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England's captain Ben Stokes is reportedly "worn out" but still "fit and ready" to deliver overs, according to team coach Jeetan Patel, despite 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 Adelaide Oval.

The versatile all-rounder had previously battled for more than five hours at the wicket over two days to score 83 runs in England's first innings.

A Demanding Knock

Throughout his marathon 198-ball innings, the veteran cricketer was hit on the helmet by a fast bowler and suffered bouts of cramp. 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 might be a little fatigued and just require some time to himself right now," stated Patel.

"Based on my knowledge, he's pretty fit to bowl. I think he's just pretty knackered and he's taken a lot out of himself to get through this point in the game."

Past Fitness Concerns

Given his chequered injury past – 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.

Always keen to be in the heat of battle, Stokes' decision not to bowl on Friday was puzzling given it was England's final opportunity to remain alive in the Ashes series.

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

"All I know 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 remained in 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 pull away through Travis Head's unbeaten 142.

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

"He abstained from bowling but that's perhaps a different discussion with him," noted ex-New Zealand player 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 drawn fourth Test against India at Old Trafford in July.

He subsequently missed the fifth Test at The Oval with a shoulder injury.

Stokes has a reputation of pushing his body past breaking point, and it was put to Patel that the captain felt he might have endangered himself if he exerted himself any further in Adelaide.

Facing Imminent Loss

England stand on the edge 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 destination 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 days of play to win in England, has the winner of an Ashes series been decided this quickly.

A Formidable Challenge

If a primary objective is to extend this match into a fifth day, England will also have to achieve the greatest run-chase at the Adelaide Oval to keep the series alive.

"I still believe there's an opportunity for us," stated 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 thrown some but taken a lot. It's about time, now we're with our backs to the wall, to fight back fiercely."