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Tennis elbow is very common in fishermen, especially if you use a spinning reel, as you tend to turn your wrist on the cast. Years of casting 11' glass sticks did it for me.
I started moving the reel lower on the butt (sold the rods with fixed reel seats that were too high and taped the reel on lower on the sticks without seats). And I no longer use any spinning rods longer than 10'.
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