I have been dealing with moderate inner elbow pain for several months that has now gotten very bad. Forehands and serves are very painful, I have adjusted my contact point on my FH to take the ball with almost a locked elbow, further away than my normal contact point, which seems to cut down on the impact on the inner part of the arm. If I hit a shot too close to my body or late, the pain is crazy, causing me to drop my racquet, etc. Also, I have a big knot, swelling on the inner part of the elbow... it is hard though, almost feels like bone. My concern is the dreaded "Tommy John" injury, which after research is what I'm afraid I'm looking at. I teach for a living, so taking time off is not as easy an option as for some. I am currently without insurance so I haven't had it looked at yet. I'm thinking it may have reached the point where I will have no choice but to either have surgery or take extended time off. Uggh.