I am a letter carrier and experienced that in both elbows. I had great success with accupuncture, but not for long. The DR said it was my job that made the accupuncture useless. My case is extreme because of the constant stress and weight always on my elbows from throwing mail. Unless he is a carrier, I think accupuncture will help. It takes about 8 treatments, but it works and medicine is not necessary. Good Luck!