Trocanteric bursitis is best diagnosed and treated with musculoskeletal sonography. Outpatient of the trochanteric region does often illicit pain response; however, without imaging, a precise diagnosis is elusive.
This is a 46 year old male demonstrating a significant response to bio-cellular therapy under MSK ultrasound guidance. Initial imaging revealed a sub-gluteal medius muscle bursal infusion with simple fluid and classic findings of tendinosis. (Hypoechoic, non-fiber echo texture and thickening)
Four (4) months post treatment, the gluteal medius bursa is resolved, and more normal presentation of the glut medius tendon is demonstrate.