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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, even though he did not bowl on the day three of a critical Ashes Test.

Stokes deployed a quintet of alternative bowlers as the Australian side moved to 271-4 in their follow-on, building a substantial advantage of 356 runs at the venue.

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

A Demanding Knock

Throughout his marathon 198-ball innings, the veteran cricketer was hit on the helmet by Mitchell Starc and suffered bouts of cramp. He also needed a period off the field on Friday after banging his head on the ground while attempting a stop.

"He might be a little fatigued and just need a bit of time to himself right now," commented Patel.

"From what I understand, he's pretty fit to bowl. I think he's just really exhausted and he's taken a lot out of himself to reach this point in the match."

Injury History Scrutiny

Considering his complicated injury past – Stokes has not played a full part in any of England's previous four series – any indication the Durham man might be nursing an issue attracts considerable scrutiny.

Always keen to be in the thick of the action, Stokes' absence from the attack on Friday was puzzling 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 alive, England had conceded 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 likely where he's at."

The tourists could have stayed within the match by dismissing Australia for around 240 in their second knock and had faint chances at 53-2 and 149-4, only for the home team to pull away through Travis Head's not out 142.

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

"He didn't bowl but that's perhaps a different discussion with him," said former New Zealand international Patel.

"I'm not entirely sure. We all know he doesn't do anything 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 final 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 history of pushing his body past breaking point, and it was suggested 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 another loss in Australia, once again probably facing defeat inside the initial three matches of the series.

If the tourists' loss is sealed on day four, it would mean the outcome 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 decided this quickly.

A Daunting Task Ahead

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 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 high time we saw something magical from us."

"After three matches, we've thrown some but taken a lot. It's about time, now we're backed into a corner, to fight back fiercely."