Treatments for Fluid on the Elbow
Fluid on the elbow is known as elbow bursitis or olecranon bursitis 123. This condition is the result of fluid accumulating in the bursa, which is a saclike structure located at the point behind the elbow. This sac allows smooth movement in the elbow, making it easier to pick up, throw and hold objects. When the sac becomes inflamed, it may be necessary to seek treatment for the elbow bursitis 23.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Drainage
Because fluid accumulation in the elbow bursa is responsible for the inflammation and pain of bursitis, it may become necessary to drain the fluid 23. Dr. Jacob D. Rozbruch, an orthopedic surgeon from New York, describes the drainage procedure as the insertion of a needle to drain fluid from the bursa 1. If no signs of infection are found during the procedure, cortisone is given to control the inflammation and ease the pain of this condition.
R.I.C.E.
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PDR Health indicates that the R.I.C.E. method of injury treatment can be used to relieve the pain and inflammation of olecranon bursitis 1. This acronym stands for rest, ice, compression and elevation. Rest the elbow whenever possible to reduce swelling and avoid the progression of bursitis 23. Put an ice pack on your elbow for 15 to 20 minutes at a time, three to four times per day. This ice pack should be covered with a towel or pad to prevent injury to the skin. Compression may be used to prevent swelling, but should be used carefully to prevent cutoff of the oxygen supply to the fingers. Elevate your arm above the level of your heart by propping it up on a pillow or pile of blankets.
- PDR Health indicates that the R.I.C.E.
- method of injury treatment can be used to relieve the pain and inflammation of olecranon bursitis 1.
- This ice pack should be covered with a towel or pad to prevent injury to the skin.
Physical Therapy
Physical therapy is used to treat the pain of elbow bursitis 23. Exercises performed during physical therapy strengthen the elbow and make it possible to have a wider range of motion. Physical therapists can also use ultrasound to improve blood flow to the area of fluid accumulation. This provides deep heat that can ease inflammation. Ultrasound can also be used to activate cortisone cream that has been applied to areas of pain and inflammation caused by bursitis.
- Physical therapy is used to treat the pain of elbow bursitis 2.
- Ultrasound can also be used to activate cortisone cream that has been applied to areas of pain and inflammation caused by bursitis.
Anti-inflammatory Drugs
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Nonsteroidal anti-inflammatory drugs (NSAIDs) can be used to control the pain and inflammation of the bursa. These drugs can be purchased without a prescription but should not be used without consulting a medical professional. NSAIDs increase the risk of gastrointestinal bleeding and may also be dangerous for people who have reduced kidney function. When using NSAIDs to treat bursitis, follow all of your doctor's instructions carefully and read all package instructions to avoid adverse side effects and overdose. Examples of NSAIDs include ibuprofen, naproxen and ketoprofen.
- Nonsteroidal anti-inflammatory drugs (NSAIDs) can be used to control the pain and inflammation of the bursa.
- NSAIDs increase the risk of gastrointestinal bleeding and may also be dangerous for people who have reduced kidney function.
Cortisone Injections
Cortisone injections are used to treat the inflammation of bursitis and provide long-term relief of pain caused by the condition. According to the Rothman Institute, the cortisone suppresses the body's inflammatory response, which leads to reduced pain 3. While these injections are effective at reducing inflammation, they are not without risks. Nerve damage, bone death, joint infection, weakened tendons, bone thinning, skin thinning and whitening of the skin around the site of the injection are possible risks of cortisone injections.
- Cortisone injections are used to treat the inflammation of bursitis and provide long-term relief of pain caused by the condition.
Related Articles
References
- Dr. Jacob Rozbruch: Olecranon Bursitis
- PDR Health: Elbow Bursitis
- Taylor SA, Hannafin JA. Evaluation and Management of Elbow Tendinopathy. Sports Health. 2012;4(5):384-393. doi:10.1177/1941738112454651
- Khodaee M. Common Superficial Bursitis. Am Fam Physician. 2017;95(4):224-231.
- Hubbard MJ, Hildebrand BA, Battafarano MM, Battafarano DF. Common Soft Tissue Musculoskeletal Pain Disorders. Prim Care. 2018;45(2):289-303. doi:10.1016/j.pop.2018.02.006
- Bracilovic A. Septic Bursitis. Veritas Health, LLC. Updated November 21, 2019.
- Blackwell JR, Hay BA, Bolt AM, Hay SM. Olecranon bursitis: a systematic overview. Shoulder Elbow. 2014;6(3):182-190. doi:10.1177/1758573214532787
- InformedHealth.org. Bursitis: Overview. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006.
- InformedHealth.org. How can bursitis be treated? Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006.
- Patel J, Girishkumar, Mruthyunjaya, Rupakumar CS. Bilateral Olecranon Bursitis - A Rare Clinical presentation of Calcium Pyrophosphate Crystal Deposition Disease. J Orthop Case Rep. 2014;4(1):3-6. doi:10.13107/jocr.2250-0685.137
- Lockman L. Treating nonseptic olecranon bursitis: a 3-step technique. Can Fam Physician. 2010;56(11):1157.
- Sayegh ET, Strauch RJ. Treatment of olecranon bursitis: a systematic review. Arch Orthop Trauma Surg. 2014;134(11):1517-1536.
- Aaron DL, et al. "Four Common Types of Bursitis: Diagnosis and Management." J Am Acad Orthop Surg June 2011; 19:359-367.
Writer Bio
Leigh Zaykoski has been a writer and editor for six years. Her medical writing has appeared on dozens of websites. Zaykoski attended the University of Pittsburgh and Keystone College, studying microbiology and business administration. She is currently pursuing a medical writing certification.