March, 2023

ELBOW BURSITIS (OLECRANON)

Written by: Motric Recovery

The bursae are located throughout the body, between the soft tissues and bones, being small sacs with liquid with a lubricating role. The oleocranon bursa is located in the middle of the sharp head of the elbow, allowing smooth/light movement between the skin and the oleocranon bone. When the bursa becomes irritated or inflamed, more fluid accumulates in the elbow and bursitis begins to develop.

Elbow bursitis was also called the student's bursitis because after many hours of writing, students tend to rest with their elbows on their desks. This irritates the bursa by rubbing the elbow on the desk. Mainly elbow bursitis affects people who spend many hours writing or resting with elbows on a hard surface.

Also, direct blows to the elbow can lead to inflammation of the bursa.

Gout and rheumatoid arthritis may be associated with inflammation of the elbow bursa.

Bursitis of the elbow initially presents only swelling of the area behind the elbow and is associated with pain and redness when it becomes infected or is very inflamed.

ANATOMY OF THE ELBOW JOINT

Three bones with distinct shapes join together to form the elbow joint :

➢ humerus (arm bone)

➢ radius and ulna (bones of the forearm)

Ligaments, which are connected to the bones, work to keep the elbow joint in proper alignment.
As the muscles contract and relax, two distinct movements occur in the elbow joint, namely:
1. flexion-extension (bending-straightening) of the forearm
2. pronation-supination of the hand (turning the palm upwards and downwards)

 bursa

HOW DO WE TREAT THE BURSITIS OF THE ELBOW?

1. Aspiration, if it is suspected that bursitis is the result of an infection. This procedure helps relieve symptoms but is also important to examine the extracted fluid to see if there are growing bacteria.

2. Antibiotics, if bursitis is caused by infection and not by irritation/friction of the bursa by a hard surface.

3. Avoiding activities that put pressure on the inflamed area

4 . Anti-inflammatory medicine and local ice applications help reduce inflammation and pain. Always put a towel between the ice and the area on which it is applied.

5. Elbow pads, if necessary, help cushion the elbow touch.

6. Physical therapy
✓ stretching exercises are useful for desensitizing tissues affected by bursitis

✓ exercises to tone the muscles around the elbow, more precisely the arm and forearm muscles.

7. Surgery, in the case of uninfected bursae that have not responded to the treatment methods described above, consisting of excision of the bursa. After surgery, a plastered splint is worn for a while, in order to keep the elbow immobilized. After removing the splint, the elbow mobilization begins, initially through light exercises, continuing with stretching exercises and toning the muscles around the elbow.

ADVICE:

1. Reduce periods of resting the elbows on the table/desk
2. Apply ice to the elbow for 6 weeks for a significant improvement
3. Continue the exercising program to reduce pain and tone the muscles around the elbow.

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