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England's captain Ben Stokes is said to be "worn out" but still "fit and ready" to bowl, according to team coach Jeetan Patel, even though he abstained from bowling on the day three of a critical Ashes Test.

Stokes deployed five other bowlers as the Australian side progressed to 271-4 in their second innings, building a commanding lead of 356 runs at the venue.

The versatile all-rounder had earlier battled for more than five hours at the crease over two days to score 83 runs in England's initial batting effort.

A Grueling Innings

Throughout his marathon 198-ball innings, the 34-year-old was hit on the helmet 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 turf while attempting a stop.

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

"From what I understand, he's pretty fit to bowl. I think he's just really exhausted and he's expended a great deal out of himself to reach this point in the match."

Injury History Scrutiny

Given his chequered injury history – Stokes has not played a full part in any of England's previous four series – any indication the star all-rounder might be carrying a problem draws significant attention.

Always keen to be in the heat of battle, Stokes' absence from the attack on Friday was curious given it was England's final opportunity to stay in the Ashes series.

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

The tourists could have remained in the match by bowling out Australia for around 240 in their second innings and had slim hopes at 53-2 and 149-4, only for the hosts to pull away through Travis Head's unbeaten 142.

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

"He abstained from bowling but that's probably a separate conversation with him," said former New Zealand international 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."

Precedent and Pressure

The last time Stokes limited his 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 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 endangered himself if he pushed himself any further in Adelaide.

Facing Imminent Loss

England are on the verge of yet another defeat in Australia, once again probably facing defeat inside the initial three matches of the series.

If the visitors' defeat is sealed on day four, it would mean the destination of the Ashes has been decided 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 winner of an Ashes series been determined so swiftly.

A Formidable Challenge

If a first goal 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 opportunity for us," said Patel. "It will be difficult, we're going to need something magical. I think it's high time we saw something magical from us."

"Three games in, we've thrown some but absorbed many. It's time, now we're with our backs to the wall, to fight back fiercely."