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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, despite he did not bowl on the third day of a critical Ashes Test.

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

The versatile all-rounder had previously battled for more than five hours at the crease over two days to score 83 runs in England's initial batting effort.

A Grueling Innings

During his extended 198-ball innings, the veteran cricketer was hit on the helmet by Mitchell Starc and suffered muscle cramps. He also required time off the field on the previous day after hitting his head on the turf while attempting a stop.

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

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

Injury History Scrutiny

Considering his chequered injury history – 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.

Eager to be in the thick of the action, Stokes' absence from the attack on Friday was curious 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.

"My understanding 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 remained in the contest by dismissing Australia for approximately 240 in their second knock and had slim hopes at certain scorelines, only for the hosts to accelerate away through Travis Head's unbeaten 142.

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

"He abstained from bowling but that's probably a separate conversation with him," said 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 most recent occasion Stokes curtailed his own bowling was on the last 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 reputation of pushing his body to its absolute limit, and it was suggested to Patel that the captain felt he might have risked injury if he exerted himself any further in Adelaide.

On the Brink of Defeat

England are on the verge of another loss 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 destination of the Ashes has been determined in just ten 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 winner of an Ashes series been determined so swiftly.

A Formidable Challenge

If a first goal is to prolong the game into a final day, England will also have to achieve the highest successful chase at the Adelaide Oval to keep the series ongoing.

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

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