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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, despite he abstained from bowling on the third day of a pivotal Ashes Test.

Stokes deployed five other bowlers as the Australian side moved to 271-4 in their follow-on, building a commanding lead of 356 runs at the venue.

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

A Grueling Innings

During his marathon 198-ball stay, the 34-year-old was struck on the head by a fast bowler and experienced muscle cramps. He also required time off the field on Friday after banging his head on the ground while trying to field the ball.

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

"From what I understand, he's quite ready 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

Given his chequered injury past – 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 attracts significant attention.

Always keen to be in the thick of the action, Stokes' decision not to bowl on Friday was curious given it was England's final opportunity to remain alive in the Ashes series.

At trailing 2-0 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 visiting side could have remained in the match by bowling out Australia for around 240 in their second knock and had faint chances at certain scorelines, only for the hosts to accelerate away through Travis Head's not out 142.

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

"He abstained from bowling but that's perhaps a different discussion with him," said former New Zealand international 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."

Precedent and Pressure

The last time Stokes limited his bowling was on the final 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 injury.

Stokes has a reputation 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.

On the Brink of Defeat

England stand on the edge of another loss in Australia, once again likely to be beaten inside the first three Tests 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 opening two matches were over in two and four days respectively.

Not since 1921, when Australia needed only eight days of play to win in England, has the victor of an Ashes series been determined so swiftly.

A Formidable Challenge

If a primary objective is to prolong the game into a fifth day, England will also have to pull off the highest successful chase at the Adelaide Oval to keep the series alive.

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

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