Bursitis of the elbow (bursitis olecrani)
A suddenly swollen elbow? The bursa is often to blame
Overloading can make the bursa at the back of the elbow swell and become inflamed. This can happen after nothing more than an irritation – unaccustomed decorating work, work in a particular job, more sport than usual, or a demanding weekend of gardening. Leaning on the elbow while working can also cause the irritation.
Symptoms
Typical of bursitis at the elbow is a swelling at the back of the joint that appears suddenly and is usually painless. As it progresses, however, tenderness, redness, warmth and restricted movement can be added – above all if the bursa becomes inflamed or infected. The symptoms frequently occur after unaccustomed loading, after leaning on the elbow for longer periods, or after small injuries.
Swelling of the elbow
The swollen bursa can be seen and felt at the tip of the elbow.
Redness and warmth
The inflammation makes the skin red, and it feels very warm.
Restricted movement
Blocking, catching, snapping, clicking, rubbing
What does the bursa do?
A bursa is a small fluid-filled cushion, found at places in the body that are particularly exposed to pressure or friction – at the elbow, the knee or the shoulder, for example. Its job is to cushion movement, reduce friction and protect the joints and the surrounding tissue. If the bursa is overloaded or irritated it can become inflamed – this is what is known as bursitis.
Treatment options for bursitis
Treatment depends on the cause and the severity of the inflammation. In most cases no operation is needed, as bursitis responds well to non-surgical measures
Treatment options
Non-surgical and surgical – we will find the right approach for you
Rest and avoiding pressure
Not leaning on the elbow directly; using padding or an elbow protector if necessary.
Immobilisation in a splint
The splint is usually worn for a few days, at most 1 to 2 weeks – it is important to move the arm gently and regularly all the same, in order to avoid stiffness.
Cooling compresses to reduce swelling
Cool packs help to reduce swelling and pain.
Taking anti-inflammatory medication
Ibuprofen or diclofenac, for example – as tablets or as an ointment.
Aspirating the bursa
Drawing off the fluid from the bursa with a needle to relieve the pressure and, if needed, to send it for laboratory analysis.
Surgical removal of the bursa (bursectomy)
Only needed with chronic or recurring symptoms, or with a bacterial infection.
Our elbow specialists
Experienced consultants for bursitis and elbow surgery
