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England's captain Ben Stokes is said to be "worn out" but still "fit and ready" to bowl, per assistant 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 the Australian side moved to 271-4 in their second innings, establishing a commanding lead of 356 runs at the venue.

The dynamic player had previously battled for more than five hours at the crease over two days to compile 83 runs in England's initial batting effort.

A Grueling Innings

Throughout his marathon 198-ball stay, the 34-year-old was hit on the helmet by Mitchell Starc and suffered muscle cramps. He also needed a period off the field on the previous day after banging his head on the turf while trying to field the ball.

"He could be a little fatigued and just need a bit of 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 taken a lot out of himself to reach this point in the match."

Injury History Scrutiny

Given his chequered injury history – Stokes has not been fully available in any of England's previous four series – any suggestion the star all-rounder might be carrying a problem attracts considerable scrutiny.

Eager to be in the heat of battle, Stokes' absence from the attack on Friday was puzzling given it was England's last chance to remain alive in the Ashes series.

At trailing 2-0 and requiring a victory in Adelaide to keep their aspirations of winning back the Ashes intact, England had given up a first-innings lead of 85 runs.

"My understanding is he operates 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 bowling out Australia for approximately 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.

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

"He abstained from bowling but that's perhaps a different discussion 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 risk, so he didn't bowl."

Past Instances and Current Strain

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 missed the fifth Test at The Oval with a shoulder problem.

Stokes has a reputation of driving himself past breaking point, and it was suggested 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 are on the verge of yet another defeat in Australia, once again likely to be beaten inside the initial three matches 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 just ten 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 determined so swiftly.

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 still believe there's an chance for us," said Patel. "It will be difficult, we're going to need something extraordinary. I think it's high time we witnessed something magical from us."

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