MCL Injury | Barnhart, MO Physical Therapy
MCL Injury in Barnhart, MO. If someone plays sports or engages in other physical activity, it’s easy to fear the worst when you feel sudden pain on the inside of your knee: Did I suffer an MCL injury? Is it significant? How long will it take to recover? Will this be the end of my athletic career? At Axes Physical Therapy in Barnhart, MO, we are driven by positive patient outcomes. While we’d like to be able to magically fix your MCL, we can make your recovery safe and effective through customized, proven treatment plans. Physical therapy has been shown time and time again to be an integral part of any treatment plan for MCL injuries. Our physical therapists in Barnhart, MO are all licensed and average more than 15 years of individual experience. For treatment plans you know will be effective, reach out to the Axes location most convenient for you you or schedule an appointment online.
What is the MCL?
MCL is an abbreviation for “medial collateral ligament.” A ligament is a fibrous of connective tissue that connects bone to bone and keeps joints stable. The MCL connects your upper shin bone to the inner surface of the bottom thigh bone, running along your inner knee, and maintains stability in the inner knee. Its functions to resist valgus pressure, or the knee being forced too far towards the other one. It combines with three other ligaments that work together to support normal function and stability:
- ACL (anterior cruciate ligament), which goes through the middle of your knee and controls rotation and prevents the knee from bending inward
- PCL (posterior cruciate ligament), which crosses the ACL in the middle of the knee and controls backward movement
- LCL (lateral collateral ligament), which runs along the outside of the knee from the thigh bone to the fibula (the smaller bone the small bone behind the tibia) and prevents the knee from being forced unnaturally outward
The knee is known for being one of our most complex joints. Healthy structure and movement depends on surrounding bone, muscle, tendons, and ligaments. When any knee injury, such as an MCL tear, occurs it can limit or completely restrict your mobility and pursue the activities you love most, or just live a pain-free day-to-day life. Particular physical therapy techniques and other treatment modalities, prescribed by a doctor, have been proven to help patients reduce pain and return to optimal movement health.

What Types of MCL Injuries Are There?
Generally speaking, an MCL injury either involves a sprain, wherein the MCL extends farther than is naturally, or a tear, where the MCL is either partially or completely torn or separated from the bone. There are three grades to MCL injuries:
- Grade 1 — A grade 1 MCL injury refers to a sprain, or a tear where less than 10% of the the fibers in your ligament are torn. It’s typically a mild injury, and your knee largely remains stable. You will likely experience some tenderness and some soreness.
- Grade 2 — This injury is when the MCL suffers more significant tearing, most commonly to the superficial part of the ligament. Your knee will be slightly unstable, and the knee will likely be loose when moved by hand. A grade 2 injury will result in significantly more pain than a grade 2 MCL injury.
- Grade 3 — A grade 3 tear is a complete tear, or separation from the bone. You will likely feel like your knee’s about to buckle. Pain will be intense and you’ll likely feel several other symptoms. Grade 3 MCL injuries often occur alongside other knee injuries such as ACL tears.
Whatever grade MCL injury you have, our professional Barnhart, MO physical and occupational therapists at Axes can, as a team with your doctor, develop an extensive plan uniquely made for you and your injuries to get you back to the activities your love most safely.
MCL Injuries: Causes and Symptoms
40% of all knee injuries involve damage to a ligament, and most of the time that ligament is the MCL. When you suffer a forceful trauma to the outside of your knee, it can push the knee inside far enough that the MCL strains or tears. MCL injuries can also occur if the knee is rotated more than the ligament can stand. They can also take place when landing or unnatural bending, such as if a cleat is stuck in grass while the rest of your body moves.
MCL injuries usually occur athletes in contact sports and in activities that require a lot of torque being placed on the body such as football, soccer, skiing, basketball, and tennis. They can also occur in people who lift weights or lift heavy objects at their work.
Common Symptoms of MCL Injuries
Most people feel pain immediately on the inside of the knee when they experience an MCL sprain or tear. Other symptoms may include:
- Hearing or feeling a popping noise or feeling
- Feeling like the may buckle
- Inability to bear weight
- Bruising
- Tenderness on the inside of your knee
- Swelling, either on the inside of the knee or the entire knee joint
Sometimes your knee may feel like it’s wobbling when you walk, even if walking doesn’t hurt, or in other cases the knee feels too stiff. If you experience any of the above symptoms, do not participate in any more strenuous activity and schedule a physical examination in order to get a diagnosis.
Diagnosis and Treatment of an MCL Injury in Barnhart, MO
Diagnosing an MCL injury requires going to a physical examination. In the examination, your Barnhart, MO doctor or physical therapist will go over how the injury occurred, will feel for swelling and how your knee is different from your healthy knee, and gently see if your knee is unstanble while bending inward, and your pain level.
Most physical therapists or doctors that specialize in the musculoskeletal system in Barnhart, MO are qualified to diagnose an MCL injury with a physical examination. Other tests to check severity or to confirm may include:
- An MRI (magnetic resonance imaging), which uses a magnetic field and radio waves to produce detailed images of the knee joint
- An ultrasound, which uses sound waves and can be helpful in checking the severity of your injury
- An X-ray, which does not show soft tissue, may be ordered for a severe MCL injury to ensure there are no broken bones
Axes Physical Therapy also offers injury screening injury screenings at no cost or obligation to you. While we will be able to diagnose your injury, Missouri Revised Statute §334.506 requires a prescription for further physical therapy.
How MCL Injuries are Treated in Barnhart, MO
Right after your MCL injury, you should start with basic first aid: inflammation reduction, reducing discomfort, and using the R.I.C.E. Method of Rest, Ice, Compression, and Elevation. For sprains or slight tears, the R.I.C.E method, over-the-counter pain relievers, and some time spent resting may be sufficient for your body’s natural healing processes to get you back on your feet.
Professional physical therapy is needed for grade 2 and 3 injuries to restore strength and function and get you back to the activities you love. You’ll also need time off your feet to allow your body to heal safely. Your Axes physical therapist in Barnhart, MO will be able to fit you for a knee brace in order to prevent your knee from bending too far inward while your MCL is still healing. Even with physical therapy, you’ll likely still continue the R.I.C.E. method and over-the-counter meds.
Surgery is typically only needed with severe grade 1 MCL injuries, or if the MCL tear is accompanied by an ACL tear or other damage to the structures of the knee. During the surgery, a surgeon will use a graft, either from your hamstring or an organ donor, to reconstruct the ligament. The surgery is an outpatient procedure. If you do require surgery in Barnhart, MO, our physical therapists specialize in pre- and post-surgical rehabilitation to make your surgery and recovery as successful as possible.
How Do Physical Therapists in Barnhart, MO Treat MCL Injuries?
The objective of physical therapy, when dealing with any injury, is to design safe and evidence-backed treatments, each aimed at helping a specific part of the body get back to optimal movement health. Physical therapy slowly and effectively improves strength in the strength in the muscles that power the knee, flexibility of ligaments and tendons, and range of motion to the knee so you can get back to what you love most and prevent further injury. A physical therapist may recommend and implement the following practices:
- At the start, passive motions carried about by your physical therapist to slowly get the knee used to normal motion again
- Exercised performed by you later to further develop strength and flexibility
- Exercises with elastic bands, weights, or cardio machines such as a stationary bike
- Instrument-assisted soft tissue mobilization, which research suggests can accelerate knee ligament healing
- Kinesio Taping®, which provides further stability while your body heals and encourages normal function
- Trigger point dry needling to stimulate harder-to-reach tissue
- Blood flow restriction training to help you make greater strength gains while lifting lighter loads
- Athletic training and sports therapy for those whose main goal is to get back onto the court or field
At Axes Physical Therapy in Barnhart, MO, all of our treatment plans are designed individually to each patient, proven through peer-reviewed research, and created in concert with your physician, in order to deliver you the best client experience and get you back to doing what you love to do most.
Other services we offer in Barnhart, MO include:
- Neck Pain Treatment
- Physical Therapy Clinic
- Carpal Tunnel Syndrome Treatment
- Sciatica Treatment
- Sports Medicine
- Hand Pain Physical Therapy
- Foot & Ankle Pain Treatment
- Hip Pain Treatment
- Plantar Fasciitis Treatment
- Stroke Rehabilitation

Schedule an Appointment With an Axes Physical Therapist in Barnhart, MO for Your MCL Injury
An MCL injury is scary and anxiety-inducing at first, especially if you’re an athlete, but with our help, the ailment is only temporary. We know you place a lot of trust in your physical therapists, so we repay that trust with safe and effective treatments that are backed by evidence. As part of our program, we’ll educate you on your injury and how the knee works so you can stay as healthy and active as possible. For meaningful and lasting recovery from your MCL injury in Barnhart, MO, call the location nearest you and request an appointment online.














