The elbow joint is a connection point between the humerus, the radius, and the ulna. A bursa is a fluid filled sac that decreases friction between two tissues. The olecranon bursa covers the olecranon process, which is the pointed part of the elbow formed by an extension of the ulna where it meets the humerus. The bursa is located between the loose skin that covers the elbow joint and the forearm bones. The bursa minimizes the friction and protects the olecranon process from injuries, however the bursa can become inflamed causing elbow bursitis.
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If one suspects they have bursitis, initial treatment should first consist of avoiding the activities that produce any pain. A course of rest, ice, physical therapy, and non-steroidal medications to reduce inflammation is highly recommended to begin treating bursitis of the elbow. If the condition is persistent, a pain management specialist may suggest steroidal medication or injections, in conjunction with physical therapy. If there is excessive swelling, your specialist may drain the fluid from the bursa. In only the most severe cases is a surgical intervention used to correct the condition.
Occasionally your doctor may recommend aspirating or draining the swollen area caused by elbow bursitis. This is done to relieve some of the pain by removing the fluid that has accumulated in the elbow. Typically, the fluid is drained by using a syringe which can then be sent to a lab for analysis. Analysis of the fluid is important in determining whether the bursitis was caused by a bacterial infection. Your doctor may also recommend injecting corticosteroids to further reduce the inflammation.
It is not recommended to drain your elbow bursitis at home without a doctor’s supervision and determining the cause of bursitis. Using a syringe at home can increase the risk of introducing an infection. Another advantage of having a doctor drain the fluid is that they can send it to the lab for analysis. It is important to know whether the elbow bursitis was caused by a bacterial infection or by repetitive pressure placed on the elbow.
The length of time it takes for elbow bursitis to fully heal depends on several factors such as age, underlying conditions and the cause of inflammation. On average, bursitis elbow recovery time can take up to eight weeks to fully heal. Faster healing can be achieved by visiting your doctor and obtaining the appropriate treatment such as aspiration/drainage or steroid injections.
If the inflammation is the result of a bacterial infection, then oral antibiotics may be recommended. Oral antibiotics are typically taken for no longer than seven days. After that, it is important to follow your doctor’s instructions in further taking care of the elbow to prevent worsening of the condition.
In serious cases where the elbow bursitis is reoccurring, bursectomy or surgery to remove the bursa may be needed.
It is important to determine the cause of the inflammation before deciding on a method of treatment. If the bursitis is not severe then conservative treatments can help. Conservative treatments that can be done at home involve rest, ice, and compression. Talk to your doctor about ways of avoiding pressure and protecting your elbow. If the bursitis is the result of a bacterial infection, then it is important to seek proper care which will involve some form of antibiotics. Other causes of bursitis may need steroid injections to reduce the inflammation and speed up the healing process.
Treatment for infected elbow bursitis will include some form antibiotics. Oral antibiotics may need to be taken for up to seven days. In addition to this, aspiration or drainage of the fluid in the elbow will be required.
To prevent elbow bursitis or a re-occurrence of the condition individuals should:
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Dr. Eric D. Freeman is a top-rated, best-in-class pain management doctor. He is a nationally recognized pain relief specialist and is among the top pain care doctors in New Jersey and the country. He is an award-winning expert and contributor to prominent media outlets.
Dr. Eric D. Freeman has been recognized for his thoughtful, thorough, modern approach to treating chronic pain. He has been named a “top pain management doctor in New Jersey” and one of “America’s Top Physicians” for advanced sports injury treatments.
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