MCL Injury | Saint Paul, MO Physical Therapy
MCL Injury in Saint Paul, 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 injure my MCL? Is it significant? How long will it take to recover? Will this be the end of my athletic career? At Axes Physical Therapy in Saint Paul, MO, we are driven by getting our clients back to the physical lifestyles they’ve grown to love. While we can’t, we can make your recovery safe and effective through customized, proven treatment plans. Physical therapy has proven to be a critical part of any treatment plan for MCL injuries. Our physical therapists in Saint Paul, MO are movement health experts. For treatment plans you know will be effective, reach out to the Axes location most convenient for you you or contact us online.
How the MCL Works
MCL is an abbreviation for “medial collateral ligament.” A ligament is a tough, flexible of connective tissue that connects bone to bone and provides stability. The MCL connects your upper shin bone to the inner surface of the bottom thigh bone, running along your inner knee, and helps keep your knee stable and moving normally. Its functions to resist valgus stress, or the knee being pushed too far inward. It is one of four ligaments in the knee, along with the:
- ACL (anterior cruciate ligament), which goes through the middle of your knee and controls rotation and prevents the tibia from sliding too far forward on the femur
- 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 attaches the thigh bone to the fibula (the smaller bone between the knee and ankle) and provides stability to the outer knee
The knee is known for being one of our most complex joints. Healthy structure and function depends on surrounding bone, muscle, tendons, and ligaments. When any knee injury, such as an MCL tear, occurs it can greatly affect 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 physician-prescribed treatment plans have been demonstrated through research and analysis to help those who have suffered an MCL injury reduce pain and return to optimal functionality.

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 sprain or tear means that the ligament has been stretched, and less than 10% of the MCL has been torn. These injuries are typically not especially painful or debilitating, and your knee will still be stable. Your knee will feel tender, and you may also experience soreness.
- Grade 2 — This injury is when the MCL suffers more significant tearing, generally to the superficial part of the ligament. You will probably lose some stability in your knee, and the knee will likely be loose when manipulated manually. Pain is much more severe in a grade 2 MCL injury.
- Grade 3 — This injury is a complete tear to both the fibrous and deep parts. You will likely feel like your knee’s about to buckle. 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.
Whatever grade MCL injury you have, the team of licensed Saint Paul, MO physical and occupational therapists at Axes can, along with your physician, develop a comprehensive and tailored plan aimed at returning you to the life you’re used to in a safe and effective manner.
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. MCL injuries occur due to the knee suddenly being forced too far inward. MCL injuries can also by the knee rotating too forcefully. They can also take place when landing or unnatural bending, such as if your foot stays in one place 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 have to squat 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:
- Hearing or feeling a popping sound or sensation
- The knee being unstable
- Not being able to put any weight on the knee
- Contusions
- Tenderness along the inside of the joint
- Inflammation, either on the inside of the knee or the whole knee
Sometimes your knee may feel like your knee is loose when you walk, even if walking doesn’t hurt, while other times 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.
Diagnosing and Treating an MCL Injury in Saint Paul, MO
Diagnosing an MCL injury requires going to a physical examination. In the examination, your Saint Paul, MO doctor or physical therapist will go over what led to the injury, 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 Saint Paul, MO will be able to determine if you have 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 magnet and radio waves to take three-dimensional images of the inside of your knee
- An ultrasound, which uses sound waves and can help determine how severely the ligament is torn
- An X-ray, which, while it won’t show the MCL or other ligaments, to insure your femur, kneecap, tibia, and fibula have not been broken
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 stipulates that physical therapy be prescribed by a physician.
Treating an MCL Injury in Saint Paul, MO
Typically, treating an MCL injury begins with basic first aid: reducing swelling, relieving pain, and using the R.I.C.E. Method of Rest, Ice, Compression, and Elevation. For grade 1 injuries, the R.I.C.E method, over-the-counter pain relievers, and a few days or week or two of rest may be enough for your body’s natural healing processes to get you back on your feet.
Grade 2 or 3 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 strenuous activity for an even longer period. Your Axes physical therapist in Saint Paul, MO will be able to fit you for a knee brace in order to prevent your knee from becoming more instable while your MCL is still healing. With physical therapy, you’ll still continue icing your knee and taking anti-inflammatory pain medication.
Though uncommon, the worst grade 1 tears — in which the MCL is completely torn, the injury is accompanied by an ACL tear, or you are not recovering after several weeks of nonsurgical treatment — may require surgery. During the surgery, a surgeon will use a graft, either from one of your other ligaments or an organ donor, to reattach the torn sections. 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 get you the best possible results from your surgery.
How Can Physical Therapy in Saint Paul, MO Treat My MCL Injury?
The aim of physical therapy, when dealing with any injury, is to create safe, effective, and evidence-backed treatment methods based on each patient as an individual. These treatments and exercises will, over time, build strength in the surrounding muscles, flexibility of ligaments and tendons, and range of motion to the joint in the interest of not only recovery, but injury prevention. A physical therapist may recommend and implement the following practices:
- To begin, light movements carried about by your physical therapist to slowly get the ligament used to normal motion again
- Exercised performed by you later to further develop strength and flexibility
- Exercises with resistant bands, weights, or cardio machines such as a stationary bike
- Instrument-assisted soft tissue mobilization, which studies show 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 improve strength 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 Saint Paul, MO, all of our treatment plans are as unique as each patient, and created with the help of your doctor, in order to deliver you the best client experience and get you back to the activities you love.
Other injuries we help treat in Saint Paul, 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

Call an Axes Physical Therapist in Saint Paul, 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, the ailment is only temporary. We know our clients trust us with their recovery, 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 Saint Paul, MO, call the location nearest you and request an appointment online.






