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Pellegrini-Stieda Syndrome Physio Singapore

Pellegrini-Stieda syndrome causes calcium build-up in the inner knee ligament after injury. Physiotherapy helps reduce pain, restore movement, and improve knee stability.

Vineet Bansal
Medically Reviewed By
Vineet BansalCLINICAL DIRECTOR / PRINCIPAL MUSCULOSKETAL & SPORTS PHYSIOTHERAPIST
Last reviewed on 29 May 2026
Pellegrini-Stieda Syndrome Physio Singapore

What is Pellegrini-Stieda Syndrome?

Pellegrini-Stieda syndrome is a condition where calcium deposits form in the medial collateral ligament (MCL) on the inner side of the knee, usually after an injury.

The MCL helps stabilise your knee, especially during walking, running, and twisting movements. When calcification develops, it can cause stiffness, pain, and restricted movement.

Many patients describe this as pain on the inside of the knee after injury or difficulty straightening the knee fully.

If you are looking for knee physiotherapy in Singapore, ACE Physio Sports provides targeted rehabilitation to restore mobility and stability.

How Does It Develop?

This condition typically develops after an MCL injury.

Common causes include:

  • A direct blow to the outer side of the knee
  • Twisting injuries with the foot planted
  • Sports injuries (football, rugby, basketball)
  • Sudden inward stress on the knee

Over time, the healing process may lead to calcium deposits forming at the ligament attachment.

Common Symptoms

Symptoms may develop gradually after the initial injury.

You may experience:

  • Pain on the inner side of the knee
  • Difficulty straightening the knee fully
  • Stiffness during movement
  • Tenderness along the inner knee
  • A small lump on the inside of the knee
  • Weakness or instability
  • Discomfort during walking, running, or twisting

Many people report “inner knee pain when walking” or “knee feels tight and cannot fully straighten.”

What Should I Do?

  • Seek physiotherapy assessment early
  • Apply ice to reduce pain and swelling
  • Modify activities that stress the knee
  • Keep the knee moving gently (within comfort)
  • Follow a structured rehabilitation plan

Early treatment helps prevent stiffness and long-term limitation.

What Shouldn’t I Do?

  • Do not ignore ongoing knee pain
  • Avoid twisting or high-impact activities
  • Do not push through pain
  • Avoid delaying treatment
  • Do not rely only on rest without rehab

Physiotherapy Treatment

Physiotherapy is essential to restore knee function and reduce symptoms.

At acephysiosport.com, your treatment may include:

Pain & Stiffness Management

  • Techniques to reduce pain and inflammation
  • Soft tissue therapy to relieve tightness
  • Joint mobilisation to improve movement

Restore Movement

  • Exercises to improve knee range of motion
  • Gradual extension and bending work
  • Reducing joint stiffness

Strength & Stability

  • Strengthening muscles around the knee
  • Improving ligament support
  • Enhancing knee control

Proprioception & Control

  • Balance and coordination training
  • Improving joint awareness
  • Reducing risk of re-injury

Return to Activity

  • Gradual return to walking, running, or sport
  • Functional training
  • Movement correction

At acephysiosport.com, your rehabilitation is tailored to your activity level and recovery goals.

Recovery Timeline

  • Pain improvement: 2–4 weeks
  • Movement recovery: 4–8 weeks
  • Full function: 6–12 weeks

Recovery depends on severity and adherence to physiotherapy.

Long-Term Effects

With proper treatment:

  • Pain reduces significantly
  • Movement improves
  • Knee stability is restored

Without treatment, you may develop:

  • Persistent stiffness
  • Chronic inner knee pain
  • Reduced mobility

When is Additional Treatment Needed?

In persistent cases:

  • Anti-inflammatory injections may be considered
  • Imaging may be required to assess calcification
  • Rarely, surgical removal of deposits may be needed

Is This the Same as an MCL Injury?

Not exactly.

  • MCL injury: Ligament damage from trauma
  • Pellegrini-Stieda syndrome: Calcification after the injury heals

If your inner knee pain continues after a ligament injury, this condition may be the cause.

Why Choose ACE Physio Sports?

If you are looking for physiotherapy in Singapore for knee pain or ligament injuries, ACE Physio Sports offers:

  • Personalised 1-to-1 physiotherapy sessions
  • Expertise in knee and sports injuries
  • Structured rehabilitation programmes
  • Evidence-based treatment approach
  • Convenient location near East Coast Road

We focus on restoring full knee function and preventing recurrence.

Book Appointment

Don’t let inner knee pain limit your movement or activity.

👉 Book now at https://acephysiosport.com 📞 Call: +65 81535374

Early physiotherapy helps restore movement faster and prevent long-term stiffness.

Frequently Asked Questions

Do I need surgery for a Calcification of the Medial Collateral Ligament?

Most ligament injuries — including partial tears — heal well with physiotherapy alone. Surgery is usually reserved for complete ruptures in high-demand athletes or cases where conservative treatment fails. A physiotherapy assessment can determine the severity and guide the right approach.

My knee feels very unstable after the injury — is that normal?

Yes — a feeling of instability or "giving way" is common after a ligament injury because the damaged ligament can no longer provide full joint support. Physiotherapy rebuilds stability through targeted strengthening and proprioception (balance awareness) training.

How long until I can return to sport after a Calcification of the Medial Collateral Ligament?

Timelines depend on severity: mild sprains may resolve in 2–4 weeks, while complete tears requiring surgery can take 6–12 months. Your physiotherapist will use functional tests and strength assessments to confirm you're truly ready before clearing you for full activity.

Ready to start your recovery?

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