NHS Bursa Excision | Deeping Surgical

What is a Bursa?

A bursa is a small, fluid-filled sac that cushions bones, tendons, and muscles near joints. Sometimes, bursae can become inflamed or chronically swollen due to repetitive motion, trauma, or pressure — leading to a condition known as bursitis.

When a bursa becomes persistently enlarged or painful and doesn’t respond to conservative treatment, surgical excision may be needed.

When Should I Seek Treatment?

You should consider treatment if:

Persistent swelling that doesn’t respond to rest or medications

Pain affecting daily activity

Signs of infection (redness, heat, fever)

Discomfort from pressure or footwear

What is the NHS Criteria for this procedure?

Bursa Excision (Bursitis) *For this procedure you should complete a prior approvals request, and once this is granted you should use the acceptance letter and send it with the referral for surgery*

The ICB will only fund Bursa excision where the Bursa is less than 10cm and when all the following criteria are met:

Where there is obvious pain

AND
Swelling up to 10cm maximum

Can It Be Treated Without Surgery?

Yes, often initially:

Rest and modification of activity

Anti-inflammatory medications

Aspiration (removal of fluid with a needle)

Steroid injections

What is Bursa Excision Surgery?

Surgery involves removing the inflamed or enlarged bursa through a small incision under local anaesthetic.

What to Expect Before and After Surgery

Before Surgery:

You will have a consultation with the Surgeon immediately prior to the procedure to discuss the risks, benefits and recovery.

You can eat and drink as normal on the day of the procedure.

If you take any blood thinning medication, it is important the you advise the Admin team prior to your appointment.

Please remove rings and jewellery from the hand having the procedure and to reduce the risk of infection, nail polish from both hands.

After Surgery:

The wound will be bandaged and you will be given instruction s on wound care.

Mild pain and stiffness are common but should improve over time. Over-the-counter painkillers such as ibuprofen and paracetamol are recommended for 24 - 48 hours.

Keep the arm elevated as much as possible to help reduce swelling and gently move the joints to prevent stiffness.

Return to most activities within 2–3 weeks

What Are the Risks?

Infection

Scarring or wound slow to heal or breaks down

Nerve damage to the skin of the elbow

How Do I Prepare?

Medications: Inform the Surgeon about all medications and supplements you are taking.

Transportation: Arrange for someone to drive you home post surgery.

Preparation: Set up a comfortable recovery area at home, with necessary supplies within easy reach.

Patients Asking a doctor Questions _edit

Frequently Asked Questions

Q: Will it come back?
A: Recurrence is rare. However, leaning on your elbows should be avoided, as this may make it less likely that an olecranon bursitis will recur. Or use a cushion or pad so your elbows don't rest on a hard surface.

Q: How long will the procedure take?

A: The appointment generally takes 30 minutes.

Q: When will I recover?

A: This will vary for each patient. Stitches will generally by removed 10-14 days post procedure. Depending on your occupation, you may be able to return after 5-7 day but heavy, manual jobs will take longer. You can return to driving as soon as you feel you can confidently control the car.