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England's captain Ben Stokes is said to be "worn out" but still "fit and ready" to deliver overs, per assistant coach Jeetan Patel, despite he abstained from bowling on the third day of a critical Ashes Test.

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

The versatile all-rounder had previously spent over five hours at the crease over two days to compile 83 runs in England's initial batting effort.

A Grueling Innings

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

"He might be a bit tired and just need a bit of 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 get through this point in the match."

Injury History Scrutiny

Given his complicated injury history – Stokes has not been fully available in any of England's last four series – any indication the star all-rounder might be nursing an issue 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 final opportunity to remain alive in the Ashes series.

At 2-0 down and requiring a victory in Adelaide to keep their hopes of winning back the Ashes intact, England had conceded a first-innings deficit 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 probably where he's at."

The tourists could have stayed within the match by bowling out Australia for around 240 in their second innings and had slim hopes at 53-2 and 149-4, only for the hosts to pull away through Travis Head's unbeaten 142.

Although 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 don't actually know. We all know he doesn't do anything at 80%. Maybe he thought he was a risk, so he didn't bowl."

Precedent and Pressure

The last time Stokes limited his bowling was on the last day of the drawn 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 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.

Facing Imminent Loss

England stand on the edge of another loss in Australia, once again likely to be beaten inside the initial three matches of the series.

If the visitors' defeat is sealed on day four, it would mean the outcome of the Ashes has been determined in just ten 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 victor of an Ashes series been determined so swiftly.

A Formidable Challenge

If a primary objective is to prolong the game into a final day, England will also have to achieve the greatest run-chase at the Adelaide Oval to keep the series ongoing.

"I remain convinced there's an opportunity for us," stated Patel. "It won't be easy, we're going to need something extraordinary. I think it's about time we witnessed something special from us."

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