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The team skipper 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 pivotal Ashes Test.

Stokes utilized five other bowlers as Australia moved to 271-4 in their follow-on, building a commanding lead of 356 runs at the venue.

The versatile all-rounder had previously spent over five hours at the crease across two days to compile 83 runs in England's first innings.

A Demanding Knock

During his extended 198-ball innings, the 34-year-old was struck on the head by Mitchell Starc and experienced muscle cramps. 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 little fatigued and just need a bit of time to himself right now," commented Patel.

"Based on my knowledge, he's quite ready 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 past – Stokes has not played a full part in any of England's previous four series – any indication the Durham man might be nursing an issue draws considerable scrutiny.

Always keen to be in the thick of the action, Stokes' decision not to bowl 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 aspirations of winning back the Ashes alive, England had given up 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 tourists could have stayed within the contest by dismissing Australia for around 240 in their second innings and had faint chances at certain scorelines, only for the home team to accelerate away through Travis Head's unbeaten 142.

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

"He didn't bowl but that's probably a separate conversation with him," said 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 liability, so he didn't bowl."

Past Instances and Current Strain

The last time Stokes curtailed his own bowling was on the final day of the drawn 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 history of pushing his body 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.

Facing Imminent Loss

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 completed on day four, it would mean the outcome of the Ashes has been decided in just ten 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 victor of an Ashes series been determined so swiftly.

A Formidable Challenge

If a first goal 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 remain convinced there's an chance for us," said Patel. "It won't be easy, we're going to need something extraordinary. I think it's about time we witnessed something magical from us."

"Three games in, we've thrown some but absorbed many. It's about time, now we're with our backs to the wall, to fight back fiercely."