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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 assistant coach Jeetan Patel, despite he abstained from bowling on the third day of a pivotal Ashes Test.

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

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

A Demanding Knock

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

"He might be a little fatigued 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 get through this point in the game."

Injury History Scrutiny

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

Always keen to be in the heat of battle, Stokes' decision not to bowl on Friday was puzzling given it was England's last chance to stay in the Ashes series.

At trailing 2-0 and needing to win 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 likely where he's at."

The tourists could have stayed within the contest by bowling out Australia for approximately 240 in their second knock and had faint chances at certain scorelines, only for the hosts to accelerate away through Travis Head's not out 142.

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

"He didn't bowl but that's probably 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 last time 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 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 exerted himself any further in Adelaide.

On the Brink of Defeat

England are on the verge of yet another defeat in Australia, once again likely to be beaten inside the initial three matches of the series.

If the tourists' loss is completed on day four, it would mean the destination of the Ashes has been determined in 10 days – the opening two matches were over in two and four days respectively.

Not since 1921, when Australia needed only eight playing days 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 fifth 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 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 absorbed many. It's about time, now we're with our backs to the wall, to throw some haymakers."