Plica Syndrome Case Studies

What is Plica syndrome? It is an irritation to the synovial membrane in the knee. This irritation is the result of repetitive friction to the tissue. Repetitive friction is due to abnormal forces at the knee, most likely in the kneecap and surrounding musculature, or may be caused by muscular weaknesses or structural abnormalities at the hip or foot, which place increased tension on the knee. “Plica syndrome can also be caused or made worse by increased activities. In some cases, a direct hit to the knee can cause the syndrome to develop”.1 Other factors that may contribute to Plica Syndrome are poor movement in the knee cap, Quad or hip muscle tightness; imbalances in the quads, hamstrings, or hip musculature, and improper mechanics with repetitive activities like running. …show more content…
Plica is assessed by the PT checking tie ROM and strength and most often he or she will be able to feel a thickened piece of irritated tissue on your knee.1 The PT should also ask questions regarding you activities, how the pain feel before and after activity. Some imaging may also be ordered by a physician to get a closer look.
Physical therapy can help to treat Plica Syndrome by using treatment interventions developed from information derived from what patients report, and responses to questions from the PT. Some of the interventions may include pain relief techniques, stretching, manual therapy, strengthening, functional activities, and of course home exercises programs.
Images of the medial plica and inflammation of the plica.