Elbow pain during skull crushers is a common issue often caused by overuse, poor form, or heavy loads. To alleviate tricep tendonitis and joint strain, focus on proper technique by keeping elbows tucked and using a full range of motion. Switching to an EZ-bar or dumbbells can offer a more neutral grip, reducing tension. Implementing a warm-up, adjusting volume, and strengthening the triceps will ensure safe training.