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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, even though he did not bowl on the third day of a pivotal Ashes Test.

Stokes deployed 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 versatile all-rounder had previously spent over five hours at the wicket across two days to score 83 runs in England's first innings.

A Grueling Innings

Throughout his extended 198-ball stay, the veteran cricketer was struck on the head by Mitchell Starc and experienced muscle cramps. He also required time off the field on Friday after banging his head on the turf while trying to field the ball.

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

"Based on my knowledge, he's pretty fit to bowl. I think he's just really exhausted and he's expended a great deal out of himself to get through this point in the match."

Injury History Scrutiny

Given his complicated injury past – Stokes has not been fully available in any of England's previous four series – any indication the star all-rounder might be nursing an issue attracts significant attention.

Eager 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 remain alive in the Ashes series.

At trailing 2-0 and requiring a victory in Adelaide to keep their hopes of winning back the Ashes alive, England had given up a first-innings lead of 85 runs.

"All I know 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 remained in the contest by dismissing Australia for around 240 in their second knock and had slim hopes at 53-2 and 149-4, only for the home team to accelerate away through Travis Head's not out 142.

Although England bowled 66 overs, Stokes chose not to bowl.

"He didn't bowl 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 liability, 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 missed the fifth Test at The Oval with a shoulder injury.

Stokes has a history 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 stand on the edge of another loss in Australia, once again probably facing defeat inside the initial three matches of the series.

If the visitors' defeat is sealed on day four, it would mean the destination of the Ashes has been decided 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 determined so swiftly.

A Formidable Challenge

If a first goal is to prolong the game into a fifth day, England will also have to achieve the greatest run-chase at the Adelaide Oval to keep the series ongoing.

"I remain convinced 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 witnessed 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 fight back fiercely."