Knee Plica Syndrome: Causes & Treatment - Knee Pain Explained (2022)

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Written By:Chloe Wilson, BSc(Hons) Physiotherapy
Reviewed by:KPE Medical Review Board

Knee Plica Syndrome: Causes & Treatment - Knee Pain Explained (1)

Plica syndrome is a condition caused by inflammation in the lining of the knee joint.

It results in achy knee pain which gets worse with activity, particularly up and down stairs, a feeling of instability in the knee and sometimes a catching or locking sensation.

Plicae are small folds in the synovial membrane, the thin structure that surrounds and lines the knee joint. Plica syndrome, aka plica synovialis, can develop in any of the four knee plica, the most common being in the medial plica.

Knee plica irritation occurs when the plica gets caught or pinched between the knee bones, usually due to a knee injury or from overuse.

Here we look at how plica synovialis develops, the causes and symptoms, and finally look at the different treatment options for knee plica syndrome.

What Are The Knee Plica?

Knee plica are normal folds in the synovial membrane of the knee, a thin, fluid-filled capsule that encases the joint, like a bag. The word “plica” is Latin for “fold”.

(Video) Knee Plica and Knee pain - Everything You Need To Know - Dr. Nabil Ebraheim

During the first trimester of fetal development, connective tissue divides the knee into three compartments. During the second trimester, this tissue begins to reduce in size as the fetus starts moving more and is gradually reabsorbed before birth, leaving only a thin sleeve which surrounds the knee joint, the synovial membrane.

However, in up to 90% of the population, the connective tissue isn’t fully absorbed leaving small inward folds in parts of the synovial membrane, known as knee plica. Synovial plica are pliable and thin.

These folds in the membrane, known as synovial knee plica, are elastic so do not usually restrict normal knee movement and vary in size between individuals. In most cases, synovial plica are completely asymptomatic and don’t cause any problems. However, if the knee plica becomes irritated or inflamed, typically from overuse or an injury, plica synovialis develops causing pain and instability in the knee.

Causes Of Synovial Plica Syndrome

Plica syndrome develops when the synovial folds are irritated and become inflamed. This may be due to direct knee trauma, overuse or repetitive activities, or an underlying knee problem that affects the pliability of the synovial membrane.

The knee plica may get trapped or pinched between the knee bones, or caught on the femur. When this happens, the knee plica in question becomes inflamed, gradually thickens and eventually, if left untreated, becomes hard.

Plica syndrome is typically caused by:

Knee Plica Syndrome: Causes & Treatment - Knee Pain Explained (2)

  • Direct Trauma: A blow to the knee e.g. a fall on to the knee or a RTA where the knee hits the dashboard
  • Repetitive Knee Movements: Activities where you repeatedly bend and straighten the knee are often to blame for knee plica syndrome e.g. running, cycling, going up and down stairs
  • Sudden Increase In Activities: If you rapidly increase your exercise levels it can lead to overloading of the synovial plica and thus they become inflamed
  • Knee Injuries: particularly twisting injuries, meniscus tears or anything that causes bleeding in the knee joint
  • Prolonged Flexion: sitting for long periods or sleeping with your knee bent often result in pain with plica synovialis
  • Underlying Knee Conditions: such as osteochondritis dissecans, fat pad irritation or synovitis
  • Muscle Weakness: As the plica are indirectly attached to the quadriceps, weakness in the quads muscles increases the force through the plica leading to irritation and inflammation

Symptoms Of Plica Syndrome

The symptoms of plica syndrome may develop suddenly with an injury, or gradually from overuse, in one or both knees. Typical symptoms of knee plica syndrome include:

  • Knee Pain: Pain from plica syndrome tends to be dull and achy rather than sharp or stabbing. The location of the pain will depend on which plica is inflamed. Pain from plica synovitis is often worse at night time due to the build-up of inflammation
  • Worse With Activity: activities where the knee bends and straightens such as going up and down stairs, squatting and getting in and out of chairs causes pain with plica syndrome
  • Clicking or Popping Noises: when you bend and straighten your knee
  • Knee Locking: It may feel like the knee catches or gets stuck at times, typically when you get up after sitting for a while
  • Instability: People with plica synovialis often complain that their knee feels like it is going to give way, particularly when walking on slopes or up and down stairs
  • Swelling: There may be localised swelling in the knee plica and/or the surrounding area
  • Reduced Knee Movement: As the synovial plica thickens, it loses its elasticity which can restrict knee movements

Where Are Knee Plica Found?

People may have up to four knee plica located in different parts of the knee, the medial plica, suprapatellar plica, infrapatellar plica and the lateral plica.

Knee Plica Syndrome: Causes & Treatment - Knee Pain Explained (3)

Plica syndrome can develop in any of these unless you are one of the 10% of the population have no knee plica at all.

1. Medial Plica

The medial plica is the most common place to develop symptomatic knee plica syndrome. It is found on the inner side of the knee joint, running parallel to the kneecap.

(Video) Plica syndrome: Signs, symptoms and treatment of this uncomfortable knee pain

The medial plica runs from the bottom part of the knee cap on the medial side, over the medial femoral condyle and down to the synovial lining on the inner side of the tibia, where it blends with the ligamentum patellae and the infrapatellar fat pad. It is often referred to as being like a shelf.

The position of the medial plica makes it the most prone to getting caught in the knee joint resulting in medial plica syndrome, aka medial patellar plica syndrome, medial plica synovitis and plica synovialis mediopatellaris.

2. Suprapatellar Plica

The suprapatellar plica is found in the suprapatellar pouch, an area behind the kneecap extending up behind the quadriceps tendon. The suprapatellar plica is typically a domed, crescent shape, sitting between the suprapatellar bursa and the knee joint, and may be connected to part of the medial plica.

In some cases of suprapatellar plica syndrome, the plica becomes tethered with adhesions forming between the plica, the kneecap and the femoral condyle which can limit knee movement.

Suprapatellar Plica Syndrome is also known as supramedial plica syndrome, superior plica and plica synovialis suprapatellaris

3. Infrapatellar Plica

The infrapatellar plica, aka ligamentum mucosum, may be shaped like a cord or bell-shaped. It sits inside the middle of the knee joint, alongside the Anterior Cruciate Ligament, attaching to the infrapatellar fat pad.

Whilst the infrapatellar plica is the most prevalent of the four knee plica, it does not tend to get damaged making infrapatellar plica syndrome rare.

Infrapatellar plica syndrome is also known as plica synovialis infrapatellaris.

4. Lateral Plica

The lateral plica is the least common of the four knee plica and is in fact, quite rare.

The lateral plica sits on the outer side of the knee, running down the lateral patella, and attaches to the infrapatellar fat pad.

Lateral plica syndrome is also known as plica synovialis lateralis or lateral para-patellar plica.

Diagnosing Plica Synovialis

Knee plica syndrome is hard to diagnose as the symptoms mimic many other knee problems.

Your doctor will take a history asking questions about your knee pain. Plica syndrome is often diagnosed by ruling out other knee issues such as a meniscus tear or tendonitis.

(Video) Plica Syndrome Evaluation of the Knee

To diagnose plica syndrome your doctor may do:

Knee Plica Syndrome: Causes & Treatment - Knee Pain Explained (4)

  • Physical Exam: specific tests can be done to confirm or deny the presence of other knee conditions. Palpation of the medial plica will be painful with medial plica irritation, but it should illicit the specific symptoms rather than general tenderness.

    There are also specific tests for plica syndrome such as the Plica Stutter Test and the Hughston Plica Test aka MPP test


  • X-rays: do not show up plica synovitis but can be helpful ruling out problems with the knee bones
  • MRI Scan: An MRI scan is not normally indicated but may be used to help rule out soft tissue problems such as meniscus tears, ligament injuries or cartilage defects. Synovial plica are visible on MRI so the thickness and position of the plica can be assessed
  • Arthroscopy: If plica syndrome is strongly suspected then keyhole surgery may be performed where a tiny fibre-optic camera is inserted into the knee so the surgeon can see the structures inside the joint

Treating Plica Syndrome

Treatment for plica syndrome focuses on reducing the inflammation in the synovial folds. Most people with plica synovialis will get better in 6-8 weeks with a course of physical therapy and will not require surgery.

Treatment for knee plica syndrome normally involves a combination of:

  • Rest: You should rest from aggravating activities such as cycling and running to allow the plica synovitis to settle down
  • Ice: Regularly applying ice packs helps to reduce pain and inflammation
  • Anti-Inflammatory Medication: NSAID’s such as ibuprofen can also help reduce pain and inflammation
  • Stretching Exercises: Stretching the quadriceps and hamstrings helps to reduce the stress going through the knee plica - seeknee stretches
  • Strengthening Exercises: Strengthening the glutes, quads and VMO muscles helps take tension off the knee plica - see knee strengthening
  • Corticosteroid Injections: If pain is stopping you from exercising, your doctor may give you a steroid injection into the synovial plica to reduce the pain and inflammation so that you can start rehab. Injections should not be used in isolation as they only temporarily improve symptoms
  • Physical Therapy: treatment will be tailored to your situation and will look at patellofemoral tracking and alignment, foot biomechanics and balance and proprioception. They will also give you a programme of strengthening and stretching exercises

If you are getting a lot of pain at night-time from plica synovialis, it can help to sleep with a pillow or duvet in between your knees.

Surgical Treatment

If the symptoms of plica syndrome fail to settle after 3-6 months of non-surgical treatment, then your doctor may advise surgery.

Surgery for plica syndrome will be carried out arthroscopically – key hole surgery. Small incisions are made around the knee joint and a fibre-optic camera is inserted into the knee so the surgeon can fully evaluate the joint.

Small surgical tools are used to remove the inflamed plica, known as synovial plica resection. The surgeon will also inspect the integrity of the other structures in the joint and may also carry out a meniscectomy, if there is a tear in the cartilage, or a lateral release, if the lateral retinaculum is tight.

A course of physical therapy is recommended after synovial plica resection surgery to prevent scarring and ensure full recovery. Physical therapy will be very similar to that with non-surgical management aiming to improve knee strength, motion and function and reduce any swelling.

Recovering From Plica Syndrome

Recovery from plica syndrome will depend on a number of factors – the age of the patient, how long they’ve had symptoms, which plica is affected, compliance with physical therapy and whether there are other associated knee problems.

The best outcomes are usually achieved in younger patients who have only had symptoms of plica synovitis for a short time.

Differential Diagnosis

There are a number of other knee conditions that present in a similar way to knee plica syndrome:

  • Patellofemoral Pain Syndrome aka Runners Knee
  • Chondromalacia Patella
  • Osteochondritis Dissecans
  • Bursitis
  • Meniscus Tears
  • Bipartite Patella
  • Ligament Sprain
  • Patellar Tendonitis
  • Arthritis

If you have been treated for any of the conditions above and your symptoms have failed to improve, it may well be that knee plica syndrome is to blame.

(Video) What is Plica Syndrome of the Knee, and How Do I Treat It?

Page Last Updated: 10/07/21
Next Review Due: 10/07/23

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References

1.Synovial Plica Syndrome of the Knee: A Commonly Overlooked Cause of Anterior Knee Pain. By P. Feng Lee, A. Nixion andJ. M. Murray. The Surgery Journal. February 2017

(Video) What is Knee Plica Syndrome - Do You Need Plica Surgery? - Dr. Lox Explains

2.The Role of Complete Suprapatellar Plicae. By T. Mine, K. Chagawa, K. Ihara, H. Kawamura, R. Kuriyama & R. Date. Arthroscopy Techniques Journal. February 2016

3.MR Imaging of Infrapatellar Plica Injury.R. Cothran,P. McGuire,C. Helms,N. Major &D. Attarian. American Journal of Roentgenology. May 2003

4.Anatomy and MR Imaging Appearances of Synovial Plicae of the Knee.R. García-Valtuille,F. Abascal,L. Cerezal,A. García-Valtuille,T. Pereda,A. Canga & A. Cruz. Radiographics. July 2002

FAQs

What causes plica in the knee? ›

Plica syndrome results in pain and swelling in the middle of your knee. It's usually caused by stress or overuse. In most cases, plica syndrome can be treated successfully with medication and physical therapy, though some people may require surgery.

How do you treat plica pain? ›

Knee plica problems usually get better without surgery. You'll need to rest your knee for a while and put ice on it. Your doctor may suggest anti-inflammatory pain medicine, like ibuprofen or naproxen, and stretching your leg muscles, especially your quadriceps and hamstrings.

How do you get rid of plica syndrome? ›

Most cases of plica syndrome respond well to physical therapy or a home exercise program. These usually involve stretching your hamstrings and strengthening your quadriceps. Most people start to feel relief within six to eight weeks of starting a physical therapy or exercise program.

How do I know if I have plica syndrome? ›

People with plica syndrome may experience: Pain and tenderness to touch in the front of the knee, and on the inside of the kneecap. A "catching" or "snapping" sensation when bending the knee. Dull knee pain at rest, which increases with activity.

Can plica cause knee locking? ›

In some patients, plica catching may present as a pseudo-locking event to their knee when they have been sitting down for an extended period of time and they first arise. Some patients may describe these pseudo-locking events as instability or catching of their patella.

How do you test for knee plica? ›

Into the joint. Space. We bow we then want to maintain that compression and flex up the knee to

Does plica show up on MRI? ›

MR Imaging Features

At MR imaging, synovial plicae can be seen as bands of low signal intensity within the high-signal-intensity joint fluid. Gradient-echo T2-weighted MR images and fat-suppressed T2-weighted or proton density–weighted images are the most valuable for the evaluation of plicae.

How long is recovery from plica surgery? ›

Recovery from this surgery is normally quick (about 6 weeks) and it usually completely cures the problem.

Does a knee brace help plica syndrome? ›

One of the most successful new braces for plica syndrome and Hoffa's superior fat pad impingement is the new DonJoy Reaction WEB knee brace (Figure 2). This works by loading the soft tissues around the patella to equalise the support for the patella from the surrounding soft tissues.

How do I strengthen my plica? ›

Lie face down on a flat surface with your legs together. Slowly flex the affected knee (bend it up toward your buttocks) as far as possible without pain and then lower it. To add resistance, use rubber tubing while you do the exercise. Perform 3 sets of 25 repetitions, progressing gradually to 3 sets of 45 repetitions.

Do I need a plica surgery? ›

Most people with plica syndrome get better without surgery. The primary treatment goal is to reduce inflammation. This may require limiting activities like running, biking, or using the stair-climbing machine. Most people with plica syndrome get better without surgery.

Does plica syndrome get worse? ›

Plica syndrome is a condition caused by inflammation in the lining of the knee joint. It results in achy knee pain which gets worse with activity, particularly up and down stairs, a feeling of instability in the knee and sometimes a catching or locking sensation.

Is walking is good for knee pain? ›

Walking builds your muscles so they can take the pressure off your joints and handle more of the weight themselves. That means less pain for your knees. Helps you lose weight. For every pound you lose, there's four times less pressure and stress on your knees.

Can you tear your plica? ›

Activities that repeatedly bend and straighten the knee, such as running, biking, or use of a stair-climbing machine, can irritate the medial plica and cause plica syndrome. swell and become painful. The initial injury may lead to scarring and thickening of the plica tissue later.

What percentage of people have plica? ›

It is estimated that plicae are present in about 50% of the population. The elastic nature of synovial plicae allow normal movement of the bones of the tibiofemoral joint, without restriction.

What is plica surgery? ›

What is plica resection? Plica resection is an arthroscopic knee surgery that involves removing abnormal synovial tissue. Plica are natural folds in the knee joint synovium that can often times become painful and inflamed.

Do you need crutches after plica surgery? ›

You will use crutches for approximately one to two weeks, if no repairs are necessary in the knee. Physical therapy should begin two to three days after surgery and continue for approximately three to four months depending on severity. It is crucial to follow through on and maintain a proper therapy schedule.

Where is plica in the knee? ›

The examiner can then palpate for the plica by rolling one finger over the plica fold, which is located around the joint lines in anterior knee compartment ( Fig. 2 ). A palpable plica will present as a ribbonlike fold of tissue, which can be rolled directly against the underlying medial femoral condyle.

Can you have plica in both knees? ›

Plica can be present in multiple joints, but this article will review plica in the knee which is the joint most commonly affected by plica tissue. As a result of overuse or injury, plica can become inflamed or irritated due to friction across the patella or the medial femoral condyle.

Does massage help plica syndrome? ›

In treating plica syndrome, as long as massage is performed within normal pressure levels, there does not seem to be any contraindications to using massage. In fact, massage is more likely beneficial and might reduce the need for surgical intervention.

What causes medial knee pain? ›

Medial knee pain typically occurs because of a deterioration of cartilage. It can also follow a sports injury or other type of trauma to your knee. Your knee is easily injured because it's one of the most complex joints in the body.

How do you palpate plica? ›

Knee Plica and Knee pain - Everything You Need To Know

Can you see plica syndrome on xray? ›

Plicae are occult on plain radiograph.

What is a joint effusion in the knee? ›

A swollen knee occurs when excess fluid collects in or around your knee joint. Health care providers might refer to this condition as an effusion (uh-FU-zhun) in your knee joint. A swollen knee may be the result of trauma, overuse injuries, or an underlying disease or condition.

Can you walk right after arthroscopic knee surgery? ›

The patient should be able to bear weight on the knee while standing or walking, immediately after surgery. Crutches will be necessary for 2-7 days after surgery. Rehabilitation to gain full ROM should occur within 1-2 weeks. Heavy work or sports may be restricted for the first 4-6 weeks.

Can you climb stairs after arthroscopic knee surgery? ›

Answer: Immediately after surgery you will learn to climb stairs safely using crutches. As recovery continues and you work on flexion and extension of the new knee, you will be able to climb without crutches. With the help of physical therapy and building up the quadriceps muscles, stair climbing will be a breeze.

How long will I be off work after a knee arthroscopy? ›

Most people can get back to desk work, school or sedentary activity 3 to 5 days after surgery. If your right knee was operated on, it may be up to 2 weeks before the knee is strong enough to hit the brakes to drive safely. For heavy work, it may take 4 to 6 weeks before the leg is strong enough to allow for working.

What's the best medicine for knee pain? ›

Over-the-counter medications — such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) — may help ease knee pain. Some people find relief by rubbing the affected knee with creams containing a numbing agent, such as lidocaine, or capsaicin, the substance that makes chili peppers hot.

How do you get rid of knee pain fast? ›

Do use "RICE." Rest, ice, compression, and elevation (RICE) is good for knee pain caused by a minor injury or an arthritis flare. Give your knee some rest, apply ice to reduce swelling, wear a compressive bandage, and keep your knee elevated.

Should I wrap my knee if it hurts? ›

Wrap an elastic bandage around your knee to help control swelling. Make the bandage fit snugly around your knee, but not tight enough to cause pain or leg swelling. Elevation. Lying down with your knee propped up on pillows may help control pain and swelling.

Should I run with plica syndrome? ›

Plica causes problems when it's irritated over a long period of time by repetitive motions. Kneeling, running, or biking can irritate the medial plica and cause plica syndrome. Treatment: Treatment is usually nonsurgical; you should be able to return to normal activity within four to six weeks.

How do you pronounce plica syndrome? ›

What is Plica Syndrome. Plica (pronounced PLI-kah) syndrome occurs when plicae (bands of synovial tissue) are irritated by overuse or injury.

How much is an arthroscopic surgery to the knee? ›

cost — while prices and insurance coverage vary, the cost of arthroscopic knee surgery in the US commonly ranges from $5,000 to $10,000.

Why does the crease behind my knee hurt? ›

Causes of pain behind the knee

your knee joint wearing down as you get older – for example, you may have osteoarthritis or rheumatoid arthritis. a knee injury (ligament injury or torn cartilage) a benign or cancerous growth (this is very rare) an infection (septic arthritis)

What are 3 exercises to strengthen your knee? ›

5 Exercises to Help Strengthen Your Knees
  • Exercise 1: Knee Extension.
  • Exercise 2: Knee Flexion (Standing)
  • Exercise 3: Heel and Calf Raises.
  • Exercise 4: Wall Squats.
  • Exercise 5: Swimming.
1 Jun 2022

What helps knee pain at night? ›

People may find relief from their knee pain by using ice packs, heat packs, or heating pads. Before falling asleep or going to bed, a person can try to ice or heat their knees. They should aim to heat or ice their knees right before bed for about 20 minutes.

How long should I rest my knee? ›

Do: Rest a Sore Knee. Take a break so your knee has time to heal. You'll only need 1 or 2 days of rest to ease minor knee pain, but severe injuries may keep you off your feet longer. Talk to your doctor if it doesn't get better after a few days.

What is medial plica excision? ›

This minimally invasive procedure is performed by your surgeon using a small incision and the insertion of a scope and a specialized surgical instrument to remove the damaged synovial tissue and plica.

What is the recovery time for knee surgery? ›

According to the American Association of Hip and Knee Surgeons (AAHKS), it can take up to 3 months to recover completely from a knee replacement surgical procedure. Patients can normally drive again after 4 to 6 weeks, and return to work after 6 to 8 weeks. Physical therapy may be provided for 3 months.

How long does it take to recover from knee debridement? ›

You'll be able to return to all of your normal activities, including sports, within four to six weeks of your operation.

What are the symptoms of PES Anserine bursitis? ›

The symptoms of pes anserine bursitis include: Pain slowly developing on the inside of your knee and/or in the center of the shinbone, approximately 2 to 3 inches below the knee joint. Pain increasing with exercise or climbing stairs. Puffiness or tenderness to the touch in this area.

What is plica in the elbow? ›

One of the most common causes of a “Snapping Elbow” is a Plica. A Plica is an inflamed and therefore enlarged portion of the elbow's joint lining that catches in between the bones of the elbow during motion. A Plica can be caused by anything that inflames the elbow, either a traumatic injury or overuse.

How do you fix inner knee pain in 2 minutes? ›

Inner Knee Relief In 60 Seconds (TRY NOW) - YouTube

How long does it take for inner knee pain to go away? ›

It will often take 6-8 weeks to fully recover. However, there are various treatment methods you can use to speed up this process. Icing the area for 10-20 minutes at a time and over-the-counter pain relievers can help reduce the initial pain. Eventually, exercise and movement can help accelerate your healing process.

What is inner knee pain called? ›

Pain on the inside of the knee is known as medial knee pain. Injuries which occur suddenly, often as a result of sudden trauma are known as acute injuries. Chronic knee injuries occur gradually, often from overuse.

Can you see plica on MRI? ›

MR Imaging Features

At MR imaging, synovial plicae can be seen as bands of low signal intensity within the high-signal-intensity joint fluid. Gradient-echo T2-weighted MR images and fat-suppressed T2-weighted or proton density–weighted images are the most valuable for the evaluation of plicae.

Does everyone have a knee plica? ›

The medial plica of the knee is a thin, well-vascularized intraarticular fold of the joint lining, or synovial tissue, over the medial aspect of the knee (Fig. 1). It is present in everyone, but is more prominent in some people.

What causes synovial plica syndrome? ›

Plica syndrome is usually caused by stressing or overusing your knee. This is often caused by exercises that require you to frequently bend and straighten your knee, such as running, biking, or using a stair-climbing machine. An injury from an accident, such as a fall or car accident, can also cause plica syndrome.

Should I have plica surgery? ›

Most people with plica syndrome get better without surgery. The primary treatment goal is to reduce inflammation. This may require limiting activities like running, biking, or using the stair-climbing machine. Most people with plica syndrome get better without surgery.

Does a knee brace help plica syndrome? ›

One of the most successful new braces for plica syndrome and Hoffa's superior fat pad impingement is the new DonJoy Reaction WEB knee brace (Figure 2). This works by loading the soft tissues around the patella to equalise the support for the patella from the surrounding soft tissues.

Can you tear your plica? ›

Activities that repeatedly bend and straighten the knee, such as running, biking, or use of a stair-climbing machine, can irritate the medial plica and cause plica syndrome. swell and become painful. The initial injury may lead to scarring and thickening of the plica tissue later.

What percentage of people have plica? ›

It is estimated that plicae are present in about 50% of the population. The elastic nature of synovial plicae allow normal movement of the bones of the tibiofemoral joint, without restriction.

How long are you on crutches after plica surgery? ›

You will use crutches for approximately one to two weeks, if no repairs are necessary in the knee. Physical therapy should begin two to three days after surgery and continue for approximately three to four months depending on severity. It is crucial to follow through on and maintain a proper therapy schedule.

What is plica removal? ›

Plica resection is an arthroscopic knee surgery that involves removing abnormal synovial tissue. Plica are natural folds in the knee joint synovium that can often times become painful and inflamed.

Where is plica located? ›

According to their location, the synovial plicae are classified as suprapatellar, mediopatellar, infrapatellar, or lateral ( Fig. 1 ); the medial plica is the most commonly symptomatic one. Location of the synovial plica inside the knee joint.

What's the best medicine for knee pain? ›

Over-the-counter medications — such as ibuprofen (Advil, Motrin IB, others) and naproxen sodium (Aleve) — may help ease knee pain. Some people find relief by rubbing the affected knee with creams containing a numbing agent, such as lidocaine, or capsaicin, the substance that makes chili peppers hot.

How do you get rid of knee pain fast? ›

Do use "RICE." Rest, ice, compression, and elevation (RICE) is good for knee pain caused by a minor injury or an arthritis flare. Give your knee some rest, apply ice to reduce swelling, wear a compressive bandage, and keep your knee elevated.

Is it OK to wear a knee brace all day? ›

If your orthopedist recommends it, you can wear your brace all day. However, improper use of a knee brace can worsen your pain or cause further damage to the knee. If you are using a brace that immobilizes your knee, the joint can weaken.

How do I strengthen my plica? ›

Lie face down on a flat surface with your legs together. Slowly flex the affected knee (bend it up toward your buttocks) as far as possible without pain and then lower it. To add resistance, use rubber tubing while you do the exercise. Perform 3 sets of 25 repetitions, progressing gradually to 3 sets of 45 repetitions.

Can you have plica in both knees? ›

Plica can be present in multiple joints, but this article will review plica in the knee which is the joint most commonly affected by plica tissue. As a result of overuse or injury, plica can become inflamed or irritated due to friction across the patella or the medial femoral condyle.

What causes medial knee pain? ›

Medial knee pain typically occurs because of a deterioration of cartilage. It can also follow a sports injury or other type of trauma to your knee. Your knee is easily injured because it's one of the most complex joints in the body.

How do you pronounce plica syndrome? ›

What is Plica Syndrome. Plica (pronounced PLI-kah) syndrome occurs when plicae (bands of synovial tissue) are irritated by overuse or injury.

Videos

1. Treat Plica Syndrome Knee Pain with Stretches & Exercises - Ask Doctor Jo
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2. Webinar replay - An overview of plica problems in the knee
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3. Jumper’s Knee: The Plica with Will Ratelle (Fix Patellar Tendon Pain)
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4. Anterior Knee Pain PLICA Surgery #MoraMD #theUFCfighterSurgeon
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