I have severe tendonitits in both elbows. (Tennis Elbow) One has a tear and needs surgery. That is in addition to my Failed Back Surgery Syndrome. The only thing that gave me any kind of relief was wearing the Lidoderm patches with the elbow brace. Only thing that took the edge off. I'm on heavy duty pain meds for my back and for some reason it does not help the elbow pain at all. A Cortisone shot did help at one time too. Not long term though.