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England's captain Ben Stokes is reportedly "exhausted" but still "fit and ready" to deliver overs, according to team coach Jeetan Patel, despite he did not bowl on the third day of a pivotal Ashes Test.

Stokes deployed a quintet of alternative bowlers as Australia moved to 271-4 in their second innings, building a substantial advantage of 356 runs at the venue.

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

A Demanding Knock

Throughout his marathon 198-ball stay, the 34-year-old was struck on the head by Mitchell Starc and suffered muscle cramps. He also needed a period off the field on Friday after banging his head on the ground while trying to field the ball.

"He could be a little fatigued and just require some time to himself right now," stated Patel.

"From what I understand, he's pretty fit 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

Considering his complicated injury past – Stokes has not been fully available in any of England's last four series – any suggestion the star all-rounder might be carrying a problem draws considerable scrutiny.

Eager to be in the thick of the action, Stokes' decision not to bowl on Friday was puzzling given it was England's final opportunity to stay in the Ashes series.

At 2-0 down and requiring a victory in Adelaide to keep their aspirations of winning back the Ashes alive, England had given up a first-innings lead of 85 runs.

"All I know 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 tourists could have stayed within the match by dismissing Australia for around 240 in their second knock and had faint chances at certain scorelines, only for the hosts to pull away through Travis Head's unbeaten 142.

Even though England bowled 66 overs, Stokes chose not to bowl.

"He didn't bowl but that's probably a separate conversation with him," said ex-New Zealand player Patel.

"I don't actually know. We all know he doesn't do anything at 80%. Maybe he thought he was a risk, so he didn't bowl."

Precedent and Pressure

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

Stokes has a reputation of pushing his body past breaking point, and it was put to Patel that the captain felt he might have endangered himself if he pushed himself any further in Adelaide.

On the Brink of Defeat

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 10 days – the first and second Tests were over in short periods respectively.

Not since 1921, when Australia needed only eight days of play to win in England, has the victor of an Ashes series been determined so swiftly.

A Formidable Challenge

If a primary objective 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 ongoing.

"I still believe there's an opportunity for us," stated Patel. "It will be difficult, we're going to need something extraordinary. I think it's high time we witnessed something special from us."

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