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England's captain Ben Stokes is reportedly "exhausted" but still "physically able" to bowl, according to team coach Jeetan Patel, despite 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 second innings, building a substantial advantage of 356 runs at the venue.

The dynamic player had previously spent over five hours at the wicket over two days to compile 83 runs in England's initial batting effort.

A Grueling Innings

During his marathon 198-ball stay, the 34-year-old was struck on the head by Mitchell Starc and experienced 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 might be a bit tired and just need a bit of time to himself right now," commented Patel.

"Based on my knowledge, he's pretty fit to bowl. I think he's just pretty knackered and he's taken a lot out of himself to reach this point in the match."

Past Fitness Concerns

Given his chequered injury history – Stokes has not played a full part in any of England's last four series – any indication the Durham man might be nursing an issue attracts significant attention.

Eager to be in the thick of the action, Stokes' absence from the attack on Friday was curious given it was England's last chance to remain alive in the Ashes series.

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

"All I know is he operates 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 remained in the match by dismissing Australia for approximately 240 in their second innings and had faint chances at certain scorelines, only for the hosts to accelerate away through Travis Head's not out 142.

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

"He didn't bowl but that's probably 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 liability, 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 afterwards missed the fifth Test at The Oval with a shoulder problem.

Stokes has a reputation of pushing his body 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.

Facing Imminent Loss

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

If the visitors' defeat is completed on Saturday's fourth day, it would mean the outcome of the Ashes has been decided in 10 days – the first and second Tests were over in short periods 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 prolong the game into a fifth day, England will also have to achieve the highest successful chase at the Adelaide Oval to keep the series ongoing.

"I still believe there's an opportunity for us," said Patel. "It will be difficult, we're going to need something extraordinary. I think it's about time we witnessed something special from us."

"After three matches, we've landed some blows but taken a lot. It's about time, now we're with our backs to the wall, to throw some haymakers."