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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, despite 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 second innings, establishing a substantial advantage of 356 runs at the Adelaide Oval.

The versatile all-rounder 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 extended 198-ball innings, the veteran cricketer was struck on the head by Mitchell Starc and suffered bouts of cramp. He also needed a period off the field on the previous day after banging his head on the ground while trying to field the ball.

"He might be a bit tired and just require some time to himself right now," stated Patel.

"Based on my knowledge, he's quite ready to bowl. I think he's just pretty knackered and he's taken a lot out of himself to get through this point in the game."

Past Fitness Concerns

Considering his chequered 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 attracts considerable scrutiny.

Eager to be in the heat of battle, Stokes' decision not to bowl on Friday was puzzling given it was England's final opportunity to remain alive in the Ashes series.

At trailing 2-0 and needing to win in Adelaide to keep their hopes of regaining the urn alive, England had given up a first-innings lead 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 likely where he's at."

The tourists could have remained in the contest by bowling out Australia for approximately 240 in their second knock and had slim hopes at 53-2 and 149-4, only for the hosts to pull away through Travis Head's not out 142.

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

"He abstained from bowling but that's probably a separate conversation with him," said 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 last time Stokes curtailed his own bowling was on the final day of the drawn 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 driving himself 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.

Facing Imminent Loss

England stand on the edge of yet another defeat in Australia, once again probably facing defeat inside the first three Tests of the series.

If the visitors' defeat is completed on Saturday's fourth day, it would mean the outcome of the Ashes has been determined in just ten days – the opening two matches were over in two and four days respectively.

Not since 1921, when Australia needed only eight days of play 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 prolong the game into a fifth day, England will also have to achieve 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 magical. 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 backed into a corner, to throw some haymakers."