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1 Pain, especially with movement of the elbow or pressure on the elbow. 2  Swelling. 3  One lump may be felt in the back of the affected elbow. 4  The swelling or lump is caused by increased fluid within the bursa and is tender with movement or when touched.
According to WebMD, water on the elbow, or bursitis, is caused by pressure on the bursa, a blow to the elbow or an infection. Of these causes, pressure is the most prevalent. In fact, it is called student's elbow because students lean on their elbows while studying, which puts pressure on the bursa and causes inflammation, according to John Hopkins Medicine.