ball.

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

Past Fitness Concerns

Given his chequered injury history – Stokes has not played a full part in any of England's last four series – any suggestion the Durham man 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 puzzling given it was England's final opportunity to remain alive in the Ashes series.

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

The tourists could have stayed within the match by dismissing Australia for approximately 240 in their second knock and had faint chances at certain scorelines, only for the hosts to pull away through Travis Head's not out 142.

Although England delivered 66 overs, Stokes chose not to bowl.

"He abstained from bowling but that's perhaps a separate conversation 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 last time Stokes limited his bowling was on the final day of the tied 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 history 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.

On the Brink of Defeat

England are on the verge of another loss in Australia, once again likely to be beaten inside the initial three matches of the series.

If the visitors' defeat is sealed on Saturday's fourth day, 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 winner of an Ashes series been determined so swiftly.

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

"Three games in, we've landed some blows but absorbed many. It's about time, now we're backed into a corner, to fight back fiercely."