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

The dynamic player had previously battled for more than five hours at the crease over two days to score 83 runs in England's first innings.

A Demanding Knock

During his marathon 198-ball innings, the veteran cricketer was hit on the helmet by a fast bowler and suffered muscle cramps. He also needed a period off the field on Friday after banging his head on the turf while attempting a stop.

"He might be a little fatigued and just need a bit of time to himself right now," stated Patel.

"From what I understand, 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 match."

Injury History Scrutiny

Considering his chequered injury past – Stokes has not been fully available in any of England's previous four series – any suggestion the star all-rounder might be nursing an issue attracts considerable scrutiny.

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

At 2-0 down and requiring a victory in Adelaide to keep their hopes of winning back the Ashes 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 likely where he's at."

The visiting side could have remained in the match by bowling out Australia for around 240 in their second knock and had faint chances at certain scorelines, only for the home team to pull away through Travis Head's not out 142.

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

"He abstained from bowling but that's probably a different discussion with him," said former New Zealand international Patel.

"I don't actually know. We all know he never performs at 80%. Maybe he thought he was a liability, so he didn't bowl."

Precedent and Pressure

The most recent occasion Stokes limited his 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 injury.

Stokes has a history 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.

Facing Imminent Loss

England are on the verge of another loss in Australia, once again likely to be beaten inside the first three Tests of the series.

If the tourists' loss is sealed on Saturday's fourth day, it would mean the outcome of the Ashes has been decided in just ten days – the first and second Tests were over in short periods respectively.

Not since 1921, when Australia needed only eight playing days to win in England, has the winner 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 highest successful chase at the Adelaide Oval to keep the series alive.

"I still believe there's an chance for us," stated Patel. "It will be difficult, we're going to need something extraordinary. I think it's about time we saw something special from us."

"Three games in, we've landed some blows but taken a lot. It's time, now we're with our backs to the wall, to throw some haymakers."