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Jeanette, you haven't mentioned whether the "tennis elbow" is in the right arm or left. If it is the right arm that has the problem, then switching to a saxophone that uses a neck strap to support the weight rather than the right thumb, wrist, and forearm might be the solution.
I had that problem in my left arm, not from playing sax but from years of painting, drywall taping, and carpentry. Eventually I had to have it operated on. The recovery was quite slow, but it solved the problem.
I asked the surgeon just before the operation if afterward I could play the violin, and he scowled at me, "Do you know how many times I have had to listen to that stupid joke?" Oops. . . . Maybe that had something to do with my long, painful recovery from the operation.
Lol, yes it is my right elbow
Thanks @jbtsax
I have another question, as I play with an orchestra with strings playing Bb sax means sometimes I have a lot of sharps to contend with will there be less with an alto?
Jx