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England's captain Ben Stokes is said to be "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 five other bowlers as Australia progressed to 271-4 in their follow-on, building a commanding lead of 356 runs at the Adelaide Oval.

The versatile all-rounder had previously battled for more than five hours at the wicket over two days to score 83 runs in England's first innings.

A Demanding Knock

Throughout his extended 198-ball innings, the 34-year-old was struck on the head by a fast bowler and experienced bouts of cramp. He also required time off the field on Friday after hitting his head on the ground while attempting a stop.

"He could be a bit tired and just require some time to himself right now," commented 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 get through this point in the game."

Injury History Scrutiny

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

Eager to be in the heat of battle, Stokes' absence from the attack on Friday was curious 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 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 tourists could have remained in the match by dismissing Australia for around 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 unbeaten 142.

Even though England delivered 66 overs, Stokes chose not to bowl.

"He abstained from bowling but that's probably a separate conversation 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 risk, so he didn't bowl."

Precedent and Pressure

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

He subsequently 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 put to Patel that the captain felt he might have endangered himself if he exerted himself any further in Adelaide.

On the Brink of Defeat

England stand on the edge 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 completed on day four, it would mean the outcome of the Ashes has been decided in just ten days – the first and second Tests were over in short periods 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 first goal is to extend this match into a fifth 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 magical from us."

"Three games in, we've landed some blows but absorbed many. It's about time, now we're with our backs to the wall, to throw some haymakers."