I had tennis elbow in my bow arm so bad that hiking hurt the elbow and shaking hands nearly brought me to my knees. Wearing a brace only helped to keep it from progressing much. A steroid injection a little over a week ago, and I'm shooting the same bows, from 60 to 80 pounds, that I did before with no trouble. Now, my elbow problems are from chronic overuse at work. Steroid injections are not to be used as a chronic treatment, though. It is extremely uncommon to have any issues from a single injection.