Conservative treatment of calcific trochanteric bursitis.

OBJECTIVE

To present a case of conservatively managed calcific trochanteric bursitis and discuss differential diagnosis and treatment alternatives.

CLINICAL FEATURES

A 53-yr-old obese female presented with acute severe lateral hip and posterolateral thigh pain. Examination findings were consistent with trochanteric bursitis and radiographs demonstrated calcific infiltration of the trochanteric bursa.

INTERVENTION AND OUTCOME

An intensive 2-wk course of pulsed ultrasound, ice massage, interferential current and chiropractic lumbopelvic manipulation resulted in symptomatic relief, abolishment of palpatory tenderness and return of pain-free passive and resisted range of motion of the hip.

CONCLUSIONS

Trochanteric bursitis is a common cause of hip pain. A trial of conservative measures is warranted for this condition, even when calcinosis is present, before more invasive therapies are considered.