The bones and muscles can do a number on nerve pressure and ligaments in the wrists and elbow when rotated. The twist test to demonstrate resistance by making a fist with the hand twisted one way and the other compared to a neutral position, applies to many activities. I have seen many shooters, including myself, start to turn the palm down when drawing, heavy index finger, and a few with it the other way, a heavy ring finger. Pressure in the neck can fire up the ulnar nerve and can result in symptoms through the shoulder, to the inside of the arm, elbow and even in the fingers. Now I also know that the word chiropractic is a cuss word in the PT field, but that is the route I took, followed up with PT and it is what works for me. I have an old neck injury that flares up every so often, which can cause muscle spams and nerve pain and at times that electric tingle above and behind my elbow when the right contact is made, like when I lay my arm on a sharp corner.