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England's captain Ben Stokes is reportedly "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 utilized a quintet of alternative bowlers as Australia progressed to 271-4 in their follow-on, building a substantial advantage 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 compile 83 runs in England's initial batting effort.

A Demanding Knock

During his marathon 198-ball stay, the 34-year-old was struck on the head by a fast bowler and suffered bouts of cramp. He also needed a period off the field on Friday 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.

"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 get through this point in the game."

Injury History Scrutiny

Given his complicated injury past – Stokes has not been fully available in any of England's previous four series – any indication the star all-rounder 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 last chance 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 given up a first-innings deficit of 85 runs.

"All I know 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 likely where he's at."

The tourists could have stayed within the contest by bowling out Australia for around 240 in their second knock and had slim hopes at 53-2 and 149-4, only for the home team to pull 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 perhaps a different discussion 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 last time Stokes curtailed his own bowling was on the final day of the tied fourth Test against India at Old Trafford in July.

He afterwards missed the fifth Test at The Oval with a shoulder injury.

Stokes has a history of driving himself past breaking point, and it was suggested 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 stand on the edge of another loss in Australia, once again probably facing defeat 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 determined in 10 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 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 pull off the greatest run-chase at the Adelaide Oval to keep the series alive.

"I still believe 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."

"After three matches, we've landed some blows but taken a lot. It's about time, now we're backed into a corner, to throw some haymakers."