I have tennis elbo and a bad rotor cuff and had a the shot and take a pill now.I had too learn how too cast different too keep the pain down.I think i can cast just as far now as i did before.Been cut on too many times for other things and want too put that off.I think most of all we are all just getting old and wore out.I'm just happy i can still get in an out of the boat without help and will keep going till then.Terry Adolph