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England's captain Ben Stokes is reportedly "worn out" but still "fit and ready" to deliver overs, according to assistant coach Jeetan Patel, even though he abstained from bowling on the day three of a pivotal Ashes Test.

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

The versatile all-rounder had previously spent over five hours at the crease across two days to compile 83 runs in England's initial batting effort.

A Grueling Innings

Throughout his extended 198-ball stay, the veteran cricketer was struck on the head by a fast bowler and experienced muscle cramps. He also needed a period off the field on the previous day after banging his head on the ground while trying to field the ball.

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

"Based on my knowledge, he's quite ready to bowl. I think he's just pretty knackered and he's taken a lot out of himself to get through this point in the game."

Past Fitness Concerns

Given his chequered injury past – Stokes has not played a full part in any of England's previous four series – any suggestion the star all-rounder might be carrying a problem attracts considerable scrutiny.

Always keen to be in the heat of battle, Stokes' decision not to bowl on Friday was curious given it was England's final opportunity to stay in the Ashes series.

At 2-0 down and requiring a victory in Adelaide to keep their hopes of regaining the urn 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 remained in the match by dismissing 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 unbeaten 142.

Even though England bowled 66 overs, Stokes did not use himself.

"He abstained from bowling but that's perhaps a separate conversation with him," said ex-New Zealand player 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 last time Stokes curtailed his own bowling was on the last day of the tied fourth Test against India at Old Trafford in July.

He afterwards was absent for the fifth Test at The Oval with a shoulder problem.

Stokes has a reputation of driving himself to its absolute limit, 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 probably facing defeat inside the first three Tests of the series.

If the tourists' loss is completed 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 decided this quickly.

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 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 high time we saw something special from us."

"After three matches, we've thrown some but taken a lot. It's about time, now we're backed into a corner, to throw some haymakers."