You’ll start with gentle exercise to ease the pain and swelling. They’ll use small surgical tools, inserted through another small cut, to remove the plica or adjust its position.Īfter surgery, your doctor will refer you to a physical therapy program to help you rebuild your knee strength. Your doctor will insert a small camera called an arthroscope through a small cut in the side of your knee. If physical therapy doesn’t help, you may need a procedure called arthroscopic resection. If you don’t, the pain will return once the corticosteroid wears off. This may make the pain completely disappear, but it’s important to keep up with your stretching and exercise routine. Your doctor may give you a corticosteroid injection in your knee if the inflammation makes it hard to exercise. Once you learn some stretches, try to do them several times a day to keep your muscles relaxed. Most of them can be done while either sitting down or standing up. Tight hamstrings place extra stress on the front of your knee, where your plica is.Ī physical therapist can guide you through several stretches that can help relax your hamstrings. The hamstrings are the group of muscles that stretch down the back of your thighs from your pelvis to your shin bone. You can also try swimming, biking, walking, or using an elliptical machine. You can strengthen your quadriceps by doing: If your quadriceps are weak, you’re more likely to have irritated plicae. The medial plica is indirectly attached to your quadriceps, a large muscle in your thighs. Most people start to feel relief within six to eight weeks of starting a physical therapy or exercise program. These usually involve stretching your hamstrings and strengthening your quadriceps. Most cases of plica syndrome respond well to physical therapy or a home exercise program.
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