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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 team coach Jeetan Patel, even though he abstained from bowling on the third day of a critical Ashes Test.

Stokes utilized five other bowlers as Australia progressed to 271-4 in their follow-on, building a substantial advantage of 356 runs at the Adelaide Oval.

The versatile all-rounder had previously spent over five hours at the crease across 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 suffered bouts of cramp. He also needed a period off the field on Friday after banging his head on the turf 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.

"Based on my knowledge, he's pretty fit to bowl. I think he's just pretty knackered and he's taken a lot out of himself to reach this point in the game."

Injury History Scrutiny

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

Eager to be in the thick of the action, Stokes' decision not to bowl on Friday was curious given it was England's last chance to remain alive in the Ashes series.

At trailing 2-0 and needing to win in Adelaide to keep their aspirations of winning back the Ashes alive, England had conceded a first-innings lead of 85 runs.

"All I know 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 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 hosts to accelerate away through Travis Head's unbeaten 142.

Although England bowled 66 overs, Stokes did not use himself.

"He abstained from bowling but that's probably a separate conversation with him," said ex-New Zealand player Patel.

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

Past Instances and Current Strain

The last time Stokes curtailed his own bowling was on the last 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 problem.

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 pushed himself any further in Adelaide.

On the Brink of Defeat

England stand on the edge of yet another defeat in Australia, once again probably facing defeat inside the initial three matches of the series.

If the visitors' defeat is sealed on Saturday's fourth day, it would mean the destination of the Ashes has been determined in just ten days – the opening two matches 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 prolong the game into a fifth day, England will also have to achieve the greatest run-chase at the Adelaide Oval to keep the series ongoing.

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

"After three matches, we've thrown some but taken a lot. It's about time, now we're backed into a corner, to fight back fiercely."