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

Stokes deployed a quintet of alternative bowlers as Australia moved to 271-4 in their follow-on, building a substantial advantage of 356 runs at the venue.

The dynamic player had earlier spent over five hours at the wicket across two days to compile 83 runs in England's first innings.

A Demanding Knock

During his extended 198-ball stay, the 34-year-old was struck on the head by Mitchell Starc and experienced muscle cramps. He also required time off the field on the previous day after hitting his head on the turf while trying to field the ball.

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

"From what I understand, he's quite ready 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 game."

Injury History Scrutiny

Considering his chequered injury past – Stokes has not played a full part in any of England's last four series – any indication the Durham man 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 curious given it was England's last chance to remain alive in the Ashes series.

At 2-0 down and needing to win in Adelaide to keep their aspirations of regaining the urn intact, 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 likely where he's at."

The visiting side could have stayed within the match by dismissing Australia for around 240 in their second innings and had faint chances at 53-2 and 149-4, only for the hosts to accelerate away through Travis Head's not out 142.

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

"He didn't bowl but that's probably a different discussion 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 liability, so he didn't bowl."

Precedent and Pressure

The last time Stokes curtailed his own bowling was on the final 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 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 risked injury if he exerted himself any further in Adelaide.

On the Brink of Defeat

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

If the tourists' loss is sealed on Saturday's fourth day, it would mean the destination of the Ashes has been decided in just ten days – the opening two matches were over in two and four days respectively.

Not since 1921, when Australia needed only eight playing days 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 extend this match 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 about time we witnessed something magical from us."

"Three games in, we've landed some blows but taken a lot. It's about time, now we're backed into a corner, to throw some haymakers."