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

Stokes utilized a quintet of alternative bowlers as the Australian side moved to 271-4 in their follow-on, establishing a commanding lead of 356 runs at the Adelaide Oval.

The versatile all-rounder had earlier spent over five hours at the crease across two days to compile 83 runs in England's initial batting effort.

A Demanding Knock

Throughout his extended 198-ball innings, the veteran cricketer was struck on the head by a fast bowler and suffered muscle cramps. He also needed a period off the field on Friday after hitting his head on the ground while trying to field the ball.

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

"From what I understand, he's pretty fit to bowl. I think he's just pretty knackered and he's expended a great deal out of himself to reach this point in the match."

Past Fitness Concerns

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

Eager to be in the heat of battle, Stokes' absence from the attack on Friday was curious given it was England's final opportunity to stay in the Ashes series.

At trailing 2-0 and requiring a victory in Adelaide to keep their hopes of regaining the urn intact, England had given up 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 tourists could have remained in the match by dismissing Australia for around 240 in their second innings and had faint chances at 53-2 and 149-4, only for the home team to pull away through Travis Head's not out 142.

Although England delivered 66 overs, Stokes did not use himself.

"He didn't bowl but that's perhaps 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 most recent occasion Stokes limited his bowling was on the last day of the tied fourth Test against India at Old Trafford in July.

He afterwards missed the fifth Test at The Oval with a shoulder problem.

Stokes has a history of pushing his body past breaking point, and it was suggested 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 initial three matches of the series.

If the tourists' loss is completed on day four, it would mean the destination of the Ashes has been determined in just ten days – the first and second Tests 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 determined so swiftly.

A Daunting Task Ahead

If a first goal is to extend this match into a final day, England will also have to achieve the greatest run-chase at the Adelaide Oval to keep the series ongoing.

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

"Three games in, we've landed some blows but taken a lot. It's about time, now we're with our backs to the wall, to throw some haymakers."