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England's captain Ben Stokes is said to be "exhausted" but still "fit and ready" to deliver overs, according to team coach Jeetan Patel, even though he abstained from bowling on the third day of a critical Ashes Test.

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

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

A Grueling Innings

During his marathon 198-ball stay, the 34-year-old was hit on the helmet by a fast bowler and experienced bouts of cramp. He also needed a period off the field on the previous day after banging his head on the turf while trying to field the ball.

"He could be a bit tired and just need a bit of time to himself right now," stated Patel.

"Based on my knowledge, 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 match."

Injury History Scrutiny

Considering his chequered injury history – Stokes has not been fully available in any of England's last four series – any indication the Durham man might be nursing an issue draws significant attention.

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 remain alive in the Ashes series.

At 2-0 down and needing to win in Adelaide to keep their hopes of regaining the urn alive, England had conceded a first-innings deficit of 85 runs.

"My understanding is he goes 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 remained in the contest by bowling out Australia for approximately 240 in their second innings and had slim hopes at 53-2 and 149-4, only for the hosts to pull away through Travis Head's unbeaten 142.

Even though England bowled 66 overs, Stokes chose not to bowl.

"He abstained from bowling but that's perhaps a separate conversation with him," noted 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 tied fourth Test against India at Old Trafford in July.

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

Stokes has a reputation of driving himself past breaking point, and it was put to Patel that the captain felt he might have endangered himself 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 first three Tests of the series.

If the tourists' loss is sealed on Saturday's fourth day, it would mean the destination of the Ashes has been determined 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 winner of an Ashes series been decided this quickly.

A Daunting Task Ahead

If a primary objective is to extend this match 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 remain convinced there's an chance for us," said Patel. "It will be difficult, we're going to need something extraordinary. I think it's high 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 with our backs to the wall, to fight back fiercely."