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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, even though he did not bowl on the day three of a pivotal Ashes Test.

Stokes deployed five other bowlers as Australia progressed to 271-4 in their follow-on, building a substantial advantage of 356 runs at the Adelaide Oval.

The versatile all-rounder had earlier spent over five hours at the wicket over two days to compile 83 runs in England's first innings.

A Grueling Innings

During his marathon 198-ball innings, the veteran cricketer was hit on the helmet by a fast bowler and suffered muscle cramps. He also required time off the field on Friday after hitting his head on the turf while trying to field the ball.

"He might be a little fatigued and just need a bit of time to himself right now," stated Patel.

"From what I understand, he's pretty fit to bowl. I think he's just pretty knackered and he's taken a lot out of himself to reach this point in the game."

Past Fitness Concerns

Considering his chequered injury history – Stokes has not played a full part in any of England's previous four series – any suggestion the Durham man might be carrying a problem attracts considerable scrutiny.

Eager to be in the heat of battle, 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 aspirations of regaining the urn intact, England had given up a first-innings deficit 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 likely where he's at."

The visiting side could have remained in the contest by dismissing Australia for around 240 in their second innings and had faint chances at certain scorelines, only for the hosts to pull 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 different discussion with him," said ex-New Zealand player Patel.

"I'm not entirely sure. We all know he never performs 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 subsequently missed the fifth Test at The Oval with a shoulder injury.

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

Facing Imminent Loss

England are on the verge of yet another defeat in Australia, once again probably facing defeat inside the first three Tests of the series.

If the visitors' defeat 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 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 prolong the game into a final day, England will also have to pull off the highest successful chase at the Adelaide Oval to keep the series alive.

"I still believe there's an chance for us," stated Patel. "It won't be easy, we're going to need something magical. 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 fight back fiercely."