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

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

The dynamic player had earlier spent over five hours at the crease over 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 experienced muscle cramps. He also needed a period off the field on Friday after banging his head on the turf while attempting a stop.

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

"Based on my knowledge, 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

Given his chequered injury history – Stokes has not been fully available in any of England's previous four series – any indication the Durham man might be carrying a problem attracts significant attention.

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

At 2-0 down and requiring a victory in Adelaide to keep their hopes of regaining the urn alive, 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 probably where he's at."

The visiting side could have stayed within the match by bowling out 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 chose not to bowl.

"He didn't bowl but that's perhaps a separate conversation with him," noted former New Zealand international 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 drawn fourth Test against India at Old Trafford in July.

He subsequently 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 suggested to Patel that the captain felt he might have risked injury if he pushed 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 sealed on Saturday's fourth day, it would mean the outcome of the Ashes has been determined in 10 days – the first and second Tests 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 decided this quickly.

A Formidable Challenge

If a primary objective 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 remain convinced there's an chance for us," stated Patel. "It will be difficult, we're going to need something extraordinary. I think it's about time we saw something special from us."

"After three matches, we've thrown some but absorbed many. It's about time, now we're with our backs to the wall, to fight back fiercely."