Elbow Bumps: When to See an Orthopedist or Rehab Specialist - Rehabilitation

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Elbow joint


Hello doctor, after extending my arm, there is a protrusion behind the elbow joint that feels soft to the touch.
It does not hurt when pressed, and it does not affect movement.
Could this be bursitis or something similar? Which specialty should I see, orthopedics or rehabilitation? Thank you.

VICKY, 40~49 year old female. Ask Date: 2023/05/31

Dr. Li Weiqiang reply Rehabilitation


Q: After extending my arm, there is a protrusion behind the elbow joint that feels soft to the touch, does not hurt when pressed, and does not affect movement.
Could this be bursitis or something similar? A: Bursitis typically causes pain, especially during movement.
It may be soft tissue proliferation.
Q: Which specialist should I see? Orthopedics or Rehabilitation? A: First, see a Rehabilitation specialist for an ultrasound examination.

Reply Date: 2023/05/31

More Info


When it comes to understanding elbow bumps, particularly a soft protrusion at the back of the elbow that is not painful and does not affect movement, it is essential to consider a few possibilities. The bump you are describing could be a condition known as olecranon bursitis, which is inflammation of the bursa located at the tip of the elbow. The bursa is a small, fluid-filled sac that acts as a cushion between bones and soft tissues, reducing friction during movement.
In your case, since the bump is soft, non-painful, and does not restrict your range of motion, it may not be a cause for immediate concern. Olecranon bursitis can occur due to repetitive motions, trauma, or prolonged pressure on the elbow. It can also develop without any clear cause, often referred to as "student's elbow" or "miner's elbow."
However, it is important to differentiate this from other potential conditions that could cause similar symptoms, such as a ganglion cyst, which is a non-cancerous lump that can form along the tendons or joints of wrists and hands, or even a lipoma, which is a benign tumor made of fat tissue.
Given your description, it would be advisable to consult with an orthopedic specialist. Orthopedic doctors specialize in the diagnosis and treatment of musculoskeletal disorders, including conditions affecting the joints, bones, and soft tissues. They can perform a thorough examination, possibly including imaging studies like an ultrasound or MRI, to determine the exact nature of the bump and recommend appropriate treatment if necessary.

If the bump is indeed diagnosed as olecranon bursitis, treatment options may include rest, ice application, anti-inflammatory medications, and in some cases, aspiration of the bursa if it becomes excessively swollen. Physical therapy may also be beneficial to strengthen the surrounding muscles and improve flexibility, which can help prevent recurrence.

On the other hand, if you are experiencing any pain, swelling, or changes in function, or if the bump changes in size or character, it would be prudent to seek medical attention sooner rather than later.
In summary, while the bump you are experiencing may not be immediately concerning, consulting with an orthopedic specialist is the best course of action to ensure proper diagnosis and management. They can provide you with the most accurate information based on a physical examination and any necessary diagnostic tests.

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