Episode 1 Elbow bursitis
Manage episode 311873465 series 3195467
Elbow bursitis is usually an inflammatory response from repeated trauma to the elbow. It is common in people who lean on their elbow while driving or sitting in a chair. Other causes include septic (infection), or inflammatory bursitis (gout, rheumatoid arthritis). Symptoms can include pain and swelling to the posterior or back side of the elbow. The swelling is due to the bursa filling with fluid and can become quite large. For initial treatment, I recommend ice, elevation, compression and protection of the elbow with an elbow pad. On occasion, to shorten the course of the symptoms, I will aspirate the bursa by placing a needle into the fluid filled sac and withdraw the fluid. This fluid is then sent to lab to rule out infection or other pathology. If the bursa appears red and is warm to touch, there may be an infection which is known as septic bursitis, and additional lab work is needed. If the fluid and labs suggest an infection or other pathology, medications other than an anti-inflammatory are prescribed. After removing the fluid, I recommend placing a compressive dressing which can be removed after 24 hours. I suggest wearing an elbow pad, avoid placing pressure on the elbow, and anti-inflammatories to reduce prevent recurrence.
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