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

Stokes deployed five other bowlers as Australia moved to 271-4 in their follow-on, building a commanding lead 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 innings, the veteran cricketer was struck on the head by Mitchell Starc and suffered bouts of cramp. He also required time off the field on the previous day after banging his head on the ground while attempting a stop.

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

"From what I understand, he's pretty fit 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 game."

Past Fitness Concerns

Given his chequered injury history – 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 significant attention.

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

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

"All I know is he goes 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 likely where he's at."

The visiting side could have remained in the contest by dismissing Australia for approximately 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 not out 142.

Although 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'm not entirely sure. 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 limited his bowling was on the final day of the drawn fourth Test against India at Old Trafford in July.

He subsequently missed the fifth Test at The Oval with a shoulder injury.

Stokes has a history of driving himself past breaking point, and it was put to Patel that the captain felt he might have risked injury if he exerted 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 tourists' loss is completed on day four, 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 victor of an Ashes series been determined so swiftly.

A Formidable Challenge

If a first goal is to prolong the game into a fifth day, England will also have to achieve the greatest run-chase at the Adelaide Oval to keep the series alive.

"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 about time we witnessed something magical from us."

"After three matches, we've landed some blows but taken a lot. It's time, now we're with our backs to the wall, to fight back fiercely."