Which treatment is indicated first for olecranon bursitis?

Olecranon bursitis is typically characterized by swelling and tenderness over the olecranon process. The first-line treatment in managing this condition often includes addressing any significant accumulation of fluid in the bursa, which is effectively accomplished through bursa aspiration. This procedure allows for the immediate removal of excess fluid, reducing pressure, discomfort, and the risk of infection. Additionally, aspiration can be diagnostic, as it allows for the analysis of the bursal fluid to rule out infection or other underlying causes.

By performing bursa aspiration, healthcare providers can evaluate the fluid for signs of infection or crystal-induced conditions, providing a directed approach to further treatment if needed, such as antibiotics in a case of septic bursitis. Aspiration can also facilitate the next steps in management, including the application of corticosteroids or other modalities, and can lead to significant symptom relief.