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England's captain Ben Stokes is said to be "worn out" but still "fit and ready" to bowl, per assistant coach Jeetan Patel, even though he abstained from bowling on the day three of a critical Ashes Test.

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

The versatile all-rounder had earlier battled for more than five hours at the wicket over two days to score 83 runs in England's first innings.

A Demanding Knock

During his marathon 198-ball stay, the 34-year-old was hit on the helmet by Mitchell Starc and suffered bouts of cramp. He also needed a period off the field on the previous day after hitting his head on the turf while attempting a stop.

"He could be a bit tired 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 reach this point in the match."

Injury History Scrutiny

Considering his complicated injury history – Stokes has not played a full part in any of England's previous four series – any suggestion the star all-rounder might be nursing an issue attracts significant attention.

Eager to be in the thick of the action, Stokes' absence from the attack on Friday was curious given it was England's last chance to stay in the Ashes series.

At trailing 2-0 and requiring a victory in Adelaide to keep their hopes of regaining the urn alive, England had conceded a first-innings lead 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 probably where he's at."

The visiting side could have stayed within the match by bowling out Australia for approximately 240 in their second knock and had slim hopes at 53-2 and 149-4, only for the home team to pull away through Travis Head's not out 142.

Even though England delivered 66 overs, Stokes chose not to bowl.

"He didn't bowl but that's probably a different discussion with him," said ex-New Zealand player 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 drawn fourth Test against India at Old Trafford in July.

He afterwards missed the fifth Test at The Oval with a shoulder injury.

Stokes has a reputation of driving himself past breaking point, and it was suggested 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 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 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 Formidable Challenge

If a primary objective is to prolong the game into a fifth day, England will also have to pull off the highest successful chase at the Adelaide Oval to keep the series alive.

"I still believe there's an opportunity for us," stated Patel. "It will be difficult, we're going to need something magical. I think it's high time we saw something special from us."

"Three games in, we've landed some blows but absorbed many. It's time, now we're with our backs to the wall, to fight back fiercely."