What are the treatment options for olecranon bursitis?

Olecranon bursitis is inflammation and fluid build-up in the small sac over the pointed back of the elbow. Repeated leaning, a knock, prolonged pressure, inflammatory disease, or infection can contribute. The elbow may look swollen and feel tender, although movement of the joint can remain fairly good. A clinician may examine the skin and, when needed, test fluid to help identify infection.

Reduce leaning on the elbow and protect it from repeated knocks; padding can help with unavoidable contact. An anti-inflammatory medication may ease pain or inflammation when it is safe for you, but medical advice is needed if you have stomach, kidney, heart, bleeding, or pregnancy concerns. Joint aspiration removes fluid with a needle and may also provide a sample for testing. Bursa removal is a surgical option considered when symptoms persist or return despite appropriate non-surgical care. Do not try to drain the swelling yourself.

Seek prompt medical attention if the elbow is red, hot, increasingly painful, rapidly more swollen, or draining fluid, especially with fever or feeling unwell. Urgent review is also appropriate after an open wound or puncture near the swelling. Infection in the bursa can require treatment that differs from care for pressure-related inflammation.

Ask whether the swelling needs fluid testing, which pain medicines are safe with your conditions, and how to protect the elbow during work or sleep. If aspiration or surgery is discussed, ask about its purpose, wound care, recovery activities, and signs of infection.