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

Stokes utilized a quintet of alternative bowlers as Australia progressed to 271-4 in their follow-on, establishing a substantial advantage of 356 runs at the Adelaide Oval.

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

A Grueling Innings

During his marathon 198-ball innings, 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 hitting 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 reach this point in the match."

Injury History Scrutiny

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

Always keen to be in the thick of the action, Stokes' decision not to bowl 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 hopes of regaining the urn intact, England had conceded a first-innings deficit 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 probably where he's at."

The tourists could have remained in the contest by dismissing Australia for around 240 in their second innings 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 bowled 66 overs, Stokes did not use himself.

"He didn't bowl but that's perhaps a different discussion 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 most recent occasion Stokes curtailed his own bowling was on the final 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 problem.

Stokes has a reputation of pushing his body past breaking point, and it was put 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 probably facing defeat inside the first three Tests of the series.

If the tourists' loss is completed on Saturday's fourth day, it would mean the destination of the Ashes has been decided in just ten days – the first and second Tests were over in short periods 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 Daunting Task Ahead

If a primary objective is to extend this match 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 chance for us," stated Patel. "It will be difficult, we're going to need something extraordinary. I think it's about time we saw something magical from us."

"After three matches, we've thrown some but absorbed many. It's about time, now we're backed into a corner, to throw some haymakers."