Golfer's Elbow

What is it olecranon bursitis?

Olecranon bursitis, commonly referred to as "student’s elbow," is a condition characterized by inflammation and swelling of the bursa located at the tip of the elbow. The bursa is a small fluid-filled sac that acts as a cushion between the skin and the underlying bone to reduce friction during movement. When irritated or inflamed, it can lead to noticeable swelling and discomfort. Physiotherapy plays a key role in managing and resolving the symptoms of olecranon bursitis through targeted treatments and advice.

Above: Passive stretch of the elbow joint applied by the therapist

What causes olecranon bursitis?

Olecranon bursitis occurs when the olecranon bursa — a small, fluid-filled sac at the tip of the elbow — becomes irritated or damaged. This can happen due to a direct impact or trauma to the elbow, which may rupture small blood vessels inside the bursa, triggering inflammation and swelling. Another common cause is repeated minor pressure or friction over time, such as leaning on the elbows for extended periods while studying or working. This chronic irritation can lead to thickening of the bursa, inflammation, and ultimately bursitis.

What are the symptoms of olecranon bursitis?

Olecranon bursitis typically presents with noticeable swelling and discomfort at the back of the elbow. The swelling may range from mild to severe and is often described as a soft, fluid-filled lump — sometimes taking on an ‘egg-shaped’ appearance. Pain is usually localized over the tip of the elbow and becomes more noticeable when leaning on the elbow or during elbow movements like bending and straightening. In some cases, firm or small lumps may be felt beneath the skin, representing thickened areas of the bursa. These can cause a sensation of something moving under the skin and may increase discomfort. Other possible symptoms include warmth or redness over the elbow (especially if the bursitis is infected), reduced range of motion, and tenderness when touched.

  • reduced range of movement
  • spasm
  • tingling / pins and needles
  • weakness

What should I do if I have olecranon bursitis?

The first 24 to 48 hours following an injury are crucial for effective treatment. While swelling is a normal part of the healing process, excessive swelling can slow down recovery and lead to additional tissue damage. To help reduce the extent of damage to the elbow, it is important to follow the RICE protocol—rest, ice, compression, and elevation. This combination helps to lower blood flow to the affected area, which in turn reduces pain, limits swelling, and minimises further tissue damage, ultimately supporting a more efficient healing process.

If you suspect you have olecranon bursitis, it's important to avoid activities that may have triggered the condition, such as leaning your elbows on hard surfaces. If avoiding these activities isn't feasible, taking regular breaks and using cushioning to reduce pressure on the elbow can help manage symptoms. After addressing these initial measures, consulting a physiotherapist is recommended. In some cases, a visit to your GP may be necessary, as treatment might require anti-inflammatory medication or an injection to effectively reduce inflammation and support recovery. Ask ChatGPT

What should I do if I have olecranon bursitis?

Physiotherapy plays a key role in the effective treatment of olecranon bursitis. If the condition is the result of a specific injury, your physiotherapist—often alongside your GP—will assess the extent of the damage to the bursa and surrounding tissues. This evaluation helps determine an estimated healing timeline. Using targeted techniques, your physiotherapist will work to reduce pain and swelling while encouraging tissue repair, supporting a safe return to daily activity.

In cases where bursitis develops due to repeated minor trauma, your physiotherapist will help identify contributing factors and implement strategies to promote healing and prevent recurrence. This may involve posture modification, ergonomic adjustments, and activity changes. In more persistent cases, they may refer you to your GP for medical interventions such as aspiration of the fluid, prescription anti-inflammatory medications, or an injection into the bursa to manage inflammation and accelerate recovery.

  • Taping
  • Postural Realignment
  • Ergonomic Assessment
  • Soft Tissue Treatment

Physiotherapy treatment for referred pain.

The physiotherapy you receive will be guided by the findings of your initial assessment. A variety of treatment options may be available, and these will be discussed with you at the beginning of your programme. Physiotherapy may include electrotherapy techniques such as ultrasound or laser therapy, a structured and progressive exercise programme, and soft tissue massage. Additional specialised treatments may include:

  • Hydrotherapy
  • Soft Tissue Treatment
  • Manipulation / Mobilisation
  • Taping

What shouldn’t I do if I have olecranon bursitis?

If you have olecranon bursitis, it’s important to avoid any activity that could worsen inflammation or delay healing. In the early stages—particularly within the first few days after the injury—you should steer clear of anything that increases blood flow to the elbow, such as hot showers, heat rubs, alcohol, and vigorous activity. These can aggravate bleeding and swelling within the bursa, potentially extending your recovery time. Additionally, avoid placing pressure on your elbows, such as resting them on hard surfaces, as this can further irritate the bursa and intensify your symptoms. Ask ChatGPT

To arrange an appointment, please call +65 81535374 or visit acephysiosports.com.

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    Taping
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