Depending on the string, frame, tension, and your body it could also mean tennis elbow. Some can take flex 70+ frames strung with poly in the 60s. For others that would mean a season lost to TE.
One alternative to stringing tight is to use a stiffer string at lower tensions. There are different ways to skin the stringbed stiffness cat.
L27" | 95" | 16x19 | Flex 57 | 336g | 8 HL | SW 320
VS Longevity / IsoSpeed Black Fire 17 @ 56 / 50