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

Stokes deployed five other bowlers as Australia progressed to 271-4 in their second innings, 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 over two days to score 83 runs in England's initial batting effort.

A Grueling Innings

During his extended 198-ball innings, the veteran cricketer was struck on the head by Mitchell Starc and suffered muscle cramps. He also required time off the field on Friday 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.

"Based on my knowledge, 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 game."

Past Fitness Concerns

Considering his complicated injury history – Stokes has not been fully available in any of England's last four series – any indication the star all-rounder might be carrying a problem draws considerable scrutiny.

Eager 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 trailing 2-0 and requiring a victory in Adelaide to keep their aspirations of winning back the Ashes intact, England had conceded a first-innings lead 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 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 did not use himself.

"He abstained from bowling but that's perhaps a different discussion with him," noted ex-New Zealand player Patel.

"I don't actually know. We all know he never performs at 80%. Maybe he thought he was a risk, 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 was absent for the fifth Test at The Oval with a shoulder injury.

Stokes has a reputation of driving himself to its absolute limit, 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 are on the verge of yet another defeat in Australia, once again likely to be beaten inside the initial three matches of the series.

If the visitors' defeat is sealed on day four, it would mean the destination of the Ashes has been decided in just ten days – the opening two matches were over in short periods respectively.

Not since 1921, when Australia needed only eight playing days 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 extend this match into a fifth day, England will also have to achieve 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 won't be easy, we're going to need something extraordinary. I think it's high time we saw 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 fight back fiercely."