Swollen Elbow: Causes, Symptoms, and Treatments

Having a swollen elbow can greatly impact your daily activities and cause discomfort. Your elbow is a vital joint that connects the upper arm bone to the lower arm bones and allows for movements like bending, straightening, and rotation.

When your elbow becomes swollen, it can limit these movements and make simple tasks more difficult. Swelling in the elbow can be caused by various factors such as injury, inflammation, infections or underlying medical conditions.

Wondering why your elbow is swollen and what to do about it? This article covers the main causes, symptoms, and treatments for a swollen elbow.

Key Takeaways

  • Elbow bursitis involves inflammation of the olecranon bursa, leading to pain and swelling that can restrict arm mobility.
  • Causes of a swollen elbow include injuries, medical conditions such as rheumatoid arthritis and gout, infections, and fluid accumulation.
  • Effective treatment approaches vary by cause but may include rest, ice, physical therapy, and in cases of infection, antibiotics or drainage.

What is a Swollen Elbow

Elbow bursitis refers to the inflammation occurring in the entire bursa located in the elbow joint. This condition can lead to discomfort and swelling in the affected area. The olecranon bursa, a fluid-filled sac located at the tip of the elbow, becomes inflamed, leading to swelling and pain. This condition can be quite debilitating, as the excess fluid in the bursa impedes normal mobility and makes even simple tasks challenging.

When the olecranon bursa is inflamed, it can cause a noticeable and painful swelling around the elbow joint. This swelling often results from inflammation due to trauma, repetitive activities, or infections. The pain and swelling can significantly affect your ability to use your arm effectively, making it essential to understand and address this condition promptly.

Olecranon bursitis, a specific type of elbow bursitis, is particularly known for causing painful swelling. This condition, elbow olecranon bursitis, highlights the importance of recognizing the symptoms early and seeking appropriate treatment to manage the inflammation and reduce the impact on your daily life.

Causes of a Swollen Elbow

Several factors can cause a swollen elbow, from injuries to medical conditions and infections. Understanding these causes can help in identifying the best approach to treatment and prevention.

Elbow bursitis can develop due to various reasons, including trauma from sports injuries, repetitive motions, or even infections. Additionally, medical conditions such as rheumatoid arthritis and gout can also lead to inflammation in the olecranon bursa, causing pain and swelling. When these factors are present, bursitis develops in the olecranon bursa.

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Injury-related Causes

Trauma to the elbow, such as direct blows or falls, can lead to significant swelling and pain. Fractures and dislocations are common injury-related causes that can result in a swollen elbow. Sprains and strains from overuse or sudden impacts also contribute to the swelling.

These injuries can cause internal bleeding and inflammation, leading to the development of elbow bursitis.

Medical Conditions

Certain medical conditions are known to cause elbow bursitis. Rheumatoid arthritis and gout are two such conditions that lead to inflammation and swelling in the elbow joint. Tendonitis, such as lateral epicondylitis or tennis elbow, can also cause pain and swelling around the elbow.

Recognizing these conditions and managing them effectively is crucial for preventing and treating elbow bursitis.

Infections

Infections can also cause elbow bursitis. Septic bursitis, for instance, is an infection of the bursa that results in inflammation and swelling. Cellulitis, another infection, affects the deeper tissues around the elbow, leading to significant pain and swelling.

In such cases, immediate medical attention is necessary to prevent the infection from spreading and causing further complications. Doctors may prescribe antibiotics, and when necessary, a doctor prescribes antibiotics to treat the infection and reduce the swelling. Doctors may recommend aspirating the bursa with a needle to relieve symptoms if bursitis is due to infection.

Fluid Accumulation

Fluid accumulation within the bursa sac is another common cause of a swollen elbow. Synovial fluid buildup, also known as effusion, can lead to significant swelling and pain.

Blood or lymphatic fluid accumulation due to injury or prolonged pressure on the elbow can also cause the bursa to swell, leading to the presence of bursal fluid. An infected bursa produces fluid, and managing these conditions involves reducing the fluid buildup and addressing the underlying cause of the inflammation.

Symptoms of a Swollen Elbow

Recognizing the symptoms of a swollen elbow is crucial for early intervention. Common symptoms are pain and swelling. Additionally, redness around the elbow joint may also occur. Infections can cause additional symptoms such as discoloration, warmth, and fever. Understanding these symptoms can help in identifying the underlying cause and seeking appropriate treatment.

Visible Swelling

Visible swelling is one of the most apparent symptoms of elbow bursitis. The swelling can range from mild to severe and can be located on the front, back, or sides of the elbow. This swelling is often due to the accumulation of excess fluid in the bursa sac, causing the elbow to appear enlarged and feel soft to the touch.

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Pain

Pain is another common symptom of a swollen elbow. This pain can be sharp or dull and is often exacerbated by movement or direct pressure on the swollen area. The pain from an inflamed bursa may be sudden or build up over time. The pain can make it difficult to perform daily tasks, highlighting the importance of seeking treatment to manage the inflammation and reduce discomfort.

Restricted Movement

Swelling in the elbow can significantly restrict movement for long periods, making it challenging to perform actions that involve bending or straightening the arm in tight spaces. This limited range of movement can affect daily activities such as lifting objects, gripping items, or even typing on a keyboard.

Managing the swelling and pain in the soft tissues is crucial to reduce pain and restoring normal mobility with an ice pack.

Other Signs

Other signs of a swollen elbow include redness and warmth around the affected area. These symptoms are often indicative of an infection and require immediate medical attention. In cases of infection, fever may also be present.

Recognizing these additional signs can help in identifying the underlying cause and seeking appropriate treatment.

Types of Elbow Bursitis

Elbow bursitis can be categorized into two main types: septic and non-septic bursitis. Septic bursitis is caused by an infection in the bursa, leading to inflammation, discoloration, and warmth around the elbow. Non-septic bursitis, on the other hand, results from inflammation due to repetitive motions or trauma. This type is characterized by swelling and pain around the elbow joint without any infection.

Septic bursitis often requires medical intervention, including antibiotics and drainage of the infected bursa. Non-septic bursitis can often be managed with rest, ice, and over-the-counter anti-inflammatory medications. Recognizing the symptoms of both types is crucial for effective treatment and management.

Diagnosing a Swollen Elbow

Diagnosing a swollen elbow involves a thorough medical history and physical examination. The medical history may reveal previous trauma or repetitive activities that could have caused the swelling.

During the physical exam, doctors often find distinct swelling at the back of the elbow, which may feel soft and fluctuate, resembling a ‘goose egg’. Imaging studies, such as X-rays or MRIs, are used to rule out fractures or other underlying injuries. Fluid samples from the bursa can also be analyzed to identify infections or inflammation. Fluid testing can help diagnose whether the bursitis is caused by infection or gout.

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Treating a Swollen Elbow

Treating a swollen elbow involves various approaches depending on the underlying cause. Using protective gear, such as elbow pads, during physical activities can help prevent further injury. Physical therapy may be recommended to strengthen the elbow and improve flexibility.

In some cases, corticosteroid injections can reduce inflammation and provide relief. If the inflamed bursa is infected, doctors may need to drain it and prescribe antibiotics as part of the treatment. In some cases, surgery may be necessary to remove the inflamed bursa and restore typical joint function.

Preventing Elbow Swelling

Preventing elbow swelling involves adopting several practical measures. Here are some key strategies:

  1. Maintain proper posture to avoid irritating the elbow bursa.
  2. Wear protective gear, such as elbow pads, to shield the elbow from injury.
  3. Limit repetitive use of the elbow to prevent inflammation.
  4. Allow adequate recovery time between strenuous activities for elbow health.
  5. Avoid activities that put excessive strain on the elbow to reduce the risk of swelling.
  6. Perform proper warm-up and stretching before physical activities to prevent injuries.
  7. Engage in strengthening exercises for the elbow to help maintain joint stability.
  8. Ensure hydration and proper nutrition to support overall joint health.
  9. Manage conditions like diabetes and thyroid disease to reduce the risk of elbow bursitis.

By following these measures, you can help prevent elbow swelling and maintain joint health.

Implementing these preventive measures can significantly reduce the risk of developing elbow bursitis and other related conditions.

When to Seek Medical Attention

Certain symptoms indicate the need for immediate medical attention. Fever, discoloration, or warmth around the elbow could suggest an infection and necessitate prompt medical intervention. The first symptom may often be subtle but should not be ignored. Anyone experiencing symptoms of elbow bursitis needs to consult a doctor for a diagnosis.

If fluid begins to drain from the elbow, it is critical to seek emergency care to prevent further complications and manage any extra fluid effectively. Timely medical attention can help manage the condition effectively and prevent long-term damage.

Morris Tucker
Morris Tucker

For over 13 years, Morris Tucker has been a leading orthopedic pain treatment specialist. He diagnoses and treats shoulder, elbow, hip, knee, foot, and ankle pain. Dr. Tucker is a pioneer in non-surgical therapies for chronic pain such spondylosis, back pain, sciatica, arthritis, and fibromyalgia. He has an M.D. and PhD, demonstrating his dedication to pain management research and treatment.