For elbow bursitis, it depends on several factors. Mainly size - if it’s big, it is very unlikely to become smaller and will cause a lot of discomfort and inconvenience; and whether it’s infected (which has to be treated first).
Assuming there is no infection, we can either observe, aspirate or excuse. Aspiration doesn’t usually help very much as the recurrence rate is very high. So either observe if it’s small, or excise if it’s big. Aspiration is usually temporary and willusually require a repeat procedure.
Hope this helps,
Dr Sean Ng