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England's captain Ben Stokes is reportedly "worn out" but still "fit and ready" to bowl, according to assistant coach Jeetan Patel, despite he did not bowl on the third day of a pivotal Ashes Test.

Stokes utilized five other bowlers as Australia progressed to 271-4 in their follow-on, building a substantial advantage of 356 runs at the Adelaide Oval.

The dynamic player had earlier spent over five hours at the wicket over two days to compile 83 runs in England's first innings.

A Grueling Innings

Throughout his extended 198-ball stay, the 34-year-old was struck on the head by Mitchell Starc and experienced bouts of cramp. He also needed a period 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 really exhausted and he's taken a lot out of himself to reach this point in the game."

Injury History Scrutiny

Considering his complicated injury past – Stokes has not played a full part in any of England's previous four series – any indication the star all-rounder might be carrying a problem draws 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 trailing 2-0 and needing to win in Adelaide to keep their aspirations of winning back the Ashes intact, England had given up a first-innings deficit of 85 runs.

"All I know is he goes 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 faint chances at certain scorelines, only for the home team to pull away through Travis Head's unbeaten 142.

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

"He didn't bowl but that's probably a different discussion 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 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 afterwards was absent for the fifth Test at The Oval with a shoulder injury.

Stokes has a history of pushing his body 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.

Facing Imminent Loss

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 day four, 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 playing days to win in England, has the victor of an Ashes series been decided this quickly.

A Formidable Challenge

If a primary objective is to extend this match into a final day, England will also have to pull off the highest successful chase at the Adelaide Oval to keep the series ongoing.

"I still believe there's an chance for us," stated Patel. "It won't be easy, we're going to need something extraordinary. I think it's high time we witnessed something special from us."

"Three games in, we've thrown some but absorbed many. It's about time, now we're backed into a corner, to throw some haymakers."