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England's captain Ben Stokes is said to be "worn out" but still "fit and ready" to deliver overs, according to team coach Jeetan Patel, despite he did not bowl 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 second innings, establishing a commanding lead of 356 runs at the Adelaide Oval.

The dynamic player had previously spent over five hours at the wicket over two days to compile 83 runs in England's initial batting effort.

A Grueling Innings

Throughout his marathon 198-ball stay, the 34-year-old was hit on the helmet by Mitchell Starc and suffered muscle cramps. He also needed a period off the field on the previous day after banging his head on the ground while trying to field the ball.

"He might be a little fatigued and just need a bit of time to himself right now," stated Patel.

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

Past Fitness Concerns

Considering 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 considerable scrutiny.

Always keen to be in the heat of battle, Stokes' decision not to bowl on Friday was puzzling 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 alive, England had conceded a first-innings lead of 85 runs.

"All I know 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 knock and had faint chances at 53-2 and 149-4, only for the home team 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 separate conversation 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."

Past Instances and Current Strain

The most recent occasion Stokes limited his bowling was on the final day of the tied fourth Test against India at Old Trafford in July.

He subsequently missed the fifth Test at The Oval with a shoulder injury.

Stokes has a reputation of driving himself to its absolute limit, and it was suggested to Patel that the captain felt he might have risked injury if he pushed himself any further in Adelaide.

On the Brink of Defeat

England stand on the edge of another loss in Australia, once again probably facing defeat 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 decided 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 victor of an Ashes series been decided this quickly.

A Daunting Task Ahead

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 alive.

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

"Three games in, we've thrown some but absorbed many. It's about time, now we're with our backs to the wall, to throw some haymakers."