Explanation of Diagnosis

Olecranon bursitis occurs when the bursa (a fluid-filled sac that cushions the elbow) becomes inflamed, leading to swelling, pain, and tenderness at the back of the elbow. It can result from trauma (direct impact), prolonged pressure (leaning on the elbow), infection, or repetitive movements. If the swelling is red, warm, or associated with fever, an infection (septic bursitis) may be present, requiring medical treatment.

Specific Work Modifications

• Avoid resting the elbow on hard surfaces; use padding if necessary.
• Limit repetitive bending and pressure on the elbow.
• Use a cushioned elbow sleeve if frequent contact with hard surfaces is unavoidable.
• Take frequent breaks and adjust the workstation to reduce strain on the elbow.

Specific Activity Modifications

• Avoid activities that involve direct pressure or impact to the elbow (e.g., weightlifting, leaning on hard surfaces, contact sports).
• Modify sports (e.g., tennis, golf) by using proper form and padding to reduce stress on the elbow.
• For hobbies like gardening, painting, or playing instruments, use elbow support and take breaks.
• Gradually reintroduce activities as swelling and pain improve.

Recommended Supplements

• Turmeric (500 mg twice daily) – Helps reduce inflammation.
• Omega-3 fatty acids (1000 mg daily) – Supports joint health and reduces swelling.
• Vitamin C (500 mg daily) – Aids tissue healing.
• Bromelain (500 mg daily) – Anti-inflammatory enzyme that may help with swelling.

Recommended Nutrition and Hydration

Diet Recommendations:

• Anti-inflammatory foods: Leafy greens, berries, turmeric, nuts, and fatty fish (salmon).
• Collagen-boosting foods: Bone broth, citrus fruits, and bell peppers to support soft tissue healing.
• Avoid excessive processed foods and sugar, which can worsen inflammation.

Hydration Tips:

• Drink at least 2–3 liters of water daily to maintain tissue hydration.
• Limit alcohol and caffeine, which can increase inflammation and slow recovery.

Home Exercise Prescription

Perform 2-3 times daily to reduce stiffness and improve mobility:

1. Elbow Range of Motion (Flexion & Extension)

1. • Slowly bend and straighten your elbow 10-15 reps.

2. Wrist Flexor & Extensor Stretch

1. • Hold the wrist in a gentle stretch forward and backward for 20-30 seconds, 3 times each direction.

3. Isometric Triceps Activation (if pain allows)

1. • Gently press the back of your hand against a surface without moving the elbow. Hold for 5 seconds, 10 reps.

4. Soft Tissue Massage

1. • Gently massage around the elbow to improve circulation (avoid excessive pressure on the bursa).

Avoid direct pressure on the elbow or weight-bearing activities until symptoms improve.

Helpful Books

1. "Arthritis: What Exercises Work" – Dava Sobel & Arthur C. Klein
2. "Framework for the Shoulder: A Practical Guide to Preventing Injury and Returning to Activity" – Nicholas A. Dinubile, MD

Contact the Key West orthopedic clinic or reach out to Dr. Jason Pirozzolo.