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The team skipper Ben Stokes is said to be "worn out" but still "fit and ready" to bowl, according to team coach Jeetan Patel, despite he did not bowl on the third day of a pivotal Ashes Test.

Stokes utilized five other bowlers as the Australian side moved to 271-4 in their second innings, building a substantial advantage of 356 runs at the Adelaide Oval.

The versatile all-rounder had previously battled for more than five hours at the wicket over two days to score 83 runs in England's initial batting effort.

A Grueling Innings

During his extended 198-ball innings, the veteran cricketer was struck on the head by Mitchell Starc and experienced muscle cramps. He also required time off the field on Friday after hitting his head on the turf while trying to field the ball.

"He could be a bit tired and just require some time to himself right now," stated 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 get through this point in the match."

Injury History Scrutiny

Considering his chequered injury history – Stokes has not played a full part in any of England's previous four series – any indication the Durham man might be carrying a problem draws considerable scrutiny.

Eager to be in the thick of the action, Stokes' decision not to bowl on Friday was curious 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 winning back the Ashes alive, England had given up a first-innings deficit of 85 runs.

"My understanding 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 likely where he's at."

The tourists could have stayed within the contest by bowling out Australia for around 240 in their second knock and had slim hopes at certain scorelines, only for the home team to accelerate away through Travis Head's unbeaten 142.

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

"He abstained from bowling but that's probably a separate conversation with him," noted 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."

Precedent and Pressure

The last time 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 risked injury if he exerted himself any further in Adelaide.

On the Brink of Defeat

England stand on the edge of yet another defeat in Australia, once again likely to be beaten inside the initial three matches of the series.

If the visitors' defeat is sealed on day four, 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 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 fifth day, England will also have to pull off the greatest run-chase at the Adelaide Oval to keep the series alive.

"I still believe 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 taken a lot. It's time, now we're with our backs to the wall, to throw some haymakers."