The Elbow access site offers primitive camping at Bighorn Campground with first-come, first-served sites featuring fire rings and picnic tables, plus vault toilets but no water hookups.

This remote section of the East Walker River is renowned for world-class fishing and provides day-use river access for anglers and paddlers seeking a rustic, undeveloped experience.

Access is via Sweetwater Road (a county-maintained dirt road) approximately 7 miles east from Highway 338.