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The team skipper Ben Stokes is said to be "worn out" but still "physically able" to deliver overs, according to assistant coach Jeetan Patel, despite he did not bowl on the day three of a critical Ashes Test.

Stokes deployed five other bowlers as the Australian side moved to 271-4 in their follow-on, establishing a commanding lead of 356 runs at the venue.

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

A Grueling Innings

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

"He might be a little fatigued and just require some time to himself right now," stated Patel.

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

Injury History Scrutiny

Considering his complicated injury past – Stokes has not been fully available in any of England's previous four series – any suggestion the Durham man might be nursing an issue draws significant attention.

Eager to be in the heat of battle, Stokes' absence from the attack on Friday was puzzling given it was England's last chance 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 alive, England had given up a first-innings deficit of 85 runs.

"My understanding 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 stayed within the contest by bowling out Australia for approximately 240 in their second knock and had slim hopes at 53-2 and 149-4, 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 didn't bowl but that's probably a separate conversation with him," noted former New Zealand international Patel.

"I'm not entirely sure. We all know he doesn't do anything at 80%. Maybe he thought he was a risk, 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 problem.

Stokes has a reputation of driving himself past breaking point, and it was put to Patel that the captain felt he might have endangered himself if he pushed himself any further in Adelaide.

On the Brink of Defeat

England are on the verge of yet another defeat in Australia, once again likely to be beaten inside the first three Tests of the series.

If the tourists' loss is sealed on day four, it would mean the destination of the Ashes has been decided in just ten days – the opening two matches 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 victor of an Ashes series been decided this quickly.

A Daunting Task Ahead

If a first goal is to prolong the game into a fifth day, England will also have to achieve the highest successful chase at the Adelaide Oval to keep the series ongoing.

"I still believe there's an opportunity 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 magical 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 throw some haymakers."