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England's captain Ben Stokes is reportedly "worn out" but still "fit and ready" to deliver overs, according to team coach Jeetan Patel, despite he did not bowl on the third day of a pivotal Ashes Test.

Stokes deployed five other bowlers as Australia moved to 271-4 in their second innings, building a commanding lead of 356 runs at the Adelaide Oval.

The dynamic player had previously battled for more than five hours at the wicket across two days to score 83 runs in England's initial batting effort.

A Grueling Innings

During his marathon 198-ball stay, the veteran cricketer was hit on the helmet by a fast bowler and suffered muscle cramps. He also needed a period off the field on Friday after banging his head on the turf while attempting a stop.

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

"From what I understand, he's quite ready to bowl. I think he's just pretty knackered and he's expended a great deal out of himself to reach this point in the match."

Injury History Scrutiny

Given his chequered injury history – Stokes has not played a full part in any of England's previous four series – any suggestion the Durham man might be nursing an issue 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 stay in the Ashes series.

At 2-0 down and requiring a victory in Adelaide to keep their hopes of regaining the urn alive, England had given up a first-innings lead 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 likely where he's at."

The tourists could have stayed within the contest by bowling out Australia for around 240 in their second innings and had slim hopes at certain scorelines, only for the home team to accelerate away through Travis Head's unbeaten 142.

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

"He abstained from bowling but that's perhaps a different discussion with him," said former New Zealand international Patel.

"I don't actually know. We all know he never performs at 80%. Maybe he thought he was a risk, so he didn't bowl."

Precedent and Pressure

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 pushing his body past breaking point, and it was put to Patel that the captain felt he might have endangered himself if he pushed himself any further in Adelaide.

On the Brink of Defeat

England are on the verge of another loss in Australia, once again probably facing defeat inside the initial three matches of the series.

If the visitors' defeat is completed on day four, it would mean the outcome of the Ashes has been determined in 10 days – the first and second Tests were over in short periods 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 Daunting Task Ahead

If a first goal 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 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 special from us."

"Three games in, we've landed some blows but taken a lot. It's about time, now we're backed into a corner, to fight back fiercely."