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Author Topic: Can an inflammed plica іnсrеаsе іt's еlаstісіtу/ rеduсе thісkеnіng аgain?  (Read 1042 times)

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Offline jaymes

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The plica is catching because it's thickened, I'm wondering if a thickened plica will return back to it's normal size again over time, if you stop it from getting irritated ?

І bаngеd thе knее 3 уеаrs аgо аnd thіs рrоblеm hаs stаrtеd hарреnіng sіnсе thеn. thіs pinching аlsо hарреns whеn І І fullу strаіghtеn thе knее , thе fееlіng іs іn thе lоwеr hаlf оf thе knеесар, І аlsо sоmеtіmеs gеt shаrр ріnсhіng іn mеdіаl аrеа оf knее whеn squаttіng оr gеttіng оut оf сhаіr - the mri report showed no damage but my dr thinks it's medial plica syndrome
« Last Edit: January 31, 2018, 11:20:53 PM by jaymes »

Offline Clarkey

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Hi Jaymes,

It does sound similar to what I experienced when my right knee started to give me problems after a fall onto the pavement in the early 00s. Felt the sharp pain and pinching on the lateral side that did not improve with physiotherapy. I went to see an OS at a private knee clinic that could not really find any problems doing a physical examination and tests. He was nearing his retirement with over 40 years experience as a fully qualified OS, his diagnoses were plica syndrome after a negative MRI scan.

When I had a 2nd MRI scan there was some fluid around the fat pad that's closely linked with plica syndrome causing anterior knee pain. Was given a cortisone injection to reduce the inflammation a risky as it can causing cartilage breakup that should always be approached with caution as the last resort. The last option after all conservative methods of treatment was a diagnostic arthroscopy that I had done in November 2009, had medial plica excision and fat pad trimming. It is a hit and miss surgery that works for some patients and not so well for others with similar results to lateral release surgery with success being low.

I would see a sports medicine doctor that will try out less invasive methods of treatment using none surgical methods of treatment options. A sports physiotherapist in my previous experiences is a better option than seeing a standard physiotherapist. My sports physiotherapist tried an ultrasound machine for my anterior knee pain and dry needling or Intra-Muscular Stimulation for tightness in the quadriceps muscles that can have a huge impact on anterior knee pain and discomfort if they are too tight or too weak and need building up.

Good luck finding a way to stop the pinching that becomes frustrating the longer it carries on.

[email protected]
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming

Offline jaymes

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Hi Jaymes,

It does sound similar to what I experienced when my right knee started to give me problems after a fall onto the pavement in the early 00s. Felt the sharp pain and pinching on the lateral side that did not improve with physiotherapy. I went to see an OS at a private knee clinic that could not really find any problems doing a physical examination and tests. He was nearing his retirement with over 40 years experience as a fully qualified OS, his diagnoses were plica syndrome after a negative MRI scan.

When I had a 2nd MRI scan there was some fluid around the fat pad that's closely linked with plica syndrome causing anterior knee pain. Was given a cortisone injection to reduce the inflammation a risky as it can causing cartilage breakup that should always be approached with caution as the last resort. The last option after all conservative methods of treatment was a diagnostic arthroscopy that I had done in November 2009, had medial plica excision and fat pad trimming. It is a hit and miss surgery that works for some patients and not so well for others with similar results to lateral release surgery with success being low.

I would see a sports medicine doctor that will try out less invasive methods of treatment using none surgical methods of treatment options. A sports physiotherapist in my previous experiences is a better option than seeing a standard physiotherapist. My sports physiotherapist tried an ultrasound machine for my anterior knee pain and dry needling or Intra-Muscular Stimulation for tightness in the quadriceps muscles that can have a huge impact on anterior knee pain and discomfort if they are too tight or too weak and need building up.

Good luck finding a way to stop the pinching that becomes frustrating the longer it carries on.

[email protected]

thanks for your reply, is it possible to tell the difference between scarred and thickened plica tissue, other than getting arthroscopy done?

Offline Vickster

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Maybe an ultrasound? Or a more sensitive MRI?  Probably a question for a knee specialist /surgeon (this is a patient board)

There might be some more detailed info in the learning portfolio if you look through the stuff in there

http://www.kneeguru.co.uk/KNEEnotes/knee-dictionary/plica-syndrome
« Last Edit: February 01, 2018, 04:14:31 PM by Vickster »
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline Clarkey

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Maybe an ultrasound? Or a more sensitive MRI?  Probably a question for a knee specialist /surgeon (this is a patient board)

There might be some more detailed info in the learning portfolio if you look through the stuff in there

http://www.kneeguru.co.uk/KNEEnotes/knee-dictionary/plica-syndrome

I now remember having an ultrasound done at the hospital to look at the fat pad and medial plica with thickening around the fat pad spotted on the screen that not only used during pregnancy that I always thought before I had the ultrasound done on the bottom of my kneecap.

[email protected]
RK: PFPS, Arthrofibrosis, Tendinopathy, Five cortisone injections
16/01/18 Anterior interval release, distal patella excision, lateral meniscal repair
18/07/14 Anterior interval release  
16/11/09 Medial plica excision, fat pad trimming















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