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England's captain Ben Stokes is said to be "exhausted" but still "fit and ready" to deliver overs, per assistant coach Jeetan Patel, despite he did not bowl on the day three of a critical Ashes Test.

Stokes deployed five other bowlers as the Australian side moved to 271-4 in their follow-on, establishing a substantial advantage 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

Throughout his marathon 198-ball stay, the veteran cricketer was struck on the head by Mitchell Starc and suffered muscle cramps. He also required time off the field on the previous day after hitting his head on the ground while attempting a stop.

"He could be a bit tired and just need a bit of 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 expended a great deal out of himself to get through 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 suggestion the star all-rounder might be carrying a problem draws considerable scrutiny.

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 trailing 2-0 and requiring a victory in Adelaide to keep their hopes of regaining the urn intact, England had conceded a first-innings lead of 85 runs.

"My understanding is he goes 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 visiting side could have remained in the contest by bowling out Australia for approximately 240 in their second knock and had slim hopes at certain scorelines, only for the home team to accelerate 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 probably 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 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 drawn fourth Test against India at Old Trafford in July.

He afterwards was absent for the fifth Test at The Oval with a shoulder problem.

Stokes has a reputation of driving himself to its absolute limit, and it was put 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 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 day four, 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 days of play to win in England, has the winner of an Ashes series been determined so swiftly.

A Formidable Challenge

If a primary objective is to extend this match into a fifth day, England will also have to pull off the greatest run-chase at the Adelaide Oval to keep the series alive.

"I still believe 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 witnessed something special from us."

"Three games in, we've landed some blows but absorbed many. It's about time, now we're backed into a corner, to throw some haymakers."