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A member asked:
I have discomfort, swelling and patella mal trekking from a swollen plica (1st doctor prognosis). is having the plica removed now going to save my cartilage in the long run orshould i do ice pt and wait?
5 doctors weighed in across 3 answers
Depends: The plica can be secondary to maltracking but not a cause of it. You probably need to target the malt racking first. I like to use a knee sleeve with lateral j pad to control the tracking which may decrease the plica irritation.
Answered 7/2/2013
5.4k views
Conservative tx: Is best, rest, perhaps nsaids, consider osteopathic treatment to balance your knee. Then exercise with pt.
Answered 3/12/2014
5.4k views
Plica common: Patellofemoral problems are complex -- a precise diagnosis is key. Plicae are very common in asymptomatic knees-- so be sure the plica is the problem. Ask to review all the peer reviewed literature reports of a plica causing malalignment -- unaware of any on pubmed.
Answered 9/28/2016
5.1k views
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