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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.
Water On The Elbow Symptoms. The first manifesting symptom is swelling. The skin on the back of the elbow is loose, and consequently, even a tiny amount of swelling is easily perceptible. As the swelling progresses, the bursa stretches, and causes pain. The pain aggravates with direct pressure on the elbow or when you bend the elbow. The swelling may limit your elbow motion.