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England's captain Ben Stokes is said to be "exhausted" but still "physically able" to deliver overs, per assistant 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 the Australian side progressed to 271-4 in their follow-on, establishing a substantial advantage of 356 runs at the venue.

The versatile all-rounder had earlier spent over five hours at the wicket across two days to compile 83 runs in England's initial batting effort.

A Demanding Knock

During his marathon 198-ball stay, the 34-year-old was hit on the helmet by Mitchell Starc and suffered bouts of cramp. He also required time off the field on the previous day after banging his head on the ground while attempting a stop.

"He could be a little fatigued 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 game."

Injury History Scrutiny

Given his complicated injury history – Stokes has not been fully available in any of England's last four series – any indication the star all-rounder might be carrying a problem attracts significant attention.

Eager to be in the heat of battle, Stokes' decision not to bowl on Friday was curious given it was England's final opportunity to remain alive in the Ashes series.

At trailing 2-0 and needing to win in Adelaide to keep their hopes of regaining the urn intact, England had given up a first-innings deficit of 85 runs.

"My understanding 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 likely where he's at."

The tourists could have stayed within the contest 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 pull away through Travis Head's not out 142.

Although 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'm not entirely sure. 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 curtailed his own bowling was on the last 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 problem.

Stokes has a history of driving himself to its absolute limit, and it was suggested to Patel that the captain felt he might have endangered himself 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 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 winner of an Ashes series been determined so swiftly.

A Daunting Task Ahead

If a first goal is to prolong the game into a final day, England will also have to achieve 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 won't be easy, we're going to need something magical. I think it's high time we witnessed something magical from us."

"Three games in, we've thrown some but absorbed many. It's time, now we're backed into a corner, to fight back fiercely."