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

Stokes utilized a quintet of alternative bowlers as Australia progressed to 271-4 in their second innings, building a substantial advantage of 356 runs at the Adelaide Oval.

The versatile all-rounder had earlier battled for more than five hours at the crease over two days to compile 83 runs in England's initial batting effort.

A Demanding Knock

During his extended 198-ball stay, the 34-year-old was hit on the helmet by Mitchell Starc and experienced muscle cramps. He also needed a period off the field on Friday after banging his head on the ground while trying to field the ball.

"He could be a bit tired and just require some 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 expended a great deal out of himself to get through this point in the match."

Injury History Scrutiny

Considering his chequered injury past – Stokes has not been fully available in any of England's last 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 curious given it was England's final opportunity to remain alive in the Ashes series.

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

"My understanding 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 probably where he's at."

The tourists could have remained in the match by dismissing Australia for approximately 240 in their second innings and had slim hopes at 53-2 and 149-4, only for the home team to accelerate away through Travis Head's not out 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 former New Zealand international Patel.

"I'm not entirely sure. 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 curtailed his own bowling was on the last day of the drawn fourth Test against India at Old Trafford in July.

He subsequently was absent for the fifth Test at The Oval with a shoulder injury.

Stokes has a history of pushing his body to its absolute limit, and it was put to Patel that the captain felt he might have risked injury if he exerted himself any further in Adelaide.

Facing Imminent Loss

England stand on the edge of another loss in Australia, once again likely to be beaten inside the first three Tests of the series.

If the tourists' loss is sealed on day four, it would mean the destination 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 days of play to win in England, has the victor of an Ashes series been decided this quickly.

A Formidable Challenge

If a primary objective is to prolong the game into a final day, England will also have to pull off the highest successful chase at the Adelaide Oval to keep the series ongoing.

"I remain convinced there's an chance for us," stated 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 absorbed many. It's about time, now we're with our backs to the wall, to throw some haymakers."