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I have had similar, though milder, problems when doing inventory because of having to handle so many books in so little time...especially when I do the heavy books in the reference area. My problem develops from the wrist to about six inches above, but does not involve the elbow. I am not bothered by it except at inventory time. Ordinary aspirin therapy and rest after inventory brings complete recovery. I haven't resorted to any sort of brace, but that might help me. I can see from personal experience where your wife might have a good case for work-related injury here, and I expect that you will be able to find the documentation to back you up.