Elbow Bursitis

If the back of your elbow suddenly looks like you’re hiding a small water balloon under your skin, you’re likely dealing with elbow bursitis (also called olecranon bursitis or “Popeye elbow”). It’s usually more annoying than serious — but it’s worth getting checked out, especially if it’s red, warm, or painful. The OrthoArkansas team in Little Rock sees this all the time and can get you sorted quickly.

What Does Elbow Bursitis Feel Like?

A bursa is a small fluid-filled sac that cushions the bony tip of your elbow. When it gets irritated or inflamed, it fills up with extra fluid — which is why you suddenly see that telltale swelling at the back of your elbow.

You might have elbow bursitis if you notice:

  • A soft, squishy swelling on the back of your elbow
  • The swelling appeared suddenly or after pressure on your elbow
  • It may or may not hurt (some cases are surprisingly painless)
  • Limited ability to bend your elbow because of the swelling
  • Redness or warmth (this needs urgent attention — could be infection)

Whether it hurts or not, it’s worth letting a specialist take a look — especially if it’s red, warm, or came on quickly. Schedule a visit at OrthoArkansas and we’ll check it out.

Why Does It Happen?

Bursitis can show up for a few different reasons:

  • Pressure from leaning — desk workers, students, anyone who rests their elbows on hard surfaces a lot
  • A bump or fall — a direct hit to the elbow can irritate the bursa
  • Repeated small injuries — common in tradespeople or athletes
  • Infection — if bacteria gets into the bursa through a scrape or cut (this one is serious)
  • Underlying conditions like gout or rheumatoid arthritis

If the area is red, hot, or you have a fever along with the swelling, don’t wait — that could be an infection and needs to be treated right away.

What Happens at Your Visit?

When you come in, our hand, wrist, and elbow specialists will:

  • Take a close look at the swelling and check for signs of infection
  • Ask about how it started and what activities you do
  • Possibly take a sample of the fluid if infection is a concern
  • Use imaging if needed to rule out other issues
  • Build a plan based on what’s causing your bursitis

The treatment path depends on whether your bursitis is irritation-related or infection-related — that’s why a proper evaluation matters.

Self-Care Tips While You Wait for Your Appointment

If your elbow isn’t red or hot (no signs of infection), these simple steps often help:

  • Avoid leaning on your elbow — even on soft surfaces
  • Ice it — 15-20 minutes a few times a day
  • Wear an elbow pad to protect the area
  • Take a break from activities that put pressure on your elbow

Stop self-treating and come in right away if:

  • The skin turns red or feels hot
  • You develop a fever
  • The pain gets worse instead of better
  • You can’t move your elbow

On the Mend

Many cases of elbow bursitis clear up within a few weeks with the right care. To keep it from coming back:

  • Avoid resting your elbows on hard surfaces
  • Use elbow padding for repetitive tasks or sports
  • Take stretch breaks during long desk sessions
  • Don’t ignore early swelling — early care = quicker recovery
  • Cover scrapes and cuts on the elbow to prevent infection

Need a plan tailored to your situation? We’ve got you.

Ready to Get Help?

Come see us if:

  • The swelling has been there for more than a week or two
  • Your elbow is red, hot, or you have a fever (urgent)
  • The pain is getting worse
  • You can’t bend or straighten your elbow normally
  • The bursa keeps refilling after it goes down

Our hand, wrist, and elbow specialists know exactly how to handle this — gently, quickly, and completely. Schedule a visit today — we’ll take it from there.

Elbow Physicians

Jeanine Andersson, MD
David Black, MD
Matthew Burn, MD
J. Kirk Grynwald, MD
Michael Hussey, MD
Brian Norton, MD
Kirk Reynolds, MD
Martin Siems, MD
P. Allan Smith, MD
James Tucker, MD
Victor Vargas, MD
Henry Wallace, MD
Richard Wirges, MD

Find a Clinic Near You

We have strategically placed our clinics to provide top-quality orthopedic care close to home.

Little Rock - Midtown

800 Fair Park Blvd, Little Rock, AR 72204

Monday – Friday : 8 AM – 5 PM

North Little Rock

3480 Landers Road North Little Rock, AR 72117

Monday – Friday : 8 AM – 5 PM

Bryant

6144 hwy 5 north Suite 300 Bryant, AR 72022

Monday – Friday : 8 AM – 5 PM

Clinton

2526 Hwy 65 S., Suite 205 Clinton, AR 72031

Monday – Friday : 8 AM – 5 PM

Conway

505 E Dave Ward Drive, Suite B Conway, AR 72032

Monday – Friday : 8 AM – 5 PM

Heber Springs

301 Southridge Blvd, Suite A Heber Springs, AR 72543

Monday – Friday : 8 AM – 5 PM

Frequently Asked Questions About Elbow Bursitis

Usually no. Most cases of bursitis resolve and the elbow returns to normal once the inflammation calms down. In rare cases, the bursa can thicken from repeated episodes — but that’s something your specialist can help prevent.

Please don’t. Trying to pop or drain bursitis at home can introduce bacteria and turn a simple irritation into a serious infection. If drainage is needed, it should happen in a sterile clinical setting.

Most cases aren’t dangerous, just uncomfortable. The exception is infected bursitis — that one needs urgent treatment. If your elbow is red, warm to the touch, or you feel feverish, come in right away.

Light activity is usually fine, but avoid anything that puts direct pressure on the elbow (push-ups, planks, weighted dips) until the swelling settles. Your specialist can help you figure out what’s safe based on your case.

Mild cases often improve in 1-2 weeks with rest and ice. More stubborn cases may take longer or need additional treatment options. Either way, we’ll be straight with you about timelines.