Hygromas are an accumulation of fluid in the joints caused by pressure - a knock or fall or, in my case, time and movement in a flight box (|in spite of every care by the breeder with much cushioning) during travel. They often go away on their own after a few days or even weeks but occasionally need aspirating by the vet (or even surgery in extreme cases) but generally the advice is to keep the elbows clean, watch for any redness or discomfort indicating infection and wait. I was just on the point of seeking the vet's help after 2 months of waiting when another puppy owner advised longer on their own experience of the condition. After 5 months the hygromas started to go and rapidly disappeared after another couple of weeks - so 6 moths in all. So don't worry prematurely - just be watchful and enjoy your puppy.......
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