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England's captain Ben Stokes is said to be "worn out" but still "fit and ready" to deliver overs, per assistant coach Jeetan Patel, even though he did not bowl on the day three of a critical Ashes Test.

Stokes utilized a quintet of alternative bowlers as Australia moved to 271-4 in their second innings, establishing a commanding lead of 356 runs at the Adelaide Oval.

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

A Grueling Innings

During his extended 198-ball stay, the 34-year-old was hit on the helmet by a fast bowler and suffered muscle cramps. He also needed a period off the field on the previous day after banging his head on the turf while trying to field the ball.

"He might be a little fatigued 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 get through this point in the game."

Injury History Scrutiny

Given his chequered injury history – Stokes has not been fully available in any of England's previous four series – any suggestion the star all-rounder might be carrying a problem draws considerable scrutiny.

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 remain alive in the Ashes series.

At trailing 2-0 and requiring a victory in Adelaide to keep their aspirations of regaining the urn alive, England had conceded a first-innings lead of 85 runs.

"All I know is he goes 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 visiting side could have stayed within the contest 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 accelerate away through Travis Head's unbeaten 142.

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

"He didn't bowl but that's probably a separate conversation with him," said former New Zealand international Patel.

"I don't actually know. We all know he never performs at 80%. Maybe he thought he was a liability, 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 tied fourth Test against India at Old Trafford in July.

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

Stokes has a reputation 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.

Facing Imminent Loss

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 day four, it would mean the outcome of the Ashes has been decided in 10 days – the first and second Tests were over in short periods respectively.

Not since 1921, when Australia needed only eight playing days to win in England, has the victor of an Ashes series been determined so swiftly.

A Daunting Task Ahead

If a first goal is to extend this match into a final day, England will also have to achieve the greatest run-chase at the Adelaide Oval to keep the series alive.

"I remain convinced there's an opportunity for us," said Patel. "It will be difficult, we're going to need something extraordinary. I think it's about time we saw something special from us."

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