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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, even though he abstained from bowling on the third day of a pivotal Ashes Test.

Stokes deployed five other 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 battled for more than five hours at the crease over two days to score 83 runs in England's first innings.

A Grueling Innings

During his marathon 198-ball stay, the veteran cricketer was hit on the helmet by Mitchell Starc and suffered muscle cramps. 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 need a bit of time to himself right now," commented 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."

Injury History Scrutiny

Considering his chequered injury past – Stokes has not played a full part in any of England's last four series – any indication the star all-rounder might be nursing an issue draws significant attention.

Always keen to be in the heat of battle, Stokes' decision not to bowl on Friday was curious given it was England's final opportunity to stay in the Ashes series.

At trailing 2-0 and needing to win in Adelaide to keep their aspirations of winning back the Ashes alive, England had conceded a first-innings deficit 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 likely where he's at."

The tourists could have remained in the contest by dismissing Australia for approximately 240 in their second knock and had slim hopes at 53-2 and 149-4, only for the home team to accelerate away through Travis Head's unbeaten 142.

Even though England delivered 66 overs, Stokes did not use himself.

"He didn't bowl but that's probably a different discussion with him," noted ex-New Zealand player Patel.

"I don't actually know. We all know he never performs at 80%. Maybe he thought he was a risk, so he didn't bowl."

Precedent and Pressure

The last time Stokes curtailed his own bowling was on the final day of the tied fourth Test against India at Old Trafford in July.

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

Stokes has a history of pushing his body to its absolute limit, and it was suggested to Patel that the captain felt he might have risked injury if he exerted himself any further in Adelaide.

On the Brink of Defeat

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 Saturday's fourth day, it would mean the outcome 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 winner of an Ashes series been decided this quickly.

A Daunting Task Ahead

If a first goal is to extend this match into a final day, England will also have to pull off the highest successful chase at the Adelaide Oval to keep the series ongoing.

"I still believe there's an opportunity for us," stated Patel. "It won't be easy, we're going to need something extraordinary. I think it's high time we saw something special from us."

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