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how to repair mcl tear

by Dr. Leland Spinka II Published 2 years ago Updated 2 years ago
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If you have an MCL tear and other knee injuries at the same time, you'll likely have to undergo surgery to fix your injuries. If you need to have surgery for your MCL tear, your surgeon will either reattach the torn part of your MCL or reconstruct and/or augment your MCL using a graft.Oct 18, 2021

Full Answer

How to heal a MCL tear?

Treatment Options for an MCL Sprain

  • RICE Principle. Following your injury, the RICE principle is commonly recommended to get the inflammation around the sprained ligament under control.
  • NSAIDs. After an MCL sprain, taking nonsteroidal anti-inflammatory medications (NSAIDs) usually is recommended to help control the acute symptoms.
  • Bracing. ...
  • Physical Therapy. ...
  • Surgery. ...

Does MCL tear require surgery?

While most MCL injuries can resolve without surgery, there are instances where surgery is the best treatment option. The surgery will either repair or reconstruct the MCL. To repair the ligament, your surgeon will make an incision at the torn area and use fixation devices called suture anchors to secure the ligament back to the bone.

Do MCL tears require surgery?

Most MCL tears that occur with multiple ligament injuries need surgery. In addition, those MCL tears which completely tear off the femur and the knee gaps open with the knee out straight, or where the MCL tears off the tibia and retracts towards the joint line, have a high requirement for needing surgery.

What does a MCL tear feel like?

The knee may feel as if it is about to give out. Instability is usually associated with more severe MCL tears. Pain when bearing weight, such as when walking, sitting down, or rising from a chair.

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How do they repair torn MCL?

The surgery will either repair or reconstruct the MCL. To repair the ligament, your surgeon will make an incision at the torn area and use fixation devices called suture anchors to secure the ligament back to the bone. To reconstruct the ligament, your surgeon will use tendons from either your knee or a cadaver knee.

What is the fastest way to recover from an MCL injury?

The injury tends to heal on its own with rest over a period of a few weeks. You should do a few things right away to ensure that you heal quickly and completely: Immediately after the injury, you should apply ice to help with pain and relieve swelling. Elevate your knee over your heart using cushions.

How long does an MCL tear take to heal without surgery?

Recovery Time for MCL Injuries by Grades Grade 1 is the least severe due to the MCL only being agitated, but no severe damage. So the MCL recovery time is around 1 to 2 weeks, due to the time for the inflammation and irritation to go away.

Can you walk with torn MCL?

If the MCL or ACL tears, the result is usually pain, swelling, stiffness, and instability. In most cases, the injured person can still walk with the torn knee ligament. But the movement will be severely limited, not to mention painful. Surgery may be the best route to a pain-free life, with amazing success rates.

Is walking good for torn ligaments?

The short answer is yes. After the pain and swelling subsides and if there is no other injury to your knee, you may be able to walk in straight lines, go up and down stairs and even potentially jog in a straight line.

Do MCL tears need surgery?

In most cases, MCL injuries do not require surgery, and they may heal on their own after some time. You must avoid putting too much pressure on the affected knee by getting plenty of rest and using crutches to support the injured leg.

Will walking on a torn MCL make it worse?

Walking is beneficial in the healing process of MCL sprains. But should not be done before the knee is completely pain-free, or it can make things worse for the injury.

How can I tell if my MCL is torn?

If your MCL (medial collateral ligament) is torn, you may experience the following signs and symptoms:Hearing a popping sound at the time of the injury.Experiencing pain in your knee.Having tenderness along the inner side of your knee.Having stiffness and swelling in your knee.More items...•

How serious is a MCL tear?

When your MCL is damaged, your knee can over-extend itself, or bend too far in a direction that it's not supposed to bend. You may heal on your own with basic care, rest, and rehab. But if your injury is severe, you may need to have surgery.

How do I know if I tore my MCL or meniscus?

How Can I Tell If I Tore My MCL? Signs & Symptoms to Watch ForA popping sound when the injury is sustained.Pain (ranging from mild to severe depending on injury grade) on the inside of the knee.Instability, or feeling like the knee cannot bear weight and may give out.Knee stiffness.More items...•

How do you sleep with a torn MCL?

0:323:04Sleeping Positions with Pain + Injuries - Pt.2: Knees | Tim Keeley - YouTubeYouTubeStart of suggested clipEnd of suggested clipAnd you do want to sleep on your back go back to the rules. Of shallow pillow there for your neckMoreAnd you do want to sleep on your back go back to the rules. Of shallow pillow there for your neck okay. But when you've got this this is going to have to go under the knee.

What helps ligaments heal faster?

How to Heal Strained Ligaments FasterApply ice to the strained ligament to alleviate pain and swelling. ... Use nonsteroidal anti-inflammatory drugs, NSAIDs, to repair strained ligaments. ... Engage in physical therapy once swelling and pain has decreased. ... Get surgery if the ligament is severely torn.

How long does it take for a MCL injury to heal?

The time it takes to fully recover from an MCL tear depends on how severe the tear is. A grade 1 (mild) MCL tear usually heals within one to three weeks. A grade 2 (moderate) MCL tear generally takes four to six weeks to heal with treatment. A grade 3 (severe) MCL tear can take six weeks or more to heal with treatment.

How long does a sprained MCL take to recover?

MCL Tear or Sprain Nonsurgical Recovery Time It can take anywhere from a few days to 8 weeks for an MCL injury to heal and a person to return to normal activities and sports. Generally, the timeline is determined by the severity of the injury, although this is not true for every person.

How can I make my MCL stronger?

0:012:17Strengthening Exercises for Medial Collateral Ligament MCL knee ...YouTubeStart of suggested clipEnd of suggested clipStrengthening the knee following an MCL injury can begin almost immediately with quad muscleMoreStrengthening the knee following an MCL injury can begin almost immediately with quad muscle contractions. You can perform these as soon as it is comfortable a rolled-up towel or foam roller can be

What exercises can I do with an MCL injury?

Knee flexion with heel slideLie on your back with your knees bent.Slide your heel back by bending your affected knee as far as you can. Then hook your other foot around your ankle to help pull your heel even farther back.Hold for about 6 seconds, then rest for up to 10 seconds.Repeat 8 to 12 times.

How to treat grade 3 MCL tear?

Treatment of Grade III MCL Tears. When a grade III MCL tear occurs, patients should brace their knee and use crutches until the pain has subsided. 7  The knee can be immobilized for a few days initially, but early range-of-motion will help in the recovery process. Once the patient can begin bending their knee, ...

How long does it take for a knee ligament to heal?

When this happens, you may face a recovery time of weeks to months, depending on the grade of the MCL tear.

Can you brace your MCL?

Treatment always begins with allowing the pain to subside, beginning work on mobility, followed by strengthening the knee to return to sports and activities. 3  Bracing can often be useful for the treatment of MCL injuries. Fortunately, most often surgery is not necessary for the treatment of an MCL tear.

Can you bend your knees with a hinged knee brace?

Once the patient can begin bending their knee, early range-of-motion exercises should commence, including stationary bicycling. 7  Normal walking and progression to jogging can begin as pain allows. Use of a hinged knee brace is usually very helpful to support the knee, especially in the earlier stages of rehab.

Do MCL tears need surgery?

MCL tears often do not need surgery. There are many studies that document successful nonsurgical treatment in nearly all types of MCL injuries. 8  Most surgeons agree that for patients who complain of persistent knee instability, despite appropriate nonsurgical treatment, surgery is reasonable. 9 

What is a grade 2 MCL injury?

Grade 2: In a Grade 2 MCL injury, the ligament is partially torn. Treatment is similar to a Grade I trauma, but patients may be advised to stabilize the knee with a brace while they recover. Grade 3: The most severe MCL injury, a Grade 3 MCL trauma means the ligament is completely torn.

What is the MCL?

An MCL tear or rupture can be a debilitating injury, but it often responds well to conservative treatment options like physical therapy. The medial collateral ligament (MCL) runs along the inside of the knee and connects the shinbone, or tibia, to the femur, or thighbone.

How long does it take to recover from a knee injury?

It also requires a longer recovery time, typically about three months. In addition to wearing a brace or taking pressure of the knee with crutches, you’ll undergo physical therapy to increase the joint’s range of motion. You can also start walking and pedaling on a stationary bike when the pain subsides.

How to strengthen the muscles around the knee?

Patients can strengthen the muscles surrounding the knee with exercises, including: Hamstring Curl: Stand straight on one leg and tighten the stomach muscles. Bend the other knee and slowly raise the heel toward the buttocks. Hold for 30 seconds and repeat with the other leg.

Can a tear in the knee cause pain?

A tear will also cause pain, swelling, and tenderness. The knee may feel stiff, making it painful to straighten or bend the joint. An MCL injury creates a feeling of instability as well, so it may be difficult to put weight on the knee. MCL injuries are grouped into three grades, each with a different level of severity.

Can you repair a torn MCL?

Only in cases where the tear hasn’t healed after conservative therapy or other knee ligaments are damaged is surgery recommended. Surgery to repair a torn MCL involves stitching the ends of the ligament together or re-attaching it to the bone.

How to repair MCL?

To repair the ligament, your surgeon will make an incision at the torn area and use fixation devices called suture anchors to secure the ligament back to the bone. To reconstruct the ligament, your surgeon will use tendons from either your knee or a cadaver knee.

How long does it take for a MCL tear to heal?

As previously noted, recovery times vary widely, but in general: 1 A grade 1 (minor) MCL tear can take from a few days to a week and a half to heal enough for a return to normal activities, including sports. 2 A grade 2 tear can take from two to four weeks to heal. 3 A grade 3 tear usually takes four to eight weeks to heal, unless the ACL is also damaged, in which case recovery may take longer.

How to treat a knee tear?

Measures include: Taking oral medications that relieve pain and inflammation, such as aspirin and ibuprofen. Wearing a brace that allows the knee to bend while restricting side-to-side movement.

How long does it take to recover from knee surgery?

After surgery, you'll use crutches and a knee brace for about six weeks. At a post-op visit one to two weeks after surgery, your doctor will check your knee and remove the stitches. Recovery time depends on any related knee injuries but is generally between nine and 12 months.

How to heal a sore knee?

Depending on the injury's severity, these methods – a period of rest, bracing and physical therapy – usually suffice to heal the tear.

Can you have surgery on a torn MCL?

However, if the torn ligament doesn't heal sufficiently, you may experience instability and be more susceptible to reinjury. Surgery may be required in rare cases. Once the MCL has fully healed, you should have minimal long-term effects, provided your knee suffered no other damage.

What to do if you have a grade 3 MCL tear?

A nonsurgical treatment plan will include some or all of the following: Applying ice to reduce swelling.

What are the symptoms of an MCL tear?

Most commonly, the following symptoms are reported after an MCL injury: A popping sound at the time of injury. A swollen knee joint. Pain and tenderness along the inside edge of ...

What is the MCL in knee surgery?

MCL Surgery, Repair & Treatment – Knee Pain & Injuries. The medial collateral ligament (MCL) connects the top of your shinbone (tibia) to the bottom of your femur (thighbone). Located outside of your knee joint, this ligament helps hold your bones together and adds stability to your knee.

What tendon connects the tibia and the kneecap?

Methods for reattaching or reconstructing the torn ligament can vary. Options include using a portion of the patellar tendon (which connects the tibia and the kneecap) or the hamstring tendon (from the back of the thigh). Tendon grafts can come from the patient or an organ donor.

How long does it take for a MCL tear to heal?

Surgery is not always necessary for MCL repair since minor tears will typically heal on their own within a few weeks. However, if the MCL was completely torn with no functioning in the ligament, surgery will be needed.

How to diagnose MCL?

Diagnosing an MCL Injury. Your physician will need to first examine your knee by bending or applying pressure to the outside of the joint. This will also tell them if your knee is loose. From there, an orthopaedic surgeon will likely order imaging tests to get a look at your knee joint.

How to treat a knee injury that is not surgical?

A nonsurgical treatment plan will include some or all of the following: Applying ice to reduce swelling. Taking anti-inflammatory medication to reduce pain and swelling. Using an elastic bandage or brace to compress the knee. Walking with crutches to keep the weight off the injured knee.

Overview of an MCL Sprain

If your MCL is overextended or overtaxed, then the ligament can become sprained or torn. This injury commonly occurs while participating in sports and is usually caused by twisting, cutting, or bending movements. Additionally, a blow or tackle to the outside of the knee can also cause this condition. 1

Treatment Options for an MCL Sprain

Shortly after an MCL sprain, your knee will be painful, swollen, and inflamed. During this acute phase, several treatments can help reduce these early symptoms. Depending on the severity of the injury, your doctor may also recommend physical therapy or surgery. Treatment options may include the following:

A Word From Verywell

After sustaining an MCL injury, it is vital to know the treatment options at your disposal. Following a thorough examination, your doctor will properly diagnose your condition and guide you through the interventions that are appropriate for you.

What to do if you tear your MCL?

What to know about MCL tears. A tear to the medial collateral ligament in the knee can cause pain, swelling, and a lack of stability in the knee. Treatment is usually with ice, a knee brace, and physical therapy. Surgery may be necessary in rare cases.

How to diagnose MCL tear?

A doctor should be able to diagnose an MCL tear after a physical examination of the knee. A doctor may compare one knee with the other, look closely at the injured knee, and gently feel for any swelling and the location of the tenderness. A doctor might carry out further imaging tests to confirm the diagnosis.

How long does it take for a MCL tear to heal?

According to the American Physical Therapy Association (APTA), it may take 2 weeks for a minor injury to the MCL to heal. A more severe tear could take 2 months or more. Recovery usually means being able to walk without limping or move the knee fully without pain.

What does it mean when your MCL is tearing?

An MCL tear causes pain on the inside of the knee. Tearing the MCL is likely to cause more severe pain that spraining the ligament. A person may notice a popping sound at the time of the injury. This is the sound of the MCL tearing.

What are the ligaments that keep the knee in place?

Together, these two ligaments, along with others, help to keep the knee in place. Ligaments consist of strong connective tissue. A sprain stretches the ligament, which can become loose after a severe injury. A tear is a more severe injury that splits the ligament in two.

How to prevent sideways movement of MCL?

A knee brace can help to prevent any sideways movement of the knee joint and protect the MCL from strain and pressure. If an MCL tear is severe, a doctor may recommend that a person use crutches to avoid putting weight on the knee joint. Resting the knee after an MCL tear can help speed up healing.

What is the treatment for a swollen knee?

Treatment is usually with ice, a knee brace, and physical therapy. Surgery may be necessary in rare cases. The medial collateral ligament (MCL) connects the bones in the thigh and lower leg. The MCL runs along the inside of the knee, while the lateral collateral ligament (LCL) runs along the outside of the knee.

What to do if you have a MCL tear?

If you’ve suffered a knee injury, seek the advice of a qualified professional. Because the symptoms of an MCL tear can mimic other knee injuries, it is important to get your knee examined by a sports physician. Your doctor can give you an accurate diagnosis and the information and care you need for a full recovery.

How to tell if you have a MCL tear?

Symptoms of an MCL Tear. You may hear a popping noise when the injury occurs. The tear is followed by pain, swelling and tenderness. There may be visible bruising. An MCL tear may get more painful in the hours after the injury. Your knee may feel like it is going to give out when you put weight on it.

How does a MCL tear feel?

The tear is followed by pain, swelling and tenderness. There may be visible bruising. An MCL tear may get more painful in the hours after the injury. Your knee may feel like it is going to give out when you put weight on it. There may be an effusion, an escape of fluids into the tissue around the joint.

Why does my MCL hurt?

It keeps your knee from bending backwards. The MCL can be injured when there is a quick bend or twist in the wrong direction. These injuries are most commonly the result of a hit during a contact sport. Some of the common accidents that can lead to a sprain or tear in the MCL:

How long does it take for a MCL tear to heal?

While an MCL tear can be extremely painful, the good news is that the tear usually heals on its own after a few weeks of rest.

How to avoid MCL injury?

These exercises can include activities with stretch bands, cuff weights and other weight-lifting equipment. You may get a recommendation to use a stationary bike or a treadmill while you are healing to help you build more strength.

What is the grade of MCL?

There are three grades of MCL injuries: Grade 1 (mild): this typically means that the ligament has been stretched but has not torn. Grade 2 (moderate): this involves a ligament that has been partially torn. You may experience some instability in the joint.

How do you know if you have an MCL injury?

You may know an MCL injury by the following symptoms. Tenderness or pain along your inner knee. A popping sound during the injury. Knee joint swelling. A giving or locking sensation in the knee.

What is the MCL?

Medial collateral ligament (MCL): The MCL is the tissue band that runs on the inner side of the knee, connecting your shin and thigh bone. These ligaments each help stabilize the complicated, weight-bearing joint that is the knee, and a tear to any one of them can cause pain and disability.

What is the medial collateral ligament?

The medial collateral ligament is one of the four stabilizing ligaments in the knee. Ligaments connect bone to bone (whereas tendons connect bone to muscle), and an injury to any one of them can compromise your range of motion, not to mention your quality of life. The knee's tendons include the following. Anterior cruciate ligament (ACL): The ACL ...

How to heal a knee after surgery?

Use Heat and Ice Therapy. Don't use an ice pack and a heating pad at the same time of course, but icing your knee after surgery can help reduce swelling and pain, while heat therapy can ease stiffness, relax muscles, and increase circulation to the area as you heal.

Which ligament connects the shin to the thigh bone?

Posterior cruciate ligament (PCL): Your PCL also connects the shin to the thigh bone, but it is positioned at the back of the knee, allowing it more protection from injury. Lateral collateral ligament (LCL): The LCL connects thigh to shin bone and is positioned on the outside of the knee joint. Medial collateral ligament (MCL): The MCL is ...

What is the grade of MCL?

MCL injuries are graded based on their severity. Grade I: This is the least severe injury, when the ligament is overly stretched but not torn. Grade II: A partial tear of the MCL is a grade II injury, which may not need surgery, only proper care during the recovery period. Grade III: The most severe MCL injury is a complete tear, ...

How to speed up recovery after surgery?

Evidence has shown that supplementing with amino acids after just about any surgery can help speed recovery times because it gives your body the building blocks re quired to create new muscle tissue and replace weak or damaged cells with new and better ones.

What is the MCL tear?

The medial collateral ligament (MCL) tear usually occurs when a strong force hits from outside the knee, causing the MCL and other ligaments to stretch or tear. It is frequently encountered by: Football players. Sports player engaged in basketball, hockey, and skiing. People undergoing repetitive minor injuries.

Why is my MCL tear so common?

It is most common in athletes, who play contact sports, because there are high chances of them colliding with each other while playing. However, MCL tear may also occur in non-athletes. Repeated stress to the ligaments can cause the ligament to lose its stretch and elasticity.

What is the MCL?

The medial collateral ligament (MCL) is one of four ligaments that stabilize the knee. MCL injuries are referred to as tears or sprains. Sprains are graded from 1-3 based on the severity of the injury. Symptoms and signs of MCL injuries include swelling, pain, stiffness, and limping. Treatment of MCL injuries may involve resting and bracing the affected knee, and physical therapy can help to restore the range of motion.

What causes MCL tear?

They may also occur after: An accident. Twisting or turning the knee unnaturally. Activity, such as skiing, that places strain on the knees.

Where is the MCL located?

What is an MCL? The medial collateral ligament or MCL is a thick band of tissue located in the legs that extend from inside the knees i.e., from the thighbone (femur) to a point on the shinbone (tibia), which is about 4-6 inch from the knee. The main functions of an MCL include:

How big is the knee when the doctor moves the leg around?

Considerable pain and tenderness at the inside of the knee. Some swelling and marked joint instability. The knee opens about 1 cm (slightly less than half an inch) when the doctor moves the leg around. A grade 3 MCL tear often occurs in conjunction with an anterior cruciate ligament tear.

What is grade 2 knee pain?

Grade 2: It is characterized by: Noticeable looseness in the knee when moved by hand. Moderate pain and tenderness at the inside of the knee. Some people may experience swelling too. Grade 3: It is characterized by: Considerable pain and tenderness at the inside of the knee.

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