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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, even though he did not bowl on the day three of a pivotal Ashes Test.

Stokes deployed a quintet of alternative bowlers as the Australian side moved to 271-4 in their second innings, establishing a substantial advantage of 356 runs at the Adelaide Oval.

The versatile all-rounder had previously battled for more than five hours at the wicket over two days to score 83 runs in England's first innings.

A Demanding Knock

Throughout his extended 198-ball innings, the 34-year-old was hit on the helmet by Mitchell Starc and experienced muscle cramps. 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 bit tired and just require some time to himself right now," stated Patel.

"From what I understand, 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 game."

Injury History Scrutiny

Considering his chequered injury history – 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 thick of the action, Stokes' decision not to bowl on Friday was puzzling given it was England's last chance to stay in the Ashes series.

At 2-0 down and needing to win in Adelaide to keep their hopes of regaining the urn intact, England had conceded a first-innings deficit of 85 runs.

"My understanding is he operates 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 contest by bowling out Australia for approximately 240 in their second knock and had faint chances at 53-2 and 149-4, only for the home team to accelerate away through Travis Head's not out 142.

Although England delivered 66 overs, Stokes chose not to bowl.

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

"I'm not entirely sure. We all know he doesn't do anything at 80%. Maybe he thought he was a liability, so he didn't bowl."

Past Instances and Current Strain

The last time Stokes limited his bowling was on the last day of the drawn 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 to its absolute limit, 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 first three Tests of the series.

If the tourists' loss is completed on Saturday's fourth day, it would mean the destination of the Ashes has been determined in just ten days – the first and second Tests were over in two and four days 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 Formidable Challenge

If a primary objective is to extend this match into a final day, England will also have to pull off the highest successful chase at the Adelaide Oval to keep the series ongoing.

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

"Three games in, we've thrown some but absorbed many. It's time, now we're backed into a corner, to throw some haymakers."