I am 49 and have suffered with tennis elbow for 4 years now. My first coarse of treatment was a shot,worked almost a full year. Next year shot didn't even phase it moved to shoulder then wrist. More shots, minimal results. Started physical therapy, electric stimulation and exercises, 6 weeks minimal results. My physical therapist finally went fishing with me, saw how I working my arm,Jerkbaits and flipping always made it hurt worst, he believes that the motions for fishing are a little different than that for tennis or other activities generally connected with tennis elbow. He had me get a wrist brace with a splint on the bottom up into the palm. Within a hour or so ,after hurting for several months, my elbow was feeling noticeably better. He said it keeps me from stretching the tendon. Now if I even feel a twinge I put it on and consider it to be a miracle.