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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 day three of a critical Ashes Test.

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

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

A Grueling Innings

Throughout his marathon 198-ball stay, the 34-year-old was struck on the head by a fast bowler and experienced muscle cramps. He also needed a period off the field on the previous day after banging his head on the ground while attempting a stop.

"He could be a little fatigued and just require some time to himself right now," stated Patel.

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

Past Fitness Concerns

Considering his complicated injury past – Stokes has not been fully available in any of England's last four series – any suggestion the Durham man might be carrying a problem attracts considerable scrutiny.

Eager to be in the heat of battle, Stokes' absence from the attack on Friday was puzzling given it was England's final opportunity to stay in the Ashes series.

At 2-0 down and needing to win in Adelaide to keep their aspirations of regaining the urn alive, England had conceded a first-innings deficit 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 remained in the contest by bowling out 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 not out 142.

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

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

"I don't actually know. 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 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 problem.

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.

On the Brink of Defeat

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 just ten 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 victor of an Ashes series been determined so swiftly.

A Formidable Challenge

If a primary objective is to extend this match into a fifth day, England will also have to achieve the greatest run-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 magical. 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."