What is the first line treatment for olecranon bursitis?

Bursa aspiration is considered the first-line treatment for olecranon bursitis. This procedure involves using a needle to remove excess fluid from the bursa, which can help alleviate pressure and discomfort associated with the condition. Aspiration not only reduces swelling but also allows for the possibility of sending the fluid for analysis to rule out infection or other underlying issues.

The immediate relief from symptoms after aspiration often makes it a preferred option. If the bursitis is due to repetitive trauma or friction, this treatment can also provide valuable insight into the condition's underlying causes. Furthermore, following aspiration, additional treatments such as corticosteroid injections or physical therapy may be considered if symptoms persist, but these are not the initial steps.

Other treatment options, while useful in specific situations, do not offer the same level of immediate symptom relief or diagnostic capability that aspiration provides, making it the most appropriate first step in management for olecranon bursitis.