Addressing any gross muscle weaknesses or tightness through the quads, calves, hamstrings or adductors with strength exercises, dry needling, massage and stretching. Analysis of your squat/running technique to look at your knee joint kinematics and correct any poor movement patterns. Some things that your physiotherapist may help you address include your pelvic stability and gluteal strength to help centre forces through the knee. In one study of 136 symptomatic people, a stretching only approach the management was successful in 40% of cases, average in 20% and failed in 40%. This in turn reduces the force put through the medial aspect of the knee. A physiotherapy approach can be ideal for addressing these focus areas. The focus of this is to increase the strength around the knee and pelvis, improve posture and technique, footwear and reduce the tightness of the calves, quadriceps and hamstrings. #Medial pica syndrome trialSo what if I do have a symptomatic medial plica? The first step is to trial conservative management. What to Do If you Suspect you Have Medial Plica Syndrome Common differential diagnosis include distal hamstring or adductor tendinopathy, pes anserine bursitis, osteoarthritis and medial meniscal pathology. Unfortunately MRI scans have also been proven to be unreliable in determining if someone has a medial plica but are very useful in ruling out other pathology. It is useful to get plain film x-rays of the knee including a weight bearing AP, lateral, and 45° patellar sunrise (axial) to exclude other pathology. There may or may not also be a history of trauma.People will typically report pain over the medial plica with repeated knee bending/straightening.Signs and symptoms of medial plica pathology include: In certain circumstances the medial plica can become irritated as it flicks or glides across the medial epicondyle of the knee.
0 Comments
Leave a Reply. |
Details
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |