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odd calcification

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Hello, everyone:

I have a patient who is currently living in Canada, has developed hip pain and obtained films. Aside from mild degenerative changes in her hip, the radiologist reported -

Significant abnormality globular calcification is identified in the soft tissues immediately superior to the upper tip of the greater trochanter and likely within the gluteus medius muscle or tendon, consistent with tendinosis.

They want to try to aspirate and shoot steroids, much to my patients chagrin, and I told her I would consult my excellent colleagues for suggestions. I'm concerned that this may be myositis ossificans (although I have not seen the films), in which case needling it may not have the desired response. Any other treatment options she could try before getting poked? Thanks!

Rod , DC

Tillamook, OR

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