- Ultrasound (particularly pulsed ultrasound) is commonly used to decrease pain and reduce any associated muscle stiffness/spasm associated with trochanteric bursitis 6 . This would not be the best modality to choose in the acute phase, when a strong inflammatory response is already present in the patient’s limb. While the evidence supporting the use of ultrasound is extremely limited, it is still a treatment option and some of the pain relief experienced is from a placebo effect, but pain relief in general is psychologically beneficial for any patient.
Trochanteric bursitis can be caused by an acute injury, prolonged pressure on a bursa, or activities that require repeated twisting or rapid joint movement (such as jogging or bicycling long distances). These activities may lead to irritation or inflammation within the bursa. Trochanteric bursitis may occur together with disc disease of the low back or arthritis of the hip. It also may develop at the site of a previous hip surgery or occur along with iliotibial band syndrome . Conditions such as gout may also increase the risk for bursitis.