Bob is a 15 year old male tennis player at a well child checkup. He states at times when he practices tennis, which is 5 times a week for 2 hours at a time, he gets a sharp pain in his elbow. Usually 6/10 on pain scale that gets better with ice but he only ices once a week. He is already pending an MRI with orthopedics. What is he at risk for and what nursing diagnoses compliment overuse injuries?