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England's captain Ben Stokes is said to be "worn out" but still "fit and ready" to bowl, according to assistant coach Jeetan Patel, even though he did not bowl on the day three of a pivotal Ashes Test.

Stokes deployed a quintet of alternative bowlers as Australia progressed to 271-4 in their second innings, establishing a substantial advantage of 356 runs at the venue.

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

A Grueling Innings

Throughout his marathon 198-ball innings, the 34-year-old was hit on the helmet by a fast bowler and experienced bouts of cramp. He also needed a period off the field on the previous day after hitting his head on the ground while trying to field the ball.

"He could be a bit tired and just need a bit of time to himself right now," commented Patel.

"Based on my knowledge, he's pretty fit to bowl. I think he's just pretty knackered and he's expended a great deal out of himself to get through this point in the game."

Past Fitness Concerns

Given his complicated injury history – Stokes has not been fully available in any of England's last four series – any suggestion the star all-rounder might be carrying a problem draws significant attention.

Eager to be in the heat of battle, 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 requiring a victory in Adelaide to keep their hopes of winning back the Ashes intact, England had conceded a first-innings lead 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 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.

Even though England delivered 66 overs, Stokes did not use himself.

"He didn't bowl but that's probably a separate conversation with him," said ex-New Zealand player 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 most recent occasion Stokes curtailed his own bowling was on the final 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 reputation of driving himself to its absolute limit, 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 are on the verge of another loss in Australia, once again likely to be beaten inside the first three Tests of the series.

If the visitors' defeat is sealed on Saturday's fourth day, it would mean the destination of the Ashes has been determined in 10 days – the opening two matches were over in short periods 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 final day, England will also have to pull off the greatest run-chase at the Adelaide Oval to keep the series ongoing.

"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 backed into a corner, to throw some haymakers."