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.
Graphene Prestige S: 336g, 8 HL, SW 325
VS Touch Black/Focus Hex 1.23 @ 58/54