In most cases it is unknown what caused the trochleitis, (meaning it's ideopathic.) Most patients that present with idiopathic trochleitis are in good health and experience relief of their pain after a week's regimen of oral nonsteroidal anti-inflammatory medication. Patients have a 25% chance of relapse within one year of the initial presenting episode.
As for the treatment, the only thing I found was the shots. Of course, the doctor will give you eye drops or something to numb the area before giving you the shot.