Pain elbow going dwon into middle finger/had tennis elbow surgery last year/on tamadol, noproxian, vicadone/still no releif?

Get a nerve study: It sounds as though you may have a nerve entrapment in your forearm i would get a good orthopedic exam and you may ultimately need an ncv study.

Need reevaluation: This could be any number of things. It is not unheard of to have tennis elbow pain despite surgery. I would recommend a reevaluation. If it is still tennis elbow, i would continue stretching with lifting limitations along with nsaids. Your physician should check for things like nerve entrapment as well.