MCL Injury | Cottleville, MO Physical Therapy
MCL Injury in Cottleville, MO. For many athletes and physically active people, it’s easy to fear the worst when you hear that sudden “pop” in your knee: Did I injure my MCL? How bad is the injury? How long will I be sidelines for? Will my knee ever be the same again? At Axes Physical Therapy in Cottleville, MO, we are driven by positive patient experiences. While we’d like to be able to make your MCL injury go away, we can make your recovery safe and effective through customized, proven treatment plans. Physical therapy has proven to be a fundamental part of recovering from any MCL injury. Our physical therapists in Cottleville, MO are all licensed and average more than 15 years of individual experience. For lasting and meaningful recovery, call the Axes location nearest you or request an appointment online.
The Anatomy of the MCL
MCL stands for “medial collateral ligament.” A ligament is a tough, flexible of connective tissue that connects bones to each other and keeps joints stable. The MCL runs from the inside of your upper shin bone to the inside of your bottoms thigh bone and maintains stability in the inner knee. Its chief purpose is to guard against valgus stress, or the knee being forced too far towards the other one. It is one of four ligaments that help control the knee, along with the:
- ACL (anterior cruciate ligament), which goes through the middle of your knee and provides rotational stability and prevents the knee from bending inward
- PCL (posterior cruciate ligament), which crosses the ACL inside the knee and keeps the shinbone from sliding back too far
- LCL (lateral collateral ligament), which runs along the outside of the knee from the femur to the fibula (the smaller bone the small bone behind the tibia) and prevents the knee from being pushed too far outward
The knee is known for being one of our most complex joints. Optimal structure and movement depends on surrounding bone, muscle, tendons, and ligaments. There are a variety of knee injuries that can have tremendous consequences for your mobility and pursue the activities you love most, or just complete basic tasks pain-free. Particular physical therapy exercises and other physician-prescribed treatment plans have been proven to help patients manage their symptoms and return to normal movement health.

What Types of MCL Injuries Are There?
Generally speaking, an MCL injury is either a sprain, which stretches the ligament beyond its normal limits, 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 MCL has been torn. These are not generally severe, and your knee largely remains stable. Symptoms will likely be tenderness and some soreness.
- Grade 2 — This injury is when the MCL suffers more significant tearing, generally to the superficial part of the MCL. Your knee will be slightly unstable, and your joint may be loose when manipulated manually. 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 “give out.” Pain will be intense and you’ll likely feel several other symptoms. The injury may actually caused by or accompanied by other serious knee injuries such as ACL tears.
However significant your MCL injuries, the team of professional Cottleville, MO physical and occupational therapists at Axes can, alongside your doctor, implement an exhaustive plan uniquely made for you and your injuries to get you back to the things you love safely.
MCL Injuries: Causes and Symptoms
Ligament injuries account for 40% of all knee injuries, and the MCL is the most commonly injured ligament. Most MCL injuries occur due to a blow to the outer edge of the knee. MCL injuries can also by the knee rotating more than the ligament can support. They can also occur because of landing or excessive bending, such as if a cleat is stuck in grass while your leg keeps moving.
MCL injuries usually occur athletes in contact sports and in sports 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 have to hunch over and lift heavy objects, either for athletic training or in the course of their employment.
Common Symptoms of MCL Injuries
Most people feel pain immediately on the inside of the joint when they experience an MCL sprain or tear. Other symptoms may include:
- A sudden “pop” on the inside of your knee
- Instability
- Not being able to put any weight on the knee
- Contusions
- Tenderness where the MCL is located
- Swelling, either on the inside of the knee or the entire knee joint
Sometimes your knee may feel like your knee is loose when you walk, even if walking doesn’t hurt, or in other cases you’ll barely be able to move the knee. Any time you feel pain or instability in your knee, do not participate in any more strenuous activity and seek medical treatment for a diagnosis.
Diagnosis and Treatment of an MCL Injury in Cottleville, MO
Diagnosing an MCL injury requires going to a physical examination. The exam will usually start with a doctor or physical therapist in Cottleville, MO asking how the injury occurred. They’ll then bend your knee and apply slight pressure to the outside of it, noting how much pain you are in and if your knee feels structurally sound. They’ll also gently feel for swelling, and may compare your injured knee to the healthy one.
Most physical therapists or doctors that specialize in the musculoskeletal system in Cottleville, MO will be able to determine if you have an MCL injury with the above procedures. Other tests to check severity or to confirm may include:
- An MRI (magnetic resonance imaging), which uses a magnet and radio waves to take three-dimensional images of your soft tissue
- 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 can determine if you have suffered an MCL sprain or tear, Missouri law mandates a prescription for further physical therapy.
How MCL Injuries are Treated in Cottleville, MO
Typically, treating an MCL injury begins with basic first aid: swelling reduction, managing discomfort, and implementing 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 with limited activity may be all you need for your body to heal itself.
More significant injuries will require professional physical therapy in order truly recover from your MCL injury and get back to the activities you love. You’ll also need to refrain from most physical activity for an even longer period. Your Axes physical therapist in Cottleville, MO can fit you for a knee brace in order to prevent your knee from becoming more instable 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.
Though rare, the worst grade 1 tears — in which the MCL is completely torn, the injury is accompanied by an ACL tear, or nonsurgical treatment just isn’t working — may require surgery. During the surgery, a surgeon will use a graft, either from your hamstring or from another person, to reconstruct the MCL. You would be able to go home the day of the surgery. If your doctor thinks surgery is necessary, our physical therapists are experts at pre- and post-surgical rehabilitation, which ensures that your knee will be healthy enough for the ligament reconstruction, and you’ll build back strength safely after the surgery.
How Can Physical Therapy in Cottleville, MO Treat My MCL Injury?
The goal of physical therapy, when dealing with any injury, is to create safe, targeted, and evidence-backed treatment methods based on each patient’s specific injury and the lifestyle they want to get back to. These treatments and exercises will, over time, build strength in the surrounding muscles, flexibility of soft tissue, and range of motion to the knee in the interest of not only recovery, but injury prevention. Depending on you and your injuries, your treatment plan may include:
- To begin, light movements performed by your physical therapist to help restore normal functionality
- More active exercises and stretches later to further develop strength and flexibility
- Exercises with resistant bands, weight lifting equipment, or cardio machines such as treadmill
- Instrument-assisted soft tissue mobilization, which studies show can accelerate knee ligament healing
- Kinesio Taping®, which provides further stability while your body heals and helps control motion
- Trigger point dry needling to further help the body’s natural healing process
- Blood flow restriction training to help you make greater strength gains while lessening stress on the joint
- Athletic training and sports therapy for athletes who want to reduce the risk of reinjury
At Axes Physical Therapy in Cottleville, MO, all of our treatment plans are designed specifically for you, backed by empirical evidence, and created in concert with your doctor, 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 Cottleville, 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 Cottleville, MO for Your MCL Injury
An MCL injury can be painful and frightening, especially if you’re an athlete or someone who finds joy in an active lifestyle, but with our help, you can get back to how you used to feel. We know you place a lot of trust in your physical therapists, so the treatment method we plan for you will be safe and backed by evidence. We also strongly believe in patient education so you can stay as healthy and active as possible. For meaningful and lasting recovery from your MCL injury in Cottleville, MO, call the location nearest you and request an appointment online.












