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

Stokes utilized five other 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 earlier battled for more than five hours at the wicket across two days to score 83 runs in England's first innings.

A Grueling Innings

Throughout his marathon 198-ball stay, the veteran cricketer was hit on the helmet by a fast bowler and suffered muscle cramps. He also required time off the field on the previous day after hitting his head on the turf while trying to field the ball.

"He might be a bit tired and just need a bit of time to himself right now," stated Patel.

"Based on my knowledge, 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 game."

Injury History Scrutiny

Given his complicated injury history – Stokes has not played a full part in any of England's last four series – any suggestion the star all-rounder might be nursing an issue 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 last chance 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 intact, England had given up 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 likely where he's at."

The visiting side could have stayed within the match by dismissing Australia for approximately 240 in their second innings and had slim hopes at 53-2 and 149-4, only for the hosts to accelerate away through Travis Head's unbeaten 142.

Although England bowled 66 overs, Stokes did not use himself.

"He didn't bowl but that's perhaps a separate conversation with him," noted ex-New Zealand player 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."

Precedent and Pressure

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

Stokes has a reputation of pushing his body past breaking point, and it was put to Patel that the captain felt he might have risked injury if he exerted 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 tourists' loss is completed on day four, it would mean the destination of the Ashes has been decided in 10 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 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 opportunity for us," said Patel. "It will be difficult, 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 time, now we're with our backs to the wall, to throw some haymakers."