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England's captain Ben Stokes is said to be "worn out" but still "fit and ready" to deliver overs, per team coach Jeetan Patel, despite 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 battled for more than five hours at the crease over two days to compile 83 runs in England's first innings.

A Demanding Knock

Throughout his marathon 198-ball innings, the 34-year-old was hit on the helmet by Mitchell Starc and suffered bouts of cramp. He also needed a period off the field on Friday 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.

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

Injury History Scrutiny

Given his complicated injury past – Stokes has not been fully available in any of England's last four series – any indication the Durham man might be nursing an issue draws significant attention.

Eager to be in the thick of the action, Stokes' absence from the attack on Friday was curious 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 hopes 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 probably where he's at."

The visiting side could have remained in the match by dismissing Australia for approximately 240 in their second knock 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 different discussion with him," noted ex-New Zealand player 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 most recent occasion Stokes limited his bowling was on the last day of the tied fourth Test against India at Old Trafford in July.

He afterwards was absent for the fifth Test at The Oval with a shoulder problem.

Stokes has a reputation of driving himself past breaking point, and it was put to Patel that the captain felt he might have risked injury if he pushed himself any further in Adelaide.

Facing Imminent Loss

England stand on the edge 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 sealed on Saturday's fourth day, it would mean the destination 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 extend this match into a fifth day, England will also have to achieve the highest successful chase at the Adelaide Oval to keep the series ongoing.

"I remain convinced there's an opportunity for us," said Patel. "It will be difficult, we're going to need something magical. I think it's about time we saw something magical from us."

"Three games in, we've thrown some but taken a lot. It's time, now we're with our backs to the wall, to fight back fiercely."