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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, even though he abstained from bowling on the day three of a pivotal Ashes Test.

Stokes utilized five other bowlers as Australia progressed to 271-4 in their follow-on, establishing a substantial advantage of 356 runs at the venue.

The versatile all-rounder had previously battled for more than five hours at the crease over two days to compile 83 runs in England's initial batting effort.

A Demanding Knock

During his extended 198-ball stay, the 34-year-old was struck on the head by a fast bowler and suffered bouts of cramp. He also needed a period off the field on the previous day after banging 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.

"From what I understand, 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 match."

Past Fitness Concerns

Considering his complicated injury history – Stokes has not been fully available in any of England's last four series – any suggestion the Durham man might be nursing an issue draws considerable scrutiny.

Always keen to be in the thick of the action, Stokes' absence from the attack on Friday was puzzling given it was England's last chance to remain alive in the Ashes series.

At trailing 2-0 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.

"My understanding is he operates 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 stayed within the match by dismissing Australia for approximately 240 in their second innings and had faint chances at certain scorelines, only for the hosts to accelerate away through Travis Head's not out 142.

Even though England bowled 66 overs, Stokes did not use himself.

"He abstained from bowling but that's probably a separate conversation with him," noted former New Zealand international 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 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 was absent for the fifth Test at The Oval with a shoulder injury.

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

On the Brink of Defeat

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 sealed on day four, it would mean the destination of the Ashes has been determined in 10 days – the opening two matches 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 Formidable Challenge

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

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

"After three matches, we've landed some blows but taken a lot. It's time, now we're backed into a corner, to throw some haymakers."