Orthopedics

Orthopedics 216: Plica Syndrome | Chiropractic CE | CCEDseminars

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Chiropractor in blue gloves palpating patient's knee during clinical examination on treatment table
Online Course Format:  Online
Course Tuition:   $40.00
Credit Hours ( CE ):  2
Contributor:  Michael Hall, DC, FIACN
CLICK HERE for a list of states, provinces and countries this course is accredited in.

Online Chiropractic CE Course Description & Course Details

ONLINE | RECORDED
CourseOrthopedics 216: Plica Syndrome
InstructorMichael Hall, DC, FIACN
CE Hours2 Hours
FormatOnline — Self-Paced, On Demand
Price$40.00
PACE Provider#34015544

Knee complaints are among the most common presentations in chiropractic practice — and Plica Syndrome is one of the most frequently overlooked causes. In Orthopedics 216: Plica Syndrome, Dr. Michael Hall, DC, FIACN delivers a clinically focused, 2-hour online CE course that walks you through the full scope of evaluation and conservative management for this often-misdiagnosed knee condition. You will build confidence in your ability to take a targeted history, perform a systematic physical exam, apply appropriate imaging, document accurately, and develop an integrative, co-managed care plan that gets patients better.

Dr. Michael Hall DC FIACN headshot

Michael Hall, DC, FIACN

Fellow, International Academy of Chiropractic Neurology

Dr. Michael Hall is a chiropractic educator and clinician with advanced training in chiropractic neurology. As a Fellow of the International Academy of Chiropractic Neurology (FIACN), Dr. Hall brings a neurology-informed, evidence-based lens to orthopedic examination and conservative management. He is one of CCEDseminars' most prolific instructors, with courses spanning orthopedics, neurology, documentation, ethics, and clinical compliance.

"CCED helps me stay sharp, up to date, and legally compliant. Their webinars are a must for any chiropractor who wants to grow their practice the right way."

— Reon Bailey, DC

"I've learned more here than in many live seminars. Thank you for making me a better doctor."

— Rob Rosenbaum, DC

Course Description

Plica Syndrome is a well-recognized but frequently misidentified cause of anterior and medial knee pain. The synovial plica — a fold of the joint's inner lining left over from embryological development — can become inflamed, thickened, and fibrotic in response to repetitive stress, overuse, or trauma. Patients often report a characteristic snapping, clicking, or popping sensation in the knee, commonly aggravated by prolonged sitting, squatting, or stair climbing. Because these symptoms overlap with patellofemoral syndrome, meniscal pathology, and other knee conditions, accurate clinical differentiation is essential.

In Orthopedics 216: Plica Syndrome, Dr. Michael Hall, DC, FIACN takes you through a structured, clinically grounded approach to evaluating and managing this condition. The course begins with comprehensive patient history taking — identifying key red and yellow flags, mechanism of onset, activity-related aggravating factors, and prior treatment history. You will then move through a detailed physical examination sequence that includes palpation of the plica, range of motion assessment, special orthopedic tests, and neurological screening.

From there, the course addresses imaging and diagnostic testing — when to order, what to order, and how to interpret findings in the context of Plica Syndrome. Dr. Hall then covers evidence-informed chiropractic treatment strategies, physical therapy rehabilitation protocols, nutritional interventions to address inflammation, and documentation and coding best practices to protect the clinician and the patient. The course concludes with a discussion of collaborative care options, including when co-management with physical therapists, orthopedic surgeons, or sports medicine physicians is appropriate.

Learning Objectives

Upon successful completion of this course, the participant will be able to:

  1. Integrate clinical pearls into the evaluation of Plica Syndrome, including history-taking strategies and physical examination findings specific to synovial plica pathology.
  2. Develop conservative treatment approaches for managing patients with Plica Syndrome, incorporating chiropractic adjustive techniques, soft tissue therapy, and rehabilitation protocols.
  3. Apply documentation and coding best practices in clinical settings when managing knee complaints attributed to Plica Syndrome.
  4. Determine appropriate collaborative treatment options for patients with Plica Syndrome, including when referral or co-management with other healthcare professionals is indicated.
Course Outline

I. Comprehensive Patient History

  • Chief complaint and symptom onset — acute vs. insidious
  • Mechanism of injury and activity-related aggravating factors
  • Prior knee injuries, surgeries, and treatment history
  • Red and yellow flag screening

II. Physical Examination

  • Observation and gait analysis
  • Palpation of the medial and suprapatellar plica
  • Range of motion assessment — active and passive
  • Special orthopedic tests for Plica Syndrome
  • Differential diagnosis — distinguishing plica from meniscal, patellofemoral, and IT band pathology

III. Imaging and Diagnostic Testing

  • Radiographic evaluation of the knee
  • MRI considerations for plica identification
  • Diagnostic ultrasound applications
  • Interpreting findings in clinical context

IV. Chiropractic Treatment Strategies

  • Joint mobilization and manipulation of the knee
  • Soft tissue therapy — myofascial release and IASTM
  • Activity modification and load management
  • Taping and bracing considerations

V. Physical Therapy Interventions

  • Quadriceps and VMO strengthening protocols
  • Hip abductor and external rotator rehabilitation
  • Stretching for the IT band, hamstrings, and calf complex
  • Progressive return-to-activity programming

VI. Nutritional Management

  • Anti-inflammatory nutrition strategies
  • Supplementation considerations for joint tissue health

VII. Documentation, Coding, and Collaborative Care

  • ICD-10 coding for Plica Syndrome and related knee diagnoses
  • SOAP note documentation pearls
  • Informed consent and clinical communication
  • Co-management with physical therapists, orthopedic surgeons, and sports medicine physicians
  • Referral criteria and indications for surgical consultation
Course Technology & Access

How to Join: The course title in your account is the access link. No software installation is required. The course is accessible through any modern browser on desktop, tablet, or mobile devices.

This is a self-paced online course available on demand. Once registered, you can access the course content at any time from your CCEDseminars account.

A CE certificate is issued upon successful completion of the course evaluation. Please retain your certificate for state licensing board submission.

State Approvals & Accreditation

CCEDseminars is a PACE-approved provider through the Federation of Chiropractic Licensing Boards (FCLB). PACE Provider #: 34015544.

Questions about your state's approved credit hours? Contact us at info@ccedseminars.com.

Frequently Asked Questions

What is Plica Syndrome?

Plica Syndrome involves irritation of the synovial plica — a fold of the knee's inner lining — producing popping, clicking, or snapping sensations often triggered by prolonged sitting or repetitive knee flexion. It is commonly misdiagnosed and responds well to conservative chiropractic care when identified correctly.

What topics are covered in this course?

The course covers history taking, physical examination, imaging and diagnostics, chiropractic treatment strategies, physical therapy interventions, nutritional management, documentation and coding, and collaborative care options.

How many CE hours does this course provide?

Orthopedics 216 provides 2 continuing education (CE) hours for licensed chiropractors.

How do I access this course after registering?

The course title in your account is the access link. No software installation is required. The course is accessible through any modern browser on desktop, tablet, or mobile devices.

What is the cost?

Orthopedics 216: Plica Syndrome is available for $40.00.

Is this course approved in my state?

CCEDseminars is a PACE-approved provider (FCLB Provider #34015544). Orthopedics 216 is approved in numerous U.S. states, Canadian provinces, and international regions. Please check the State Approvals section on this page or contact us to confirm acceptance in your jurisdiction.

Ready to sharpen your knee evaluation and treatment skills?

2 CE Hours | Online | $40.00 | PACE Approved #34015544

Register Now

References

  1. Bellary SS, Lynch G, Housman B, et al. Medial plica syndrome: a review of the literature. Clin Anat. 2012;25(4):423–428. doi:10.1002/ca.21278. PubMed
  2. Lyu SR. Relationship of medial plica and medial femoral condyle during flexion. Clin Biomech (Bristol, Avon). 1999;14(7):489–493. doi:10.1016/s0268-0033(99)00013-6. PubMed
  3. Kim SJ, Choe WS. Arthroscopic findings of the synovial plicae of the knee. Arthroscopy. 1997;13(1):33–41. doi:10.1016/s0749-8063(97)90207-1. PubMed
  4. Schindler OS. 'The Sneaky Plica' revisited: morphology, pathophysiology and treatment of synovial plicae of the knee. Knee Surg Sports Traumatol Arthrosc. 2014;22(2):247–262. doi:10.1007/s00167-013-2368-4. PubMed
Content Optimization v3.1 | Updated April 2026
This online chiropractic course is accredited in the following states:

Alaska, Colorado, Connecticut, Delaware, District Of Columbia, Idaho, Illinois, Indiana, Iowa, Kansas, Maine, Maryland, Massachusetts, Michigan, Minnesota, Missouri, Montana, Nebraska, New Hampshire, New Jersey, New York, North Carolina, North Dakota, Ohio, Oregon, Puerto Rico, Rhode Island, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wyoming,

This online chiropractic course is accredited in the following Canadian Provinces:

British Columbia, Manitoba, New Brunswick, Nova Scotia, Ontario, Yukon,

This online chiropractic course is accredited in the following regions outside the United States & Canada:

Argentina, Australia, Bahamas, Belgium, Bolivia, Cayman Islands, Chili, Columbia, Costa Rica, Cyprus, Denmark, Dominican Republic, Ecuador, Fiji, Finland, Greece, Guam, Hong Kong, Hungary, Iceland, Iran, Israel, Italy, Jamaica, Japan, Jordan, Korea, Lebanon, Libya, Liechtenstein, Malaysia, Mexico, Nambia, New Zealand, Northern Ireland, Norway, Panama, Peru, Philippines, Saint Kitts & Nevis, Saudi Arabia, Singapore, Spain, Sweden, Switzerland, Taiwan, Thailand, Trinidad & Tobago, United Arab Emirates, United Kingdom, Venezuela, Virgin Island, Zimbabwe,