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

Stokes deployed a quintet of alternative bowlers as Australia progressed to 271-4 in their follow-on, establishing 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 over two days to compile 83 runs in England's first innings.

A Demanding Knock

During his extended 198-ball stay, the 34-year-old was hit on the helmet by a fast bowler and suffered bouts of cramp. He also required time off the field on Friday 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.

"From what I understand, he's quite ready to bowl. I think he's just really exhausted and he's taken a lot out of himself to reach this point in the game."

Past Fitness Concerns

Considering his complicated injury past – Stokes has not been fully available in any of England's last four series – any suggestion the Durham man 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 stay in the Ashes series.

At trailing 2-0 and requiring a victory in Adelaide to keep their hopes of regaining the urn intact, England had given up a first-innings lead of 85 runs.

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

The visiting side could have remained in the match by dismissing Australia for approximately 240 in their second knock and had slim hopes at 53-2 and 149-4, only for the home team to pull away through Travis Head's unbeaten 142.

Although England delivered 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 don't actually know. 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 final day of the tied 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 history of driving himself to its absolute limit, and it was put to Patel that the captain felt he might have endangered himself 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 10 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 first goal is to extend this match into a fifth 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 won't be easy, we're going to need something magical. I think it's about time we witnessed something special from us."

"After three matches, we've landed some blows but taken a lot. It's about time, now we're backed into a corner, to throw some haymakers."