A nerve being tweaked. Not necessarily in your elbow since if it was the ulnar nerve it would probably cause a tingling sensation down your arm and into your hand. So if it's just isolated to the elbow I guess it could come from a nerve being entrapped somewhere above that...but I don't know which one.

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If you act sanctimonious I will just list out your logical fallacies until you get pissed off and spew blasphemous remarks.