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England's captain Ben Stokes is said to be "exhausted" but still "fit and ready" to bowl, according to team coach Jeetan Patel, even though he did not bowl on the day three of a pivotal Ashes Test.

Stokes deployed a quintet of alternative bowlers as the Australian side progressed to 271-4 in their follow-on, 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 crease across two days to score 83 runs in England's first innings.

A Grueling Innings

During his extended 198-ball stay, the veteran cricketer was struck on the head by a fast bowler and experienced muscle cramps. He also required time off the field on the previous day 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.

"From what I understand, he's quite ready to bowl. I think he's just pretty knackered and he's taken a lot out of himself to reach this point in the match."

Past Fitness Concerns

Considering his chequered injury past – Stokes has not played a full part in any of England's last four series – any suggestion the star all-rounder might be nursing an issue draws considerable scrutiny.

Always keen to be in the thick of the action, Stokes' absence from the attack on Friday was puzzling given it was England's last chance to remain alive in the Ashes series.

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

"My understanding 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 probably where he's at."

The visiting side could have stayed within the contest by dismissing Australia for around 240 in their second knock and had slim hopes at 53-2 and 149-4, only for the hosts to accelerate away through Travis Head's unbeaten 142.

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

"He didn't bowl but that's probably 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."

Past Instances and Current Strain

The last time Stokes limited his bowling was on the last day of the tied fourth Test against India at Old Trafford in July.

He afterwards was absent for the fifth Test at The Oval with a shoulder problem.

Stokes has a history of pushing his body to its absolute limit, and it was put to Patel that the captain felt he might have risked injury 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 likely to be beaten inside the initial three matches of the series.

If the tourists' loss is completed on Saturday's fourth day, it would mean the destination of the Ashes has been decided in 10 days – the opening two matches 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 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 opportunity for us," said Patel. "It will be difficult, we're going to need something extraordinary. I think it's high time we witnessed something magical from us."

"Three games in, we've thrown some but taken a lot. It's time, now we're backed into a corner, to throw some haymakers."