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

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

The versatile all-rounder had earlier spent over five hours at the wicket across two days to score 83 runs in England's first innings.

A Grueling Innings

During his extended 198-ball stay, the 34-year-old was struck on the head by Mitchell Starc and suffered bouts of cramp. He also required time off the field on the previous day after banging his head on the ground while trying to field the ball.

"He could be a bit tired 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 expended a great deal out of himself to reach this point in the match."

Past Fitness Concerns

Considering his complicated injury past – Stokes has not been fully available in any of England's last four series – any indication the Durham man might be nursing an issue draws significant attention.

Eager to be in the thick of the action, Stokes' absence from the attack on Friday was puzzling given it was England's final opportunity to stay in the Ashes series.

At trailing 2-0 and requiring a victory 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%," 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 tourists could have stayed within 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 pull away through Travis Head's unbeaten 142.

Even though England delivered 66 overs, Stokes did not use himself.

"He didn't bowl but that's perhaps a separate conversation with him," said ex-New Zealand player Patel.

"I'm not entirely sure. 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 final 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 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 pushed himself any further in Adelaide.

On the Brink of Defeat

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 tourists' loss is completed on Saturday's fourth day, it would mean the destination of the Ashes has been decided in just ten 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 victor of an Ashes series been decided this quickly.

A Formidable Challenge

If a primary objective is to prolong the game 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 saw something magical from us."

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