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Doctor insights on: Medial Plica Treatment

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Is the thickening of plica reversible without surgery or does conservative treatment only serves to strengthen muscles to keep the plica from sliding?

Is the thickening of plica reversible without surgery or does conservative treatment only serves to strengthen muscles to keep the plica from sliding?

Discuss with MD: In those few patients who do not respond to a non-operative treatment program, an arthroscopic resection of their medial plica may be indicated. ...Read more

Plica (Definition)

Infolding synovial tissue within a joint. It is a normal finding. It may on occasion get ...Read more


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I had plica removed along with a chondroplasty now I can't straighten my knee. I was told that I have arthrofibrosis. What is the treatment for that?

I had plica removed along with a chondroplasty now I can't straighten my knee. I was told that I have arthrofibrosis. What is the treatment for that?

Depends.: Arthrofibrosis is scar tissue. Sometimes it will respond to an oral medication called a Medrol (methylprednisolone) Dosepack (prednisone). If that fails, you may need arthroscopic surgery to remove the scar tissue. Keep up with your physical therapy motion exercises. ...Read more

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What is the treatment and prognosis for a knee plica in a 10 YO? Likelihood for full recovery and ability to run again without surgery? In PT now.

What is the treatment and prognosis for a knee plica in a 10 YO? Likelihood for full recovery and ability to run again without surgery? In PT now.

Varies: It varies a lot. Some patients may have a plica and do fine, not even knowing they have it. Others have persistent pain, swelling, and popping in the knee and ultimately have surgery. Meds, PT, ice, and possibly injection therapy are the typical nonoperative treatments to varying degrees of success. ...Read more

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Diagnosed with plica syndrome. Had physical therapy for 3 months...knee still hurts. Should I consider surgery?

Diagnosed with plica syndrome. Had physical therapy for 3 months...knee still hurts. Should I consider surgery?

Possibly.: Surgery is possible. But make sure that you're being treated by a sports medicine orthopedic knee surgeon, who can make an accurate diagnosis. ...Read more

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What is medial plica syndrome?

What is medial plica syndrome?

Inflammed tissue.: The plica is a band of tissue that runs along the front/inner side of your knee. It can become inflammed and give you pain in that area. ...Read more

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Had cortisone for medial plica 1.5 weeks ago. Still painful. Should next step really be surgery? Not reading good things about the outcome.

Had cortisone for medial plica 1.5 weeks ago. Still painful. Should next step really be surgery? Not reading good things about the outcome.

If not willing to-: Accept the risks, you need do nothing, but your symptoms will not get better. Repeated steroid injections will cause damage to the joint surfaces. It's a great drug, but a double edged sword, beware! ...Read more

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What is medial patellar plica?

What is medial patellar plica?

Inflammed tissue.: The plica is a band of tissue that runs along the front/inner side of your knee. It can become inflammed and mimic meniscal tear symptoms. ...Read more

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What is a medial plica of the knee?

What is a medial plica of the knee?

Synovial fold: Medial plica is a thickening or fold in the synovial lining of the knee. (plica synovialis mediopatellaris = medial plica: extends from the infrapatellar fat pad to the medial capsule of the knee, in the coronal plane.) this is a common finding which generally causes no problems. Very rarely it can cause a painful plica syndrome. ...Read more

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Can medial plica syndrome cause instability or the knee to give way? Something like "pseudo giving way"?

Can medial plica syndrome cause instability or the knee to give way? Something like "pseudo giving way"?

Yes.: A painful plica can cause the quad (thigh) muscles to shut down, and give you a sense of the knee "giving out". ...Read more

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What treatment is used for medial patellar partial retinaculum tear. How long must I wait until resuming normal activities?

What treatment is used for medial patellar partial retinaculum tear. How long must I wait until resuming normal activities?

Depends: The severity of your knee injury that caused the tear of the medial patellar retinaculum tear will determine the length of your recovery. Physical therapy can be very beneficial to aid your recovery and speed your return to "normal" activities. If you have not seen an orthopaedic surgeon yet, it would probably be worthwhile for you. ...Read more

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What is the treatment for a medial meniscus tear?

What is the treatment for a medial meniscus tear?

Surgery: Because meniscus tissue is cartilage and has a poor ability to heal, the standard treatment is an arthroscopic meniscus repair or meniscectomy. ...Read more

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What is a prominent navicular tubercle at the medial aspect of the navicular bone? What is the treatment?

What is a prominent navicular tubercle at the medial aspect of the navicular bone? What is the treatment?

Navicular is a bone: In the midfoot, if it is prominent it sticks out a bit. Treatment may include smart shoe selection so there is no rubbing, padding the area, or shaving the prominence in the operating room. (The latter done by the doctor, not by you of course) ...Read more

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Medial meniscal tear degenerative change with 10mm loose body inferior to the patella. Differential. Diffusely thickened Plica. What next?

Medial meniscal tear degenerative change with 10mm loose body inferior to the patella. Differential. Diffusely thickened Plica. What next?

Remove loose body re: Need more information but need to discuss with your physicians about removal of the loose body (also known as a joint mouse) if it is interfering with your activity. Sometimes some advise removal of the plica as well as repair of the tear. One needs to know you total medical status ...Read more

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I had plica removal and a chondroplaty done about 11 month ago. And just recently had a MRI which showed a displacement of the medial menicus root.?

Different problem: Meniscus root tears are different to plica syndrome. It's unfortunate that you now have this tear which will likely require surgery if painful. If patient is less than 45 with no arthritis, a meniscus root repair should be done. Otherwise meniscal resection is recommended. Chondroplasty is shaving away of loose cartilage and implies some degree of arthritis. Second opinion by sports doc may help. ...Read more

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What is treatment of painful corn on medial side of sole of foot?

Corn: Are you sure of the anatomy term? It may be a wart or callous which receive totally different treatments. See your podiatrist for an evaluation. ...Read more

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Treatment for grade 4 chondromalacia medial patellar facet with patella alta with pt / pl ratio of 1.6?

Treatment for grade 4 chondromalacia medial patellar facet with patella alta with pt / pl ratio of 1.6?

Varies: It varies in part on your age, the condition of the other compartments of your knee, and the overall alignment of the limb. Grade IV chondromalacia infers severe loss in the normal cartilage under that part of your knee cap. Thank you for your question. ...Read more

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I've a grade3 tear in posterior horn of medial meniscus, I'm taking phisiotherapy treatment. Will it heal?

I've a grade3 tear in posterior horn of medial meniscus, I'm taking phisiotherapy treatment. Will it heal?

Unlikely, medical...: ..tissue is avasccular & does not have great healing ability. PT can help with Ur acute ssx, but the tear is there just waiting 4 the proper movement of the knee 2 raise it's ugly head again. Avoid deep squats, cutting 2 the side of the tear. It can happen in bed @ nite, sleeping alone. Has an ortho Cn U yet, if not it would B a good idea. ...Read more

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Mild degenerative signal posterior horn medial meniscus without tear. What exactly does this mean for treatment for a young athlete?

Mild degenerative signal posterior horn medial meniscus without tear. What exactly does this mean for treatment for a young athlete?

@ Ur age it means U-: -have injured it sometime along the way. MRI's may miss tears, with that in mind, U should C an orthopedic surgeon who is fellowship trained in sports medicine. Studies have shown that an exam can B more reliable than the MRI. Only by 1-2 %. Obviously U have symptoms so C ortho sports med. ...Read more

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Prominence of medial patellar plica is diagnosis from MRI. Treated with NSAIDs so far, still painful for day to day activities. Ideas?

Prominence of medial patellar plica is diagnosis from MRI. Treated with NSAIDs so far, still painful for day to day activities. Ideas?

Arthroscopic surgery: If it has been present for a long time, and has not responded to conservative treatment, then arthroscopic surgery is warranted.
Have you tried a cortisone injection? May help. ...Read more

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What causes a medial meniscus to be displaced? I had plica removed medial. Could that be the cause. This was seen on a MRI 4 months after surgery

What causes a medial meniscus to be displaced? I had plica removed medial. Could that be the cause. This was seen on a MRI 4 months after surgery

The meniscus can: Be displaced if it is torn. A plica has nothing to do with the meniscus. A displaced meniscus or tear can be quite painful as it slips in and out of the knee joint with flexion and extension. You will also feel catching, locking and giving out. Your knee can also have an effusion or swelling. ...Read more

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I have an oblique tear of the posterior horn of the medial meniscus, what is the treatment for that?

I have an oblique tear of the posterior horn of the medial meniscus, what is the treatment for that?

It depends: Arthroscopic surgery to repair the torn meniscus if the tear is in a location that can be repaired or excision of the loose piece of the meniscus if the symptoms are that of pain, clicking or giving out of the knee. If you are not having any significant problems you can choose to leave it alone till symptoms recur. Good luck. ...Read more

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I have grade 2 meniscus tear involving posterior medial horn? What treatment would you prescribed for grade 2 meniscal injury?

Meniscus: Just watch it for now. Try an nsaids and avoid any exercise that makes it hurt. A grade 2 signal is a finding on a MRI but it does not represent a complete tear which is a grade 3 ...Read more

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Mild degenerative signal posterior medial meniscus without tear. MRI Results What treatment would be best for this in a young adult?

Mild degenerative signal posterior medial meniscus without tear. MRI Results What treatment would be best for this in a young adult?

Probably physical: Therapy and muscle strengthening. Get an opinion from orthopedic surgeon. But most importantly, avoid any further injury. ...Read more

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6wks since arthroscopy removed large medial plica. Knee is catching under scar for split second and giving way-so painful. Why is this happening?

6wks since arthroscopy removed large medial plica. Knee is catching under scar for split second and giving way-so painful. Why is this happening?

Scar tissue: After your surgery, more scar tissue can form. I would recommend aggressive massage, heat and/or ice, topical ointments, and less activity for a little while. The giving way is a reflex to sudden pain in your knee. If these don't help your catching, injections or physical therapy may help. ...Read more

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I have grade 2 meniscus tear involving posterior medial horn? What treatment would you prescribed for grade 2 meniscal injury? And its being 3 month do

I have grade 2 meniscus tear involving posterior medial horn? What treatment would you prescribed for grade 2 meniscal injury? And its being 3 month do

See Orthopedics: Your specialist the Orthopedic doctor can prescribe treatment options. They include surgery, no surgery, rehab, injection, meds to name a few. The cartilage as you know does not regrow. Over weeks the area will heal and pain will go away. You may have knee instability. Use a knee brace from pharmacy if that is useful. Take OTC ibuprofen if pain. As always see a doctor for complete care. ...Read more