• Former world No 4 slumps to 6-3, 7-5 first-round loss

• Draper still recovering from long-term arm injury

The minuscule amount of confidence and self-belief Jack Draper currently has to call upon in the most difficult period of his career was underscored in the first game of his opening match in Cincinnati. Draper began his service game by shanking a forehand into the back fence, which he followed up with two double faults. He immediately fell down a break and never recovered.

A few fleeting positive moments followed, but this miserable start set the tone for another excruciating day for the former world No 4 as he could not escape the mental fatigue borne out of battling serious injury for 15 months and counting. Draper fell 6-3, 7-5 to Martín Landaluce, the world No 64.

Former world No 4 reflects on emotional reaction in Canada and rebuilding after the most difficult period of his career

Those painful images have relentlessly spread to all corners of the internet. Deep in the final set of the first-round match at the Canadian Open against Térence Atmane just over a week ago, 15 months of pent up emotion erupted. Two games from defeat, Draper spent the entire changeover in tears.

This was a devastating and alarming sight. Injuries had already defined so much of Draper’s career, but the uncertainty of trying to recover from a bone bruise injury to his left arm over the past year has been more challenging than anything he has experienced. All of his efforts since last July have been focused on trying to find a way to compete consistently at the highest level again, to no avail.