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England's captain Ben Stokes is said to be "worn out" but still "fit and ready" to bowl, per assistant coach Jeetan Patel, even though he abstained from bowling on the day three of a pivotal Ashes Test.

Stokes deployed five other bowlers as the Australian side moved to 271-4 in their follow-on, building a commanding lead of 356 runs at the venue.

The dynamic player had previously spent over five hours at the wicket across two days to score 83 runs in England's initial batting effort.

A Grueling Innings

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 required time off the field on the previous day after hitting his head on the turf while attempting a stop.

"He might be a bit tired and just require some time to himself right now," stated Patel.

"From what I understand, he's pretty fit 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 match."

Past Fitness Concerns

Considering his complicated injury history – Stokes has not played a full part in any of England's previous four series – any suggestion the star all-rounder might be carrying a problem attracts significant attention.

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

At 2-0 down and requiring a victory in Adelaide to keep their aspirations of regaining the urn intact, England had given up a first-innings deficit of 85 runs.

"My understanding 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 likely where he's at."

The tourists could have remained in the match by dismissing Australia for around 240 in their second innings and had slim hopes at 53-2 and 149-4, only for the hosts to pull away through Travis Head's unbeaten 142.

Even though England bowled 66 overs, Stokes chose not to bowl.

"He abstained from bowling but that's perhaps a separate conversation with him," noted 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."

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 problem.

Stokes has a reputation of driving himself to its absolute limit, and it was suggested to Patel that the captain felt he might have risked injury if he pushed himself any further in Adelaide.

Facing Imminent Loss

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 day four, it would mean the outcome 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 winner of an Ashes series been decided this quickly.

A Daunting Task Ahead

If a first goal is to prolong the game into a final day, England will also have to pull off the greatest run-chase at the Adelaide Oval to keep the series alive.

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

"Three games in, we've thrown some but absorbed many. It's time, now we're with our backs to the wall, to throw some haymakers."