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England's captain Ben Stokes is reportedly "exhausted" but still "fit and ready" to bowl, according to assistant coach Jeetan Patel, despite he abstained from bowling on the day three of a pivotal Ashes Test.

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

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

A Grueling Innings

During his marathon 198-ball innings, the 34-year-old was struck on the head by a fast bowler and suffered muscle cramps. He also required time off the field on the previous day after banging his head on the turf while attempting a stop.

"He might be a little fatigued and just need a bit of 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 taken a lot out of himself to reach this point in the game."

Injury History Scrutiny

Given his chequered injury past – Stokes has not been fully available in any of England's previous four series – any indication the star all-rounder might be nursing an issue draws considerable scrutiny.

Eager to be in the heat of battle, Stokes' decision not to bowl on Friday was puzzling given it was England's last chance to stay in the Ashes series.

At trailing 2-0 and requiring a victory in Adelaide to keep their aspirations of regaining the urn intact, England had given up a first-innings deficit of 85 runs.

"My understanding is he operates 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 probably where he's at."

The tourists could have remained in the contest by bowling out Australia for around 240 in their second innings and had slim hopes at certain scorelines, only for the home team to accelerate away through Travis Head's unbeaten 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 ex-New Zealand player Patel.

"I'm not entirely sure. 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 most recent occasion Stokes limited his bowling was on the final day of the drawn fourth Test against India at Old Trafford in July.

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

Stokes has a history of driving himself past breaking point, and it was suggested to Patel that the captain felt he might have endangered himself if he pushed himself any further in Adelaide.

Facing Imminent Loss

England stand on the edge of another loss in Australia, once again probably facing defeat inside the initial three matches of the series.

If the visitors' defeat is sealed on day four, it would mean the outcome of the Ashes has been decided in just ten 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 Formidable Challenge

If a primary objective is to extend this match into a final 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 chance for us," stated Patel. "It will be difficult, we're going to need something extraordinary. 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 about time, now we're with our backs to the wall, to throw some haymakers."