It is caused by activities that require repeated flexing or twisting of the wrist.  Repetitive tasks like gardening, shoveling, prolonged hours of cooking and cleaning, typing, throwing a ball, painting and similar activities all put you at risk for golfer’s or tennis elbow. It can also be seen in weight trainers with poor technique, as well as those who work in carpentry, painting or electrical works which require repetitive bending and straightening the elbow.