How do I know if the wound on my elbow is infected?

If it’s a pressure sore, contact your provider right away for blisters, a new open sore, foul odor, pus, redness and tenderness, warm or swollen skin near it, or fever. You put weight on an elbow when you push up or lean, so how you move matters too.

The elbow is one of the places pressure sores form — the bony areas with less tissue under the skin to pad the area, along with the buttocks, hips, heels, ankles, shoulders, back and back of the head. If that is what this wound is, the signs to watch for are the ones for pressure sores.

Contact your provider right away if you develop blisters, an open sore, or any signs of infection, such as a foul odor from the sore, pus coming out of the sore, redness and tenderness around the sore, skin close to the sore that is warm or swollen, or fever.

What makes the elbow unusual among those sites is that you put weight on it on purpose. Lying still puts pressure on a heel or a tailbone. An elbow is pressed down every time someone pushes themselves up in bed or leans on a chair arm. The cause is the same either way — pressure sores occur when there is too much pressure on the skin for too long — but the fix is about how you move, not only how often you are turned. Both matter: change position often, and avoid slipping or sliding as you move positions.

It is also a spot you can see for yourself, which makes the early stages worth knowing. A stage I sore is a reddened, painful area on the skin that does not turn white (blanch) when pressed. At stage II, the skin blisters or forms an open sore. The area around the sore may be red and irritated. Catching the first of those is the whole point of looking.

An elbow wound may of course be something else — a graze, a cut, a surgical incision. If so, the general signs apply instead: redness with increased pain, yellow or green pus, or excessive clear fluid around the injury; black edges, which signal dead tissue; bleeding that will not stop after 10 minutes of direct pressure; fever of 100°F (37.7°C) or higher for more than 4 hours; pain that will not go away even after pain medicine; and a wound that has come open.

What to watch for

Contact your provider right away if you develop blisters, an open sore, or any signs of infection, such as a foul odor from the sore, pus coming out of the sore, redness and tenderness around the sore, skin close to the sore that is warm or swollen, or fever. If your pressure sore changes or a new one forms, tell your provider.

Because you can see this one yourself, check it at the same time each day and press the red area to see whether it turns white. Look at both elbows, not just the sore one. And when you report it, describe how you move — whether you push up on your elbows to shift position, and how often — because that is the part of the picture nobody can see in the clinic.

What we look at

  • Whether this is a pressure sore or another kind of wound
  • Which infection signs are present, and when each appeared
  • Whether the patient pushes up on the elbows during transfers
  • Whether redness around the sore blanches when pressed
  • Whether the other elbow is affected

Sources

  1. MedlinePlus — How to care for pressure sores: https://medlineplus.gov/ency/patientinstructions/000740.htm
  2. MedlinePlus — How wounds heal: https://medlineplus.gov/ency/patientinstructions/000741.htm