I began with pain after weeding in Spring of 2023. I did get stretches and exercises from my doctor but those were not enough. I did not begin the Fixx Elbow treatment until I had been with pain for about seven-eight months. The pain did get worse after about 3 weeks into the treatment and then I began to feel a difference. I completed the 10 week Fiix Elbow treatment and found the app to be very helpful, especially the reminders. I had about a 44% decrease in pain after the first treatment but still had residual pain as well as some strange pulsating pain randomly. I decided to do another 10 week treatment about 2 weeks after that. The results were much quicker and after the second treatment I am pain free!! Finally!! One suggestion would be to make the "velcro" part of the arm band closer up the strap. I have small arms so there was barely any velco holding it in place. I mostly held it in place anyway to ensure a deeper massage and correct placement but that would be my only critique. Also, customer service is amazing with this device. If you are considering this device, I would get it right away. I would not wait to begin treatment as I did, this made the pain much more stubborn and harder to rid myself of completely. Thank you Fiix Elbow!!