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England's captain Ben Stokes is said to be "worn out" but still "physically able" to deliver overs, per assistant coach Jeetan Patel, despite he did not bowl on the day three of a pivotal Ashes Test.

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

The versatile all-rounder had previously battled for more than 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 veteran cricketer was hit on the helmet by a fast bowler and suffered muscle cramps. He also required time off the field on Friday after hitting his head on the ground while attempting a stop.

"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 pretty fit to bowl. I think he's just pretty knackered and he's taken a lot out of himself to reach this point in the game."

Injury History Scrutiny

Given 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 carrying a problem attracts considerable scrutiny.

Always keen to be in the thick of the action, Stokes' absence from the attack on Friday was curious given it was England's final opportunity to stay in the Ashes series.

At trailing 2-0 and needing to win in Adelaide to keep their hopes of winning back the Ashes alive, England had given up a first-innings deficit of 85 runs.

"All I know 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 match by bowling out 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 delivered 66 overs, Stokes did not use himself.

"He didn't bowl but that's probably a different discussion with him," noted former New Zealand international Patel.

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

Precedent and Pressure

The most recent occasion Stokes curtailed his own 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 driving himself to its absolute limit, and it was put 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 stand on the edge of yet another defeat in Australia, once again likely to be beaten inside the initial three matches of the series.

If the visitors' defeat is completed on Saturday's fourth day, it would mean the destination of the Ashes has been decided in just ten days – the opening two matches 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 extend this match into a fifth day, England will also have to achieve the highest successful chase at the Adelaide Oval to keep the series ongoing.

"I remain convinced there's an opportunity for us," said Patel. "It will be difficult, we're going to need something extraordinary. I think it's about time we witnessed something special from us."

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