Ultrasound-Guided Cortisone Injections for Olecranon Bursitis — Alton Pain Clinic

 

Introduction

Olecranon bursitis, commonly referred to as “student’s elbow” or “baker’s elbow,” is an inflammatory condition affecting the bursa located at the tip of the elbow. At Alton Pain Clinic, we recognise that this condition can cause discomfort, swelling, and limitation in elbow function, potentially impacting daily activities and work.

Anatomy of the Elbow and Olecranon Bursa

The elbow joint consists of the humerus, radius, and ulna. The olecranon is the bony prominence at the back of the ulna. Overlying the olecranon is the olecranon bursa — a small, fluid-filled sac that cushions the skin and soft tissue from friction during elbow movement.

Pathology of Olecranon Bursitis

Olecranon bursitis arises when the bursa becomes inflamed, often due to repetitive pressure, trauma, infection, or underlying systemic conditions such as gout or rheumatoid arthritis. The bursa fills with excess fluid, leading to visible swelling at the back of the elbow.

Symptoms and Presentation

Common features include:

  • Swelling over the tip of the elbow
  • Tenderness on palpation
  • Reduced range of movement due to discomfort
  • Redness and warmth if infection is present

Causes and Risk Factors

  • Repetitive microtrauma: Leaning on hard surfaces
  • Direct trauma: A blow to the elbow
  • Systemic disease: Gout, rheumatoid arthritis
  • Infection: Septic bursitis

Diagnosis

A clinician at Alton Pain Clinic will conduct a thorough assessment, including clinical examination, medical history, and possibly imaging such as ultrasound to evaluate the bursa and surrounding structures.

Management Options

Conservative approaches may include activity modification, compression, and addressing underlying causes. When inflammation persists, ultrasound-guided cortisone injections may be considered as part of a management plan.

Ultrasound-Guided Cortisone Injections at Alton Pain Clinic

Using real-time ultrasound guidance, a clinician can visualise the inflamed bursa and deliver a corticosteroid injection precisely to the affected site. This approach is designed to enhance accuracy and minimise discomfort during the procedure.

Mechanism of Action of Cortisone

Corticosteroids modulate the body’s inflammatory response by reducing the activity of pro-inflammatory chemicals and cells. When introduced into the inflamed bursa, cortisone reduces swelling and tissue irritation, potentially easing symptoms.

Why Choose Alton Pain Clinic

At Alton Pain Clinic, injections are performed by experienced clinicians using advanced ultrasound technology. The emphasis is on precision, patient comfort, and tailored management plans.

Conclusion

Olecranon bursitis can be a troublesome condition, but with appropriate assessment and targeted interventions such as ultrasound-guided cortisone injections, it can be effectively managed as part of a comprehensive care plan. Alton Pain Clinic is committed to supporting patients through evidence-based and individualised treatment options.

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