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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 did not bowl on the third day of a critical Ashes Test.

Stokes utilized five other bowlers as the Australian side moved to 271-4 in their follow-on, building a commanding lead 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 compile 83 runs in England's first innings.

A Demanding Knock

During his extended 198-ball stay, the veteran cricketer was struck on the head by a fast bowler and experienced bouts of cramp. He also required time off the field on Friday after banging his head on the ground while attempting a stop.

"He could be a little fatigued and just require some time to himself right now," stated Patel.

"Based on my knowledge, he's quite ready to bowl. I think he's just pretty knackered and he's taken a lot out of himself to get through this point in the match."

Past Fitness Concerns

Considering his complicated injury past – Stokes has not played a full part in any of England's last four series – any suggestion the star all-rounder might be carrying a problem attracts 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 winning back the Ashes alive, England had conceded a first-innings deficit of 85 runs.

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

The visiting side could have stayed within the match by bowling out Australia for around 240 in their second innings and had slim hopes at 53-2 and 149-4, only for the home team to pull away through Travis Head's unbeaten 142.

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

"He abstained from bowling but that's perhaps a different discussion with him," noted ex-New Zealand player 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."

Past Instances and Current Strain

The most recent occasion 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 history 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 likely to be beaten inside the initial three matches of the series.

If the visitors' defeat is sealed on day four, it would mean the outcome of the Ashes has been determined in just ten 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 Daunting Task Ahead

If a first goal is to prolong the game into a fifth day, England will also have to achieve the highest successful chase at the Adelaide Oval to keep the series ongoing.

"I remain convinced there's an chance for us," said Patel. "It won't be easy, we're going to need something extraordinary. I think it's high time we saw something special from us."

"After three matches, we've thrown some but taken a lot. It's time, now we're with our backs to the wall, to fight back fiercely."