What do you suggest if my the bone in my elbow feels like it about to pirce through the skin and it hurts really bad any idea what's wrong?

You may have: A bursitis or a tendinitis. These are both inflammatory conditions that could be due to overuse of the joint, trauma to the elbow, or less likely an infection. An anti-inflammatory drug if you can take it may alleviate the pain. If the area becomes red, hot, or inflamed, see a physician for an exam as infection or inflammatory arthritis are possible.