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It really surprised me to see that it might be my 'job' that is causing the tennis elbow instead of my extra curricula activities. My right arm gets so bad that I cant turn a key to unlock the door. Doctors are the worst help..they can't seem to think outside of a narrow list of diagnoses. I have ben thinking of acupuncture also. Relefen does help plus ipubrofen. Yoga also helps because I think it is important to build the muscles up around the joint to take some of the stress off the joint. I have even gone so far to join a gym so I can exercise the arms to keep them strong. One doctor did show me a great exercise where you hold a light dumbbell and keep your arm at a 90 degree angle and holding the dumbbell pivot your hand at wrist up and down. He said to build muscles also. Hope any of this helps. Martha Morrill