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England's captain Ben Stokes is reportedly "exhausted" but still "fit and ready" to bowl, according to assistant coach Jeetan Patel, despite he abstained from bowling on the day three of a critical Ashes Test.

Stokes utilized a quintet of alternative bowlers as the Australian side moved to 271-4 in their second innings, establishing a substantial advantage of 356 runs at the venue.

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

A Demanding Knock

During his marathon 198-ball stay, 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 banging his head on the ground while trying to field the ball.

"He could be a bit tired and just require some time to himself right now," stated Patel.

"Based on my knowledge, he's pretty fit to bowl. I think he's just really exhausted and he's expended a great deal out of himself to reach 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 suggestion the star all-rounder might be carrying a problem draws significant attention.

Always keen to be in the heat of battle, Stokes' decision not to bowl on Friday was puzzling given it was England's last chance to stay in the Ashes series.

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

"All I know 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 visiting side could have remained in the match by bowling out 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 unbeaten 142.

Even though England bowled 66 overs, Stokes chose not to bowl.

"He abstained from bowling but that's probably a different discussion 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 last day of the drawn fourth Test against India at Old Trafford in July.

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

Stokes has a history of pushing his body past breaking point, and it was suggested 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 stand on the edge of yet another defeat in Australia, once again probably facing defeat 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 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 determined so swiftly.

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 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 throw some haymakers."