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England's captain Ben Stokes is reportedly "exhausted" but still "physically able" to deliver overs, according to team coach Jeetan Patel, even though he did not bowl on the day three of a pivotal Ashes Test.

Stokes deployed a quintet of alternative bowlers as the Australian side moved to 271-4 in their follow-on, building a commanding lead of 356 runs at the venue.

The dynamic player had earlier battled for more than five hours at the crease over two days to compile 83 runs in England's initial batting effort.

A Demanding Knock

During his extended 198-ball stay, the veteran cricketer was struck on the head by a fast bowler and suffered muscle cramps. He also required time off the field on the previous day after banging his head on the ground while attempting a stop.

"He might be a bit tired and just require some time to himself right now," stated Patel.

"From what I understand, he's quite ready to bowl. I think he's just pretty knackered and he's expended a great deal out of himself to reach this point in the match."

Injury History Scrutiny

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

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 2-0 down and needing to win in Adelaide to keep their hopes of winning back the Ashes alive, 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 likely where he's at."

The visiting side could have stayed within the contest by bowling out Australia for around 240 in their second knock and had faint chances at 53-2 and 149-4, only for the hosts to accelerate away through Travis Head's not out 142.

Although England delivered 66 overs, Stokes did not use himself.

"He didn't bowl but that's probably a different discussion with him," noted 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 last day of the tied fourth Test against India at Old Trafford in July.

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

Stokes has a history of pushing his body to its absolute limit, and it was suggested to Patel that the captain felt he might have endangered himself if he exerted himself any further in Adelaide.

Facing Imminent Loss

England are on the verge of another loss in Australia, once again probably facing defeat inside the initial three matches of the series.

If the tourists' loss is sealed on day four, it would mean the destination of the Ashes has been determined in 10 days – the opening two matches were over in short periods respectively.

Not since 1921, when Australia needed only eight days of play to win in England, has the winner of an Ashes series been determined so swiftly.

A Daunting Task Ahead

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 ongoing.

"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 witnessed something special from us."

"Three games in, we've thrown some but absorbed many. It's about time, now we're with our backs to the wall, to fight back fiercely."