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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, even though he did not bowl on the third day of a critical Ashes Test.

Stokes deployed a quintet of alternative bowlers as the Australian side progressed to 271-4 in their second innings, establishing a substantial advantage of 356 runs at the Adelaide Oval.

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

A Grueling Innings

Throughout his marathon 198-ball stay, the veteran cricketer was struck on the head by a fast bowler and suffered bouts of cramp. He also required time off the field on the previous day after hitting his head on the ground while attempting a stop.

"He could be a bit tired and just require some time to himself right now," commented Patel.

"Based on my knowledge, 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 game."

Past Fitness Concerns

Considering his chequered injury history – Stokes has not been fully available in any of England's previous four series – any indication the Durham man might be nursing an issue attracts considerable scrutiny.

Eager to be in the thick of the action, Stokes' absence from the attack on Friday was puzzling given it was England's last chance to stay in the Ashes series.

At trailing 2-0 and needing to win in Adelaide to keep their aspirations of regaining the urn intact, England had given up a first-innings deficit of 85 runs.

"My understanding 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 probably where he's at."

The tourists could have stayed within the match by bowling out Australia for approximately 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 delivered 66 overs, Stokes chose not to bowl.

"He abstained from bowling but that's probably a separate conversation with him," noted ex-New Zealand player Patel.

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

Past Instances and Current Strain

The most recent occasion Stokes limited his bowling was on the final day of the tied fourth Test against India at Old Trafford in July.

He afterwards was absent for the fifth Test at The Oval with a shoulder injury.

Stokes has a history of driving himself past breaking point, and it was put to Patel that the captain felt he might have risked injury if he pushed himself any further in Adelaide.

On the Brink of Defeat

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

If the tourists' loss is completed on day four, it would mean the outcome of the Ashes has been determined in just ten days – the opening two matches were over in two and four days respectively.

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

A Formidable Challenge

If a primary objective 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 alive.

"I remain convinced there's an chance for us," said Patel. "It will be difficult, we're going to need something magical. I think it's high time we witnessed something special from us."

"Three games in, we've landed some blows but absorbed many. It's time, now we're backed into a corner, to throw some haymakers."