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England's captain Ben Stokes is said to be "exhausted" but still "physically able" to bowl, according to assistant coach Jeetan Patel, even though 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, establishing a commanding lead of 356 runs at the Adelaide Oval.

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

A Grueling Innings

During his marathon 198-ball innings, the veteran cricketer was hit on the helmet by a fast bowler and experienced muscle cramps. He also required time off the field on Friday after banging his head on the ground while attempting a stop.

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

"Based on my knowledge, 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

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 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 last chance to stay in the Ashes series.

At trailing 2-0 and needing to win in Adelaide to keep their hopes of regaining the urn alive, England had given up 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 probably where he's at."

The visiting side could have remained in the contest by bowling out Australia for around 240 in their second innings and had faint chances at certain scorelines, only for the home team to pull away through Travis Head's unbeaten 142.

Although England bowled 66 overs, Stokes chose not to bowl.

"He abstained from bowling but that's perhaps a different discussion with him," said former New Zealand international 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."

Past Instances and Current Strain

The last time Stokes curtailed his own bowling was on the last day of the tied 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 driving himself to its absolute limit, and it was suggested to Patel that the captain felt he might have endangered himself if he pushed himself any further in Adelaide.

Facing Imminent Loss

England are on the verge of yet another defeat in Australia, once again likely to be beaten inside the initial three matches of the series.

If the visitors' defeat is completed on day four, it would mean the outcome of the Ashes has been determined in 10 days – the opening two matches 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 Daunting Task Ahead

If a first goal 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 alive.

"I still believe there's an opportunity for us," stated Patel. "It will be difficult, we're going to need something extraordinary. I think it's high 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."