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England's captain Ben Stokes is said to be "worn out" but still "fit and ready" to deliver overs, according to assistant coach Jeetan Patel, even though he did not bowl on the day three of a pivotal Ashes Test.

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

The versatile all-rounder had earlier battled for more than five hours at the wicket across two days to compile 83 runs in England's initial batting effort.

A Demanding Knock

During his marathon 198-ball stay, the 34-year-old was hit on the helmet by a fast bowler and suffered muscle cramps. He also needed a period off the field on the previous day after banging his head on the turf while attempting a stop.

"He might be a bit tired and just require some 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 expended a great deal out of himself to reach this point in the game."

Injury History Scrutiny

Considering 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 draws considerable scrutiny.

Eager to be in the heat of battle, Stokes' decision not to bowl on Friday was puzzling given it was England's last chance 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 given up a first-innings deficit 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 visiting side could have remained in the match by dismissing Australia for around 240 in their second innings and had faint chances at certain scorelines, only for the hosts to accelerate away through Travis Head's unbeaten 142.

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

"He abstained from bowling but that's probably a separate conversation with him," said former New Zealand international Patel.

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

Past Instances and Current Strain

The most recent occasion Stokes curtailed his own bowling was on the last day of the drawn fourth Test against India at Old Trafford in July.

He subsequently missed the fifth Test at The Oval with a shoulder problem.

Stokes has a history 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 stand on the edge 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 Saturday's fourth day, it would mean the outcome of the Ashes has been determined in just ten 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 Daunting Task Ahead

If a first goal is to extend this match into a fifth day, England will also have to pull off the greatest run-chase at the Adelaide Oval to keep the series alive.

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

"Three games in, we've landed some blows but taken a lot. It's about time, now we're with our backs to the wall, to throw some haymakers."