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

Stokes deployed a quintet of alternative bowlers as Australia moved to 271-4 in their follow-on, building a commanding lead of 356 runs at the Adelaide Oval.

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

A Demanding Knock

Throughout his extended 198-ball stay, the 34-year-old was struck on the head by Mitchell Starc and suffered bouts of cramp. He also required time off the field on the previous day after hitting his head on the ground while attempting a stop.

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

"Based on my knowledge, he's quite ready to bowl. I think he's just pretty knackered and he's taken a lot out of himself to reach this point in the game."

Injury History Scrutiny

Given 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 significant attention.

Always keen to be in the heat of battle, Stokes' absence from the attack on Friday was curious given it was England's final opportunity to remain alive in the Ashes series.

At trailing 2-0 and needing to win in Adelaide to keep their aspirations of winning back the Ashes intact, England had conceded a first-innings deficit of 85 runs.

"My understanding 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 visiting side could have stayed within the match by bowling out Australia for around 240 in their second innings and had faint chances at certain scorelines, only for the hosts to pull away through Travis Head's unbeaten 142.

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

"He abstained from bowling but that's perhaps 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 liability, so he didn't bowl."

Precedent and Pressure

The last time Stokes limited his bowling was on the final day of the drawn 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 reputation of pushing his body to its absolute limit, and it was put to Patel that the captain felt he might have endangered himself if he pushed himself any further in Adelaide.

Facing Imminent Loss

England stand on the edge of yet another defeat in Australia, once again probably facing defeat inside the initial three matches of the series.

If the tourists' loss is sealed 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 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 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 greatest run-chase at the Adelaide Oval to keep the series alive.

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

"After three matches, we've landed some blows but absorbed many. It's about time, now we're with our backs to the wall, to fight back fiercely."