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England's captain Ben Stokes is reportedly "worn out" but still "fit and ready" to bowl, 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 the Australian side moved to 271-4 in their follow-on, building a commanding lead of 356 runs at the Adelaide Oval.

The versatile all-rounder had earlier spent over five hours at the wicket across two days to compile 83 runs in England's initial batting effort.

A Grueling Innings

During his marathon 198-ball innings, the veteran cricketer was hit on the helmet by Mitchell Starc and suffered bouts of cramp. He also needed a period off the field on the previous day after banging his head on the ground while attempting a stop.

"He could be a little fatigued and just need a bit of time to himself right now," commented Patel.

"Based on my knowledge, he's quite ready 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

Considering his chequered 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 nursing an issue attracts significant attention.

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 stay in the Ashes series.

At trailing 2-0 and requiring a victory in Adelaide to keep their hopes of regaining the urn alive, England had conceded a first-innings deficit 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 probably where he's at."

The visiting side could have remained in the contest by dismissing Australia for around 240 in their second knock and had slim hopes at 53-2 and 149-4, only for the home team to accelerate away through Travis Head's unbeaten 142.

Although 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 doesn't do anything at 80%. Maybe he thought he was a risk, so he didn't bowl."

Precedent and Pressure

The last time Stokes curtailed his own bowling was on the final day of the tied 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 pushing his body past breaking point, and it was put 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 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 outcome of the Ashes has been determined in just ten days – the opening two matches 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 Daunting Task Ahead

If a first goal is to extend this match into a final 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 opportunity for us," stated Patel. "It will be difficult, we're going to need something extraordinary. I think it's about time we saw something magical from us."

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