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England's captain Ben Stokes is reportedly "exhausted" but still "fit and ready" to deliver overs, according to assistant coach Jeetan Patel, despite he abstained from bowling on the day three of a pivotal Ashes Test.

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

The dynamic player had earlier spent over five hours at the wicket across two days to compile 83 runs in England's first innings.

A Demanding Knock

During his extended 198-ball innings, the 34-year-old was hit on the helmet by a fast bowler and suffered bouts of cramp. He also needed a period off the field on Friday after hitting his head on the turf while attempting a stop.

"He could be a little fatigued and just require some time to himself right now," stated Patel.

"Based on my knowledge, he's quite ready to bowl. I think he's just pretty knackered and he's taken a lot out of himself to get through this point in the game."

Past Fitness Concerns

Considering his complicated injury history – Stokes has not played a full part in any of England's last four series – any indication the star all-rounder might be nursing an issue attracts significant attention.

Always keen 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 needing to win in Adelaide to keep their aspirations of regaining the urn intact, England had given up a first-innings lead of 85 runs.

"All I know 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 probably where he's at."

The visiting side could have remained in the match by bowling out Australia for around 240 in their second knock and had faint chances at certain scorelines, only for the hosts to pull away through Travis Head's unbeaten 142.

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

"He didn't bowl but that's perhaps a different discussion with him," said former New Zealand international Patel.

"I'm not entirely sure. We all know he doesn't do anything at 80%. Maybe he thought he was a risk, so he didn't bowl."

Past Instances and Current Strain

The most recent occasion Stokes curtailed his own bowling was on the last day of the tied fourth Test against India at Old Trafford in July.

He afterwards was absent for the fifth Test at The Oval with a shoulder problem.

Stokes has a history of driving himself to its absolute limit, and it was suggested to Patel that the captain felt he might have endangered himself if he pushed 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 initial three matches 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 two and four days respectively.

Not since 1921, when Australia needed only eight days of play to win in England, has the victor of an Ashes series been decided this quickly.

A Formidable Challenge

If a first goal is to extend this match 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 remain convinced there's an chance for us," stated Patel. "It will be difficult, we're going to need something magical. I think it's about time we witnessed something special from us."

"After three matches, we've thrown some but taken a lot. It's about time, now we're with our backs to the wall, to fight back fiercely."