How to remove black spots on elbow?

Elbow skin is exposed to pressure and rubbing, and rough dryness can make colour changes more noticeable. Darkening can remain after a rash, scratch, bite, or inflamed bump has settled. A spot that is raised, scaly, tender, spreading, or associated with repeated pimples may need a clinician to distinguish irritation from folliculitis or another condition. A dark mark alone does not establish its cause.

Use a fragrance-free moisturiser after bathing and whenever the skin feels tight. Avoid leaning on the elbows, harsh scrubs, lemon, and unlabelled lightening mixtures, because irritation can deepen pigmentation. Cover the area or use broad-spectrum sunscreen when elbows are exposed. If bumps or ingrown hairs are present, discuss whether treatment for [Folliculitis](/conditions/folliculitis/) or [Pimples](/symptoms/pimples/) fits the pattern. A dermatologist may consider prescription creams or a supervised procedure; [LED Light Therapy](/treatments/laser-and-energy/led-light-therapy/) is not a universal treatment for pigment and should be selected for a diagnosed problem.

Arrange an appointment if the mark changes quickly, bleeds, crusts, becomes painful, develops a persistent sore, or differs clearly from nearby spots. Seek prompt care for spreading redness, warmth, swelling, pus, or fever. A clinician can examine the surface and ask about friction, eczema, new products, and medicines before recommending pigment treatment.

Could this be post-inflammatory darkening, irritation, or folliculitis? Which moisturiser or active ingredient is suitable for my skin? How should I test a product and stop it if burning or peeling develops? Would treatment of an underlying rash be needed first?