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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, despite he abstained from bowling on the third day of a critical Ashes Test.

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

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

A Grueling Innings

During his marathon 198-ball innings, the 34-year-old was hit on the helmet by Mitchell Starc and experienced bouts of cramp. He also needed a period off the field on Friday after banging his head on the turf while trying to field the ball.

"He could be a bit tired 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 taken a lot out of himself to get through this point in the match."

Past Fitness Concerns

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

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

At trailing 2-0 and needing to win in Adelaide to keep their hopes of winning back the Ashes intact, England had conceded a first-innings lead 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 visiting side could have stayed within the contest by dismissing Australia for approximately 240 in their second knock and had faint chances at 53-2 and 149-4, only for the hosts 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 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 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 afterwards was absent for the fifth Test at The Oval with a shoulder problem.

Stokes has a history of driving himself to its absolute limit, and it was put to Patel that the captain felt he might have risked injury 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 first three Tests of the series.

If the visitors' defeat is completed on Saturday's fourth day, it would mean the outcome of the Ashes has been decided in just ten days – the opening two matches were over in short periods respectively.

Not since 1921, when Australia needed only eight playing days to win in England, has the victor of an Ashes series been determined so swiftly.

A Formidable Challenge

If a first goal is to extend this match into a fifth day, England will also have to pull off the greatest run-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 saw something magical from us."

"Three games in, we've landed some blows but taken a lot. It's time, now we're backed into a corner, to fight back fiercely."