Which elbow? If it is the left you should have no problem. I’ve had a mild case of tennis elbow over the past month in the right arm, and let me tell you, when I shift into fifth gear it sometimes feels like a knife being jabbed into my arm. That seems to be the only time that it happens, though, and since I’ve recognized the problem I’ve been sure to minimize repetitive motions while at work and at home. Doing so has made it pretty much go away.