PELLEGRINI STIEDA SYNDROME

What is Pellegrini Stieda Syndrome?

Calcification near the root of the knee’s medial collateral ligament (MCL) is a characteristic of Pellegrini-Stieda Syndrome (PSS), which causes pain and limited movement and frequently develops after knee injuries.

Causes and Mechanism of Injury

PSS is usually caused by direct or indirect trauma to the knee, such as external rotation forces or valgus stress from sports injuries. These forces have the potential to harm the MCL, resulting in calcification and hematoma development.

Signs and Symptoms

Individuals with PSS may experience:

  • Pain along the inner knee
  • Tenderness and swelling over the MCL
  • Restricted knee range of motion, particularly while extending
  • Stiffness  and Discomfort when engaging in activities

Diagnostic Methods

At Elite Physiotherapy and Sports Injury Centre, we employ comprehensive physical and functional assessments to diagnose PSS:

  1. Physical examination: measuring knee range of motion, edema, and MCL discomfort.
  2. Special Physiotherapy Tests: Valgus stress tests are used in special physiotherapy exams to assess the integrity of the MCL and detect laxity or discomfort.
  3. Imaging Studies: PSS is confirmed by using X-rays to find calcification close to the medial femoral condyle.
X-ray showing calcification of proximal MCL (Right Knee)

Physiotherapy Management

At Elite Physiotherapy and Sports Injury Centre, our approach to managing PSS focuses on alleviating pain, restoring function, and preventing recurrence. Our comprehensive treatment plan includes:

  • Pain management: Using techniques like cryotherapy to lessen discomfort and inflammation.
  • Manual therapy: Increasing flexibility and decreasing stiffness by mobilizing joints and soft tissues.
  • Therapeutic Exercises: Creating customized workout plans to improve knee stability by strengthening the hip abductors, hamstrings, and quads.
  • Advanced Modalities: Incorporating state-of-the-art treatments available at our centre, including:
    • Shock Wave Therapy: Using acoustic waves to promote tissue healing and lessen pain.
    • CRET Therapy: Using high-frequency electrical currents, capacitive-resistive electric transfer (CRET) therapy improves tissue healing and lowers inflammation.
    • SIS: The Super Inductive System (SIS) uses electromagnetic fields to activate muscles and relieve pain by stimulating neuromuscular systems.
    • High-Intensity Class IV Laser Therapy: Using deep-penetrating laser light, high-intensity class IV laser therapy reduces inflammation and speeds up tissue recovery.
    • Hydrotherapy: Hydrotherapy uses water-based exercises to increase flexibility and strength while reducing joint tension.

Our holistic approach ensures that each patient receives personalized care tailored to their specific needs, facilitating optimal recovery and return to activity.

Conclusion

Treatment for Pellegrini-Stieda Syndrome must be multimodal. To deliver efficient, customized care, Elite Physiotherapy and Sports Injury Centre combines cutting-edge therapeutic techniques with professional evaluations. Our dedication to using state-of-the-art therapies guarantees our patients the greatest results.