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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, even though he abstained from bowling on the third day of a pivotal Ashes Test.

Stokes utilized five other bowlers as the Australian side progressed to 271-4 in their second innings, building a substantial advantage of 356 runs at the venue.

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

A Grueling Innings

During his extended 198-ball stay, the veteran cricketer was hit on the helmet by a fast bowler and suffered bouts of cramp. He also required time off the field on the previous day after banging his head on the turf while attempting a stop.

"He might be a bit tired and just need a bit of time to himself right now," commented 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."

Past Fitness Concerns

Given his complicated injury history – Stokes has not played a full part in any of England's previous four series – any suggestion the star all-rounder might be nursing an issue attracts considerable scrutiny.

Always keen to be in the heat of battle, 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 requiring a victory in Adelaide to keep their aspirations of winning back the Ashes intact, England had conceded a first-innings deficit 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 likely where he's at."

The visiting side could have remained in the match by bowling out Australia for around 240 in their second innings and had slim hopes at certain scorelines, only for the home team to pull away through Travis Head's not out 142.

Although England delivered 66 overs, Stokes chose not to bowl.

"He abstained from bowling but that's probably 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."

Precedent and Pressure

The last time Stokes limited his bowling was on the last 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 reputation of pushing his body past breaking point, and it was put to Patel that the captain felt he might have risked injury if he exerted himself any further in Adelaide.

On the Brink of Defeat

England are on the verge of yet another defeat in Australia, once again likely to be beaten inside the first three Tests of the series.

If the tourists' loss is sealed on Saturday's fourth day, it would mean the outcome of the Ashes has been determined in 10 days – the first and second Tests were over in two and four days 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 Formidable Challenge

If a primary objective is to prolong the game into a fifth day, England will also have to pull off the greatest run-chase at the Adelaide Oval to keep the series alive.

"I still believe there's an chance for us," said Patel. "It won't be easy, we're going to need something magical. I think it's high time we saw something magical from us."

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