Olecranon Bursitis Aspiration Aftercare Instructions
After olecranon bursitis aspiration, patients should rest the affected elbow, apply ice for 10-minute periods through a wet towel, and use open-backed elbow protection to avoid pressure on the area. 1
Immediate Post-Aspiration Care
- Apply a sterile dressing to the aspiration site and maintain for 24-48 hours 1
- Rest the affected elbow and avoid direct pressure on the olecranon 1
- Apply ice through a wet towel for 10-minute periods several times daily to reduce swelling and pain 1
- Elevate the arm when possible to minimize swelling 2
- Monitor the aspiration site for signs of infection (increasing redness, warmth, pain, or drainage) 3
Pain Management
- Use oral non-steroidal anti-inflammatory drugs (NSAIDs) as prescribed for pain relief 1, 2
- Topical NSAIDs may be effective with fewer systemic side effects 1
- Avoid massaging the area or applying direct pressure to the aspiration site 4
Activity Restrictions
- Avoid leaning on the affected elbow for at least 2 weeks 1, 4
- Use open-backed elbow protection to reduce pressure on the affected area 1
- Gradually return to normal activities as pain and swelling subside 2
- Consider temporary immobilization with a splint or brace for acute or refractory cases 1
Follow-up Care
- Return for follow-up evaluation as directed by your healthcare provider 3
- Be aware that recovery from olecranon bursitis can take weeks to months 3
- Additional aspiration may be necessary if fluid reaccumulates 3, 2
Warning Signs Requiring Immediate Medical Attention
- Fever or chills 3
- Increasing pain, redness, warmth, or swelling around the aspiration site 3
- Purulent (pus-like) drainage from the aspiration site 3
- Inability to move the elbow 2
Long-term Management
- Consider using protective elbow pads during activities that put pressure on the elbow to prevent recurrence 4
- Be aware that some cases may become chronic or recurrent, potentially requiring additional treatments 5
- For persistent or recurrent cases, additional interventions may be necessary, including repeated aspiration or surgical consultation 1, 5
Important Considerations
- Corticosteroid injections, while sometimes used for rapid symptom relief, carry risks of complications including skin atrophy, infection, and chronic local pain 6, 2
- Conservative management (rest, ice, NSAIDs, and aspiration) remains the first-line approach for most cases of olecranon bursitis 4, 2
- Surgical intervention is generally reserved for cases that fail conservative management 4, 5