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England's captain Ben Stokes is reportedly "worn out" but still "fit and ready" to bowl, per team coach Jeetan Patel, even though he abstained from bowling on the day three of a pivotal Ashes Test.

Stokes utilized a quintet of alternative bowlers as the Australian side progressed to 271-4 in their follow-on, building a substantial advantage of 356 runs at the Adelaide Oval.

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

A Grueling Innings

Throughout his extended 198-ball stay, the 34-year-old was struck on the head by a fast bowler and suffered muscle cramps. He also required time off the field on Friday after hitting his head on the turf while trying to field the ball.

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

"From what I understand, he's quite ready to bowl. I think he's just really exhausted and he's taken a lot out of himself to get through this point in the game."

Past Fitness Concerns

Given his complicated injury history – 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 thick of the action, Stokes' decision not to bowl on Friday was curious given it was England's last chance to remain alive in the Ashes series.

At trailing 2-0 and needing to win in Adelaide to keep their hopes 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 probably where he's at."

The tourists could have remained in the match by dismissing Australia for approximately 240 in their second innings and had slim hopes at certain scorelines, only for the hosts to accelerate away through Travis Head's not out 142.

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

"He didn't bowl but that's perhaps a separate conversation 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 risk, 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 subsequently was absent for the fifth Test at The Oval with a shoulder injury.

Stokes has a history of driving himself to its absolute limit, and it was suggested 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 are on the verge of yet another defeat in Australia, once again likely to be beaten inside the first three Tests of the series.

If the tourists' loss is completed on day four, it would mean the destination of the Ashes has been determined in 10 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 extend this match 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 high time we saw something magical from us."

"Three games in, we've thrown some but taken a lot. It's about time, now we're backed into a corner, to throw some haymakers."