Swelling is typically the first symptom of elbow bursitis. Since the skin in the region is loose, most people don't notice the swelling till it becomes painful. The swelling gradually becomes a lump that you can feel with your fingers. At this stage, there's discomfort and pain, especially when you stretch your arms or move them suddenly. If you notice redness in the region, it may be indicative of septic bursitis. This condition is typically accompanied by fever. In certain cases, the skin covering the elbow becomes much warmer. Don't take such symptoms lightly. Seeking medical care in time can prevent the infection from spreading.