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

Stokes utilized a quintet of alternative bowlers as the Australian side progressed to 271-4 in their follow-on, establishing a substantial advantage of 356 runs at the venue.

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

A Grueling Innings

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

"He might 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 expended a great deal out of himself to get through this point in the game."

Past Fitness Concerns

Given 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 carrying a problem 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 remain alive in the Ashes series.

At 2-0 down and needing to win 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 goes 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 approximately 240 in their second innings and had faint chances at 53-2 and 149-4, only for the home team to pull away through Travis Head's not out 142.

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

"He didn't bowl but that's perhaps a separate conversation with him," noted former New Zealand international Patel.

"I'm not entirely sure. We all know he never performs at 80%. Maybe he thought he was a risk, so he didn't bowl."

Past Instances and Current Strain

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 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.

On the Brink of Defeat

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 visitors' defeat is completed on day four, it would mean the destination of the Ashes has been determined in 10 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 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 ongoing.

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