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Is it normal to experience elbow pain when practicing CW transmission?

Sending?? There are two different ways of sending with a straight key. The American way - arm on a table, prone for RSI and the European way, "hanging" arm. Therefore cooty and bugs are mostly developed in the US.

No I don't think it is. I don't know what kind of key your sending with but if it's a straight key maybe try a paddle or vice a versa. Also you could attempt a POTA key which you could hold in one hand while sending with the other, giving you a lot of variance on your arm angle. Just some suggestions.