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England's captain Ben Stokes is said to be "exhausted" but still "fit and ready" to deliver overs, per assistant coach Jeetan Patel, despite he did not bowl on the third day of a pivotal Ashes Test.

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

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

A Grueling Innings

During his extended 198-ball stay, the 34-year-old was struck on the head by Mitchell Starc and experienced muscle cramps. He also needed a period 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 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 match."

Past Fitness Concerns

Given his chequered injury history – Stokes has not been fully available in any of England's previous four series – any indication the Durham man might be carrying a problem draws significant attention.

Always keen to be in the thick of the action, Stokes' absence from the attack on Friday was puzzling given it was England's last chance to stay in the Ashes series.

At 2-0 down and requiring a victory in Adelaide to keep their hopes of regaining the urn intact, England had conceded a first-innings deficit 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 probably where he's at."

The tourists could have stayed within the contest by bowling out Australia for approximately 240 in their second innings and had slim hopes at 53-2 and 149-4, only for the hosts to accelerate away through Travis Head's not out 142.

Even though England bowled 66 overs, Stokes did not use himself.

"He didn't bowl but that's probably a separate conversation with him," noted former New Zealand international 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."

Precedent and Pressure

The last time Stokes limited his bowling was on the final 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 history of driving himself 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 stand on the edge of another loss in Australia, once again probably facing defeat inside the first three Tests of the series.

If the visitors' defeat is sealed on Saturday's fourth day, it would mean the destination of the Ashes has been decided 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 determined so swiftly.

A Formidable Challenge

If a first goal 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 will be difficult, we're going to need something extraordinary. 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 about time, now we're backed into a corner, to fight back fiercely."