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England's captain Ben Stokes is reportedly "worn out" but still "fit and ready" to deliver overs, per team coach Jeetan Patel, even though he did not bowl on the third day of a pivotal Ashes Test.

Stokes deployed a quintet of alternative bowlers as the Australian side moved to 271-4 in their follow-on, establishing a commanding lead 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 a fast bowler and experienced 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 might 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 expended a great deal out of himself to get through this point in the game."

Injury History Scrutiny

Considering 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 draws significant attention.

Eager to be in the thick of the action, Stokes' decision not to bowl 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 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 tourists could have stayed within the contest by dismissing Australia for around 240 in their second knock and had slim hopes at 53-2 and 149-4, only for the home team to pull away through Travis Head's not out 142.

Although England delivered 66 overs, Stokes did not use himself.

"He abstained from bowling but that's probably a different discussion with him," noted 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."

Past Instances and Current Strain

The last time Stokes curtailed his own bowling was on the last day of the drawn fourth Test against India at Old Trafford in July.

He afterwards missed the fifth Test at The Oval with a shoulder problem.

Stokes has a history of driving himself past breaking point, 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 another loss in Australia, once again probably facing defeat inside the initial three matches of the series.

If the visitors' defeat is completed on Saturday's fourth day, 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 decided this quickly.

A Formidable Challenge

If a primary objective 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 ongoing.

"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 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 throw some haymakers."