Instruction: Carefully assess the user's review for any strong expressions of sentiment, either positive or negative. Based on your analysis, select the most fitting sentiment option from the provided list as output.

Input:
It helped strengthen my arm and wrist. My arm does not hurt any more. However, I also cut down on the amount of tennis I was playing.

Options:
A: very positive
B: positive
C: neutral
D: negative
E: very negative
Answer: A: very positive