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England's captain Ben Stokes is said to be "exhausted" but still "physically able" to deliver overs, according to assistant coach Jeetan Patel, even though he abstained from bowling on the day three of a pivotal Ashes Test.

Stokes utilized a quintet of alternative bowlers as Australia progressed to 271-4 in their follow-on, establishing a commanding lead of 356 runs at the venue.

The dynamic player had previously battled for more than five hours at the wicket over two days to compile 83 runs in England's first innings.

A Demanding Knock

During his extended 198-ball innings, 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 turf while attempting a stop.

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

"From what I understand, he's quite ready 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 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 Durham man might be carrying a problem draws significant attention.

Always keen 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 hopes of regaining the urn intact, 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 probably where he's at."

The visiting side could have remained in the contest by dismissing Australia for approximately 240 in their second knock and had faint chances at 53-2 and 149-4, only for the hosts to accelerate away through Travis Head's unbeaten 142.

Although England bowled 66 overs, Stokes chose not to bowl.

"He abstained from bowling but that's perhaps a separate conversation with him," said 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 liability, so he didn't bowl."

Precedent and Pressure

The most recent occasion Stokes curtailed his own 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 reputation of driving himself to its absolute limit, and it was put to Patel that the captain felt he might have risked injury if he pushed himself any further in Adelaide.

Facing Imminent Loss

England stand on the edge of another loss in Australia, once again likely to be beaten inside the initial three matches of the series.

If the tourists' loss is sealed on Saturday's fourth day, it would mean the outcome of the Ashes has been determined in just ten days – the opening two matches 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 victor of an Ashes series been decided this quickly.

A Formidable Challenge

If a primary objective is to extend this match into a fifth day, England will also have to achieve the highest successful chase at the Adelaide Oval to keep the series alive.

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

"After three matches, we've landed some blows but absorbed many. It's time, now we're with our backs to the wall, to throw some haymakers."