Knee pain is one of the most common complaints patients have when they visit a rheumatologist. Knee pain may be caused by a variety of factors, including arthritis, bursitis, tendonitis, and more.
The pain from an inflamed medial plica is a form of knee pain that is seldom reported. This is a disease that is classified as arthritis. If you’re looking for more tips, QC Kinetix (Hardy Oak)-Knee Pain Doctor has it for you.
It’s critical to understand basic knee anatomy in order to comprehend this form of knee pain.
The femur (upper leg bone), tibia (larger of two lower leg bones), fibula (smaller of two lower leg bones), and patella (smaller of two lower leg bones) make up the knee joint (the knee cap).
A thin layer of hyaline cartilage, a durable form of gristle, covers all of the articulating (interacting) surfaces of the knee bones, which aids in cushioning and shock absorption.
The whole device is contained inside a joint capsule. Synovium, a type of tissue that provides nourishment and lubrication to the joint, lines the capsule.
The synovium will often fold into a tissue fold. Above the knee cap, below the knee cap, and between the knee cap and the femur, along the inside part of the knee, this fold may occur.
As a fold forms between the patella and the femur on the inside of the leg, it may cause problems. The condition is known as medial plica syndrome.
The most common symptom is pain in the patellar area. Snapping, clicking, locking, and even a feeling of insecurity are all possible symptoms. This is a relatively uncommon symptom.
The discomfort can be aggravated by inflammation of the knee capsule, which can occur as a result of arthritis or trauma. Bending and straightening the knee (for example, stair climbing) will aggravate the pain of a medial plica.
Clinically, the condition may be suspected based on the patient’s experience. The patient can complain of pain over the medial (inside) part of the joint during evaluation. When the knee is flexed and straightened, a snapping sound can be felt.
Magnetic resonance imaging (MRI) scanning can be used to validate the diagnosis.
In most cases, a patient may have an arthroscopy (insertion of a telescope inside the knee joint). The medial plica will appear thickened and inflamed at the time of arthroscopy. The procedure can also be done arthroscopically.
The arthroscopist will use a motorised trimmer to carefully remove the inflamed plica so it no longer gets stuck. In most cases, this treatment is curative. We’ve seen a lot of symptomatic medial plica cases where this arthroscopic treatment effectively healed them.