Hi Mark Thank you for your question to HCM. Overuse related pain in the upper extremity joints is a common complaint and occurs as you need to put all your body weight on the arms during transfers. Try to exactly locate your pain whether it is coming from the joint itself or the attachment of the tendon or some other structure around the joint. An examination by an orthopaedic surgeon can help to find this out. Triceps tendinitis is one of the causes which is an irritation at the attachment of triceps tendon. This is caused by repeated heavy weight lifting which is the case when you transfer body weight frequently. To start with if the pain has lasted for long time an Xray of the elbow joint and if Xray is normal then MRI is recommended to find/rule out any structural cause. Ibuprofen, tramadol, local steroid injections and physical therapy will help keep pain under control till triceps tendinitis resolves if that s the cause as it is usually a self limiting condition. Hope this is helpful. I would be happy to answer any questions you may have.