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England's captain Ben Stokes is reportedly "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 critical Ashes Test.

Stokes deployed a quintet of alternative bowlers as Australia progressed to 271-4 in their follow-on, building a substantial advantage of 356 runs at the Adelaide Oval.

The versatile all-rounder had previously spent over five hours at the crease over two days to compile 83 runs in England's first innings.

A Grueling Innings

Throughout his extended 198-ball innings, the 34-year-old was hit on the helmet by Mitchell Starc and suffered bouts of cramp. He also needed a period off the field on the previous day after banging his head on the turf 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 quite ready to bowl. I think he's just pretty knackered and he's taken a lot out of himself to reach this point in the match."

Past Fitness Concerns

Considering his complicated injury history – Stokes has not been fully available in any of England's previous four series – any indication the star all-rounder might be nursing an issue attracts considerable scrutiny.

Eager to be in the heat of battle, Stokes' absence from the attack on Friday was puzzling given it was England's final opportunity to remain alive in the Ashes series.

At 2-0 down and requiring a victory in Adelaide to keep their hopes of winning back the Ashes intact, England had given up a first-innings deficit 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 probably where he's at."

The tourists could have remained in the match by dismissing Australia for around 240 in their second knock and had slim hopes at certain scorelines, only for the home team to pull away through Travis Head's not out 142.

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

"He abstained from bowling but that's probably a different discussion 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."

Past Instances and Current Strain

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

Stokes has a history of pushing his body past breaking point, and it was put to Patel that the captain felt he might have endangered himself if he pushed himself any further in Adelaide.

Facing Imminent Loss

England are on the verge of another loss in Australia, once again likely to be beaten inside the first three Tests of the series.

If the visitors' defeat is completed 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 determined so swiftly.

A Daunting Task Ahead

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

"I remain convinced there's an opportunity for us," said Patel. "It won't be easy, we're going to need something magical. I think it's high time we saw something special from us."

"After three matches, we've thrown some but taken a lot. It's about time, now we're backed into a corner, to fight back fiercely."