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England's captain Ben Stokes is reportedly "exhausted" but still "fit and ready" to deliver overs, according to assistant coach Jeetan Patel, despite he did not bowl on the third day of a pivotal Ashes Test.

Stokes utilized a quintet of alternative 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 spent over five hours at the crease across two days to score 83 runs in England's initial batting effort.

A Demanding Knock

Throughout his marathon 198-ball innings, the 34-year-old was struck on the head by Mitchell Starc and experienced bouts of cramp. He also needed a period off the field on the previous day after hitting his head on the ground while attempting a stop.

"He could be a little fatigued and just require some 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 expended a great deal out of himself to get through this point in the game."

Injury History Scrutiny

Given his chequered injury past – Stokes has not played a full part in any of England's previous four series – any suggestion the Durham man might be carrying a problem attracts significant attention.

Eager to be in the thick of the action, Stokes' absence from the attack on Friday was curious given it was England's last chance to stay in the Ashes series.

At trailing 2-0 and needing to win in Adelaide to keep their aspirations 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 likely where he's at."

The visiting side could have stayed within the match by bowling out Australia for approximately 240 in their second innings and had faint chances at certain scorelines, only for the hosts to pull away through Travis Head's unbeaten 142.

Although England delivered 66 overs, Stokes did not use himself.

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

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

Stokes has a history of pushing his body to its absolute limit, and it was suggested to Patel that the captain felt he might have endangered himself if he exerted himself any further in Adelaide.

Facing Imminent Loss

England are on the verge of another loss in Australia, once again probably facing defeat inside the initial three matches of the series.

If the visitors' defeat is completed 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 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 Daunting Task Ahead

If a primary objective is to prolong the game into a final day, England will also have to pull off the highest successful chase at the Adelaide Oval to keep the series ongoing.

"I still believe there's an opportunity for us," stated Patel. "It won't be easy, we're going to need something extraordinary. I think it's high time we saw something special from us."

"Three games in, we've landed some blows but taken a lot. It's about time, now we're backed into a corner, to fight back fiercely."