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England's captain Ben Stokes is reportedly "worn out" but still "fit and ready" to deliver overs, according to assistant coach Jeetan Patel, despite he abstained from bowling on the day three of a critical Ashes Test.

Stokes deployed five other bowlers as Australia progressed to 271-4 in their second innings, establishing a commanding lead of 356 runs at the Adelaide Oval.

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

A Demanding Knock

Throughout his extended 198-ball stay, the 34-year-old was struck on the head by a fast bowler and experienced muscle cramps. He also required time 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 require some time to himself right now," stated Patel.

"Based on my knowledge, he's quite ready 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 game."

Past Fitness Concerns

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 stay in the Ashes series.

At 2-0 down and needing to win in Adelaide to keep their aspirations of winning back the Ashes intact, England had conceded a first-innings deficit of 85 runs.

"All I know is he goes at 100%," said 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 remained in the contest by bowling out Australia for around 240 in their second knock and had faint chances at certain scorelines, only for the hosts to pull away through Travis Head's unbeaten 142.

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

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

"I'm not entirely sure. We all know he doesn't do anything at 80%. Maybe he thought he was a liability, so he didn't bowl."

Past Instances and Current Strain

The most recent occasion 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 reputation of pushing his body 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 another loss in Australia, once again probably facing defeat inside the first three Tests of the series.

If the tourists' loss is sealed on day four, it would mean the destination of the Ashes has been determined in 10 days – the opening two matches 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 first goal is to prolong the game into a final 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 opportunity for us," said Patel. "It will be difficult, we're going to need something extraordinary. I think it's about time we witnessed something special from us."

"After three matches, we've thrown some but absorbed many. It's time, now we're backed into a corner, to throw some haymakers."