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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 Australia progressed to 271-4 in their second innings, building a substantial advantage 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 initial batting effort.

A Grueling Innings

Throughout his extended 198-ball stay, the veteran cricketer was struck on the head by Mitchell Starc and suffered bouts of cramp. He also required time off the field on Friday after hitting his head on the ground while trying to field the ball.

"He could be a bit tired 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 expended a great deal out of himself to get through this point in the match."

Past Fitness Concerns

Given his complicated injury history – Stokes has not been fully available in any of England's last four series – any indication the star all-rounder might be nursing an issue draws significant attention.

Eager to be in the thick of the action, Stokes' absence from the attack on Friday was puzzling given it was England's final opportunity to remain alive in the Ashes series.

At 2-0 down and needing to win in Adelaide to keep their aspirations of regaining the urn intact, England had conceded a first-innings lead of 85 runs.

"All I know is he operates 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 likely where he's at."

The visiting side could have stayed within the match by dismissing Australia for around 240 in their second innings and had faint chances at 53-2 and 149-4, only for the hosts to pull away through Travis Head's not out 142.

Although England bowled 66 overs, Stokes did not use himself.

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

"I don't actually know. We all know he never performs at 80%. Maybe he thought he was a risk, so he didn't bowl."

Precedent and Pressure

The most recent occasion Stokes curtailed his own bowling was on the final day of the tied 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 exerted himself any further in Adelaide.

On the Brink of Defeat

England stand on the edge of another loss in Australia, once again likely to be beaten inside the first three Tests of the series.

If the tourists' loss is sealed on Saturday's fourth day, it would mean the destination of the Ashes has been decided in 10 days – the first and second Tests 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 winner of an Ashes series been determined so swiftly.

A Daunting Task Ahead

If a primary objective is to extend this match into a final day, England will also have to achieve the greatest run-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 magical. I think it's about time we saw something special from us."

"After three matches, we've landed some blows but absorbed many. It's time, now we're backed into a corner, to fight back fiercely."