I fight the same deal and have on and off for years.Mine isnt caused by shooting,but from work related stuff that can hamper my shooting/practice time.I use the elbow wraps,and must admitt that they really help me.I am also trying the fish pills that a custom guitarmaker that is always sraping on wood suggested to me.He says you have to take them 2 times a day and will see improvement after you have been taking them for about 1 month.So its worth a try.Also,I do seem to get relief from aspercream type stuff before bed.I do know that the elbow wraps at least keep me from damaging things worse,and allow me to get out there and do the things I want.I dont agree with the cortisone shots.They just mask the pain and make money for the medical industry.If you can kepp from doing what has caused it to enflame for long enough they will settle down.If its just shooting that is lighting you up,you need to reduce poundage,lay off for a while and get some elbow wraps.Good luck,Jim.