From the FDA Drug Label
Management of Pain, Primary Dysmenorrhea, and Acute Tendonitis and Bursitis Because the sodium salt of naproxen is more rapidly absorbed, naproxen sodium is recommended for the management of acute painful conditions when prompt onset of pain relief is desired. Naproxen may also be used The recommended starting dose of naproxen is 500 mg, followed by 500 mg every 12 hours or 250 mg every 6 to 8 hours as required.
The treatment for olecranon bursitis may include naproxen. The recommended starting dose is 500 mg, followed by 500 mg every 12 hours or 250 mg every 6 to 8 hours as required. The initial total daily dose should not exceed 1250 mg of naproxen. Thereafter, the total daily dose should not exceed 1000 mg of naproxen 1.
From the Research
Treatment for olecranon bursitis should begin with conservative measures, including rest, ice application, compression, and elevation of the affected elbow, as these methods have been shown to be effective in reducing pain and inflammation 2. The initial approach to managing olecranon bursitis involves non-invasive techniques to alleviate symptoms and promote healing.
- Rest: Avoiding activities that aggravate the condition is crucial.
- Ice application: Applying ice for 15-20 minutes several times daily can help reduce pain and inflammation.
- Compression: Using an elastic bandage to compress the area can help reduce swelling.
- Elevation: Elevating the affected elbow above the level of the heart can help reduce swelling.
Over-the-counter NSAIDs like ibuprofen (400-600mg three times daily) or naproxen (500mg twice daily) can be used to reduce pain and inflammation 2. For more severe cases, aspiration of fluid from the bursa may be performed by a healthcare provider, but this should be done with caution and only when necessary, as it may increase the risk of infection 3. Antibiotics like cephalexin (500mg four times daily for 7-10 days) or clindamycin (300mg four times daily for 7-10 days) are prescribed if infection is present, identified by warmth, redness, fever, or purulent drainage 4. Surgery is rarely needed and should only be considered for recurrent or chronic cases that don't respond to other treatments, as it is associated with higher rates of complications 3. It is essential to note that the treatment approach may vary depending on the underlying cause of the olecranon bursitis, and a thorough evaluation should be conducted to determine the best course of treatment 5. In general, a conservative approach is recommended, and invasive procedures should be avoided unless absolutely necessary, as they can lead to adverse effects and complications 2.