Treatment should start out conservatively with rest and physical therapy. Surgery should not be the first choice. The person's job may have to be redesigned to remove or reduce risk factors at work. Otherwise, the symptoms are likely to get worse and require surgery to relieve the pain. Pain and inflammation in the arms or elsewhere result from overuse and awkward posture.
Tendons can eventually fray and tear.
Remember, tendons are like chords that connect muscles and bones. Tendons twist and bend, but do not stretch or shrink. Pain begins in the elbow and then spreads to the forearm. The main conditions that cause this problem are repetition, rotating the forearm, or force. Unlike the tendons in the elbows, some are covered with a sheath.