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

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

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

A Grueling Innings

Throughout his marathon 198-ball stay, the 34-year-old was struck on the head by Mitchell Starc and experienced bouts of cramp. He also needed a period off the field on the previous day after hitting his head on the turf while attempting a stop.

"He might be a bit tired and just require some 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 match."

Injury History Scrutiny

Considering his complicated injury past – Stokes has not been fully available in any of England's previous four series – any suggestion the Durham man might be nursing an issue attracts considerable scrutiny.

Eager to be in the thick of the action, Stokes' decision not to bowl on Friday was curious given it was England's last chance to stay 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 likely where he's at."

The visiting side could have remained in the match by bowling out Australia for around 240 in their second innings and had faint chances at 53-2 and 149-4, only for the home team to accelerate 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 probably a different discussion with him," noted former New Zealand international Patel.

"I don't actually know. 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 most recent occasion Stokes curtailed his own bowling was on the final day of the tied 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 reputation of pushing his body to its absolute limit, and it was put to Patel that the captain felt he might have endangered himself if he exerted 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 first three Tests of the series.

If the tourists' loss is sealed on day four, it would mean the outcome of the Ashes has been determined 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 victor of an Ashes series been determined so swiftly.

A Daunting Task Ahead

If a primary objective is to extend this match into a fifth day, England will also have to achieve 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 won't be easy, we're going to need something magical. I think it's high time we witnessed something magical from us."

"After three matches, we've landed some blows but absorbed many. It's time, now we're backed into a corner, to fight back fiercely."