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

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

A Grueling Innings

During his extended 198-ball stay, the veteran cricketer was hit on the helmet by Mitchell Starc and suffered bouts of cramp. He also required time off the field on Friday after banging his head on the turf while trying to field the ball.

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

"Based on my knowledge, he's quite ready to bowl. I think he's just really exhausted and he's taken a lot out of himself to get through this point in the game."

Injury History Scrutiny

Given his complicated injury past – Stokes has not been fully available in any of England's previous four series – any indication the Durham man might be nursing an issue attracts significant attention.

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

At 2-0 down and needing to win in Adelaide to keep their hopes of winning back the Ashes intact, England had conceded a first-innings lead of 85 runs.

"All I know is he operates 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 tourists could have stayed within 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 hosts to accelerate away through Travis Head's not out 142.

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

"He abstained from bowling but that's perhaps a separate conversation with him," said ex-New Zealand player Patel.

"I don't actually know. We all know he doesn't do anything at 80%. Maybe he thought he was a risk, 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 past breaking point, and it was put 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 are on the verge of yet another defeat in Australia, once again probably facing defeat inside the initial three matches of the series.

If the visitors' defeat is sealed on day four, it would mean the destination of the Ashes has been decided in 10 days – the first and second Tests were over in short periods respectively.

Not since 1921, when Australia needed only eight days of play to win in England, has the winner of an Ashes series been decided this quickly.

A Formidable Challenge

If a first goal is to prolong the game into a final day, England will also have to pull off the greatest run-chase at the Adelaide Oval to keep the series ongoing.

"I remain convinced there's an opportunity for us," stated Patel. "It will be difficult, we're going to need something extraordinary. I think it's about time we witnessed something special from us."

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