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England's captain Ben Stokes is said to be "exhausted" but still "physically able" to deliver overs, according to assistant coach Jeetan Patel, despite he abstained from bowling on the third day of a pivotal Ashes Test.

Stokes utilized five other bowlers as Australia moved to 271-4 in their follow-on, establishing a commanding lead of 356 runs at the Adelaide Oval.

The dynamic player had earlier battled for more than 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 veteran cricketer was hit on the helmet by a fast bowler and suffered muscle cramps. He also required time off the field on the previous day after banging his head on the ground while trying to field the ball.

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

"Based on my knowledge, 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 match."

Injury History Scrutiny

Considering his chequered injury past – Stokes has not been fully available in any of England's last four series – any indication the Durham man might be nursing an issue draws significant attention.

Eager 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 stay in the Ashes series.

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

"All I know 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 certain scorelines, only for the home team to accelerate away through Travis Head's not out 142.

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

"He didn't bowl but that's probably a separate conversation with him," said 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 limited his 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 driving himself to its absolute limit, and it was put to Patel that the captain felt he might have endangered himself if he exerted himself any further in Adelaide.

Facing Imminent Loss

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

If the tourists' loss is completed on Saturday's fourth day, it would mean the outcome of the Ashes has been decided in 10 days – the opening two matches 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 achieve the greatest run-chase at the Adelaide Oval to keep the series alive.

"I remain convinced 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 witnessed something special from us."

"Three games in, we've landed some blows but taken a lot. It's time, now we're with our backs to the wall, to throw some haymakers."