A 39-year-old right handed male who has returned to school for his PhD in microbiology is referred to physical therapy for right achy elbow pain that started six months ago, which was three weeks into his new program. He notes that pain increases with a lot of computer time or lab work where he is using pipettes to run experiments. This requires him to grip and grasp a pipette for up to three hours at one time. Pain at rest is 1/10 and with computer or lab work, it increases to 6/10 and starts burning. He has continued to do his work because as a new grad student, he feels he has no other choice, but it usually takes about 1-2 hours after stopping using the computer or pipettes before the pain goes back to a 1/10. He wakes three nights per week due to the pain, and if his arm is “in an awkward position” (described as wrist flexion), the pain will definitely wake him.