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England's captain Ben Stokes is reportedly "exhausted" but still "physically able" to bowl, per assistant coach Jeetan Patel, despite he abstained from bowling on the third day of a pivotal Ashes Test.

Stokes deployed a quintet of alternative bowlers as Australia moved to 271-4 in their second innings, building a commanding lead of 356 runs at the Adelaide Oval.

The versatile all-rounder had earlier spent over five hours at the crease across two days to compile 83 runs in England's first innings.

A Grueling Innings

During his extended 198-ball innings, the 34-year-old was hit on the helmet by Mitchell Starc and experienced muscle cramps. He also required time off the field on the previous day after banging his head on the ground while trying to field the ball.

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

"From what I understand, he's pretty fit to bowl. I think he's just really exhausted and he's taken a lot out of himself to reach this point in the match."

Injury History Scrutiny

Considering his chequered injury past – Stokes has not played a full part in any of England's last four series – any indication the Durham man might be carrying a problem draws considerable scrutiny.

Eager to be in the thick of the action, Stokes' decision not to bowl on Friday was curious given it was England's final opportunity to stay in the Ashes series.

At trailing 2-0 and requiring a victory in Adelaide to keep their hopes of regaining the urn alive, England had given up a first-innings deficit of 85 runs.

"My understanding 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 bowling out Australia for approximately 240 in their second innings and had faint chances at certain scorelines, only for the hosts to pull away through Travis Head's not out 142.

Although England bowled 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 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 most recent occasion Stokes limited his bowling was on the final 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 injury.

Stokes has a reputation of driving himself to its absolute limit, and it was suggested 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 stand on the edge of yet another defeat in Australia, once again probably facing defeat inside the first three Tests of the series.

If the visitors' defeat is completed on day four, 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 winner of an Ashes series been decided this quickly.

A Formidable Challenge

If a primary objective 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 still believe there's an chance for us," stated Patel. "It will be difficult, we're going to need something extraordinary. I think it's about time we witnessed something magical from us."

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