Plica Syndrome (PS) is a relatively common knee condition whereby one of the membrane folds (i.e. wrappings) located in the medial (i.e. inner) aspect of the knee joint becomes irritated. In most individuals, there are 4 plica located in the knee. PS occurs when the medial plica becomes inflamed or irritated, often from repetitive motion or activities (particularly those that involve bending and straightening of the knee). These activities can include, but are not limited to, using a stair climbing machine, running, biking or kneeling. However, even a one time sudden trauma to the knee, for example, from a fall or car accident, can also lead to the development of PS. Patients suffering from PS generally experience medial knee pain but can also experience a “snapping” sensation from the knee joint as they move. Due to its presentation, PS can oftentimes be confused with a medial meniscus or medial collateral ligament injury thus resulting in the underdiagnosis of PS. Generally, an injured meniscus will produce pain at the knee joint line while an irritated plica will produce pain above the joint line.
The vast majority of patients suffering from PS will not require a surgical intervention in order to get better. Patients generally recover well from conservative (i.e. non-surgical) treatment from a Chiropractor, Physiotherapist and Registered Massage Therapist (or combination thereof). These healthcare providers can determine if PS is present through a detailed history and physical examination. Furthermore, they will also be able to develop a rehabilitation program that is catered to you in order to support your recovery and get you back to being active as fast as possible!
If you think you may be suffering from PS, contact our head office today or book your assessment online!
Author: Dr. Paolo De Ciantis, B.Sc.(Hons.), M.Sc., D.C.