Student's Elbow (Olecranon Bursitis) - Symptoms

Authored by Dr Mary Harding, 28 Sep 2016

Patient is a certified member of
The Information Standard

Reviewed by:
Dr John Cox, 28 Sep 2016

You cannot normally feel or see a bursa. If the olecranon bursa is inflamed then it causes a thickness and swelling over the back of the elbow. The bursa may also fill with fluid and it then looks like a small soft ball.

There are two types of olecranon bursitis:

  • Infected (septic)
  • Non-infected (aseptic)

It is not always obvious which type it is, but the symptoms tend to be slightly different. The non-infected type is the most common.

Aseptic bursitis

Most cases are painless, or are only mildly painful. The movement of the elbow joint is not affected. It may hurt to put any pressure on your elbows - for example, if you lean on them at a desk. It may also hurt a little when you bend your elbow. The swelling looks the same colour as the rest of your skin, or slightly pink. It may feel the same temperature as the rest of your skin, or may be slightly warm. The swelling is soft rather than hard when you touch it, and you may be able to feel the fluid moving within it when you press on it.

A bursitis associated with another condition such as arthritis may not be painful itself but you will have other symptoms related to the arthritis, such as joint pains.

Septic bursitis

If the bursa is infected then you will usually develop pain, redness and tenderness behind the elbow. There may also be redness and swelling spreading away from the elbow. You may have a high temperature (fever). There may be a graze or wound on the skin over the swelling, where the germs (bacteria) entered.

Further reading and references

I am an active 63 years and have had a very painful elbow on the inside bone for about four months, stopped pickle ball and golf. Went to the Doctor after a couple months wearing elbow band and he...

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