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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 team coach Jeetan Patel, even though he abstained from bowling on the third day of a pivotal Ashes Test.

Stokes deployed a quintet of alternative bowlers as Australia 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 crease across two days to score 83 runs in England's initial batting effort.

A Demanding Knock

During his marathon 198-ball stay, the veteran cricketer was hit on the helmet by a fast bowler and suffered muscle cramps. He also needed a period off the field on Friday after hitting his head on the turf while attempting a stop.

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

"From what I understand, 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 match."

Past Fitness Concerns

Considering his complicated injury history – Stokes has not played a full part in any of England's previous four series – any indication the Durham man might be carrying a problem draws 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 last chance to stay 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 given up a first-innings deficit 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 likely where he's at."

The visiting side could have stayed within 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 not out 142.

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

"He abstained from bowling but that's probably a separate conversation with him," noted ex-New Zealand player 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."

Precedent and Pressure

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 problem.

Stokes has a history of driving himself to its absolute limit, and it was suggested to Patel that the captain felt he might have endangered himself if he exerted himself any further in Adelaide.

Facing Imminent Loss

England are on the verge of yet another defeat in Australia, once again likely to be beaten inside the first three Tests of the series.

If the tourists' loss is completed on Saturday's fourth day, it would mean the outcome of the Ashes has been determined 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 primary objective is to prolong the game into a final day, England will also have to pull off the greatest run-chase at the Adelaide Oval to keep the series alive.

"I remain convinced there's an chance for us," said Patel. "It won't be easy, we're going to need something magical. I think it's about time we witnessed something special from us."

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