Elbow Bursitis (Olecranon Bursitis)

Several signs suggest infection (septic bursitis): 1) Warmth around the bursa, 2) Redness of skin, 3) Severe tenderness, 4) Fever or systemic symptoms, 5) Pus or cloudy fluid on aspiration, 6) Skin breaks near elbow, 7) Rapid progression. About 20% of cases are septic. Aspiration with fluid analysis is essential to distinguish septic from aseptic. Septic cases need antibiotics; aseptic cases need conservative care. Don't guess - get medical evaluation. Diabetes and immunosuppression increase infection risk and severity.

Many aseptic cases resolve with simple measures: 1) Aseptic bursitis: 60-70% resolve with rest, ice, padding, 2) Time: typically 2-4 weeks, 3) Avoid leaning on elbow, 4) NSAIDs help with pain, 5) Aspiration if large/uncomfortable. But seek care if: warmth, redness, fever (suggests infection), pain getting worse, not improving in 2 weeks, recurrent episodes, underlying conditions (diabetes, immunosuppression). Septic bursitis NEVER resolves on its own - requires antibiotics. The distinction matters tremendously.

NO - never attempt home drainage. Risks: 1) Introducing infection if currently aseptic, 2) Spreading existing infection deeper, 3) Causing chronic problems, 4) Damaging deeper structures, 5) Making diagnosis difficult. Medical aspiration is different: Done sterile technique, fluid analyzed for infection/crystals/cells, treatment guided by results, follow-up appropriate. Even simple-appearing elbow swelling can be septic. Get proper medical evaluation - aspiration when done correctly is straightforward office procedure with valuable diagnostic information.