Is my inner knee pain a plica or a meniscus tear?

Two structures close together

A plica is a fold of the joint lining that many people have without problems. When it becomes thickened and irritated, often from repetitive bending or a knock, it can rub over the thigh bone beside the kneecap.

The medial meniscus is the cushion between the thigh and shin bones on the inner side. Tears may follow a twist in younger people or develop with wear after about 40.

Plica and meniscus tear side by side

• Where it hurts: plica above the joint line, just inside the kneecap; meniscus on the joint line itself
• What you feel: plica a tender band that may snap as the knee bends; meniscus catching, locking or a sharp twist pain
• Worse with: plica long sitting, stairs, cycling and repetitive bending; meniscus pivoting, deep squats and getting up from the floor
• Swelling: plica usually little; meniscus often after activity
• On MRI: plica often seen but its importance judged clinically; meniscus tears usually visible
• Usual treatment: plica physiotherapy, load changes and sometimes an injection; meniscus physiotherapy first in many patients, surgery for locking or repairable tears

Why the distinction matters

A plica seen on MRI is common and may not be the cause of pain, while a small meniscus tear can be missed if the plica takes the blame. Treating the wrong structure can mean months of frustration. Where symptoms persist after good physiotherapy, arthroscopy can treat either problem, but it is considered only after careful assessment.

When to see a knee surgeon in Doha

Book an assessment if inner knee pain has lasted more than six weeks, if the knee catches or locks, or if it swells after football, padel or prayer on the floor. At Aman Hospital, Dr. Gelber pinpoints the painful spot, checks meniscus tests and reviews any MRI to decide which problem is actually causing your symptoms.