MCL Injury | Twin Oaks, MO Physical Therapy
MCL Injury in Twin Oaks, 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 I be sidelines for? Will my knee ever be the same again? At Axes Physical Therapy in Twin Oaks, MO, we are driven by positive patient outcomes. While we can’t, we can make your recovery safe and effective through tailored, evidence-based treatment plans. Physical therapy has been shown time and time again to be a fundamental component of recovering from any MCL injury. Our physical therapists in Twin Oaks, MO are all licensed and average more than 15 years of individual experience. For lasting and meaningful recovery, reach out to the Axes location nearest you or contact us online.
What is the MCL?
MCL an acronym for “medial collateral ligament.” A ligament is a tough, flexible of connective tissue that affixes bones to each other 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 primary purpose is to resist valgus pressure, or the knee being pushed unnaturally towards the other one. It is one of four ligaments that help control the knee, along with the:
- ACL (anterior cruciate ligament), which runs down the center of your knee and provides rotational stability and prevents the tibia from sliding too far forward on the femur
- PCL (posterior cruciate ligament), which crosses the ACL inside the knee and the femur from sliding off the tibia
- LCL (lateral collateral ligament), which runs along the outside of the knee from the femur to the fibula (the smaller bone in the lower leg) and prevents the knee from being pushed unnaturally outward
The knee is known for being one of our most complex joints. A healthy knee relies on surrounding bone and muscle, and the tendons and ligaments in order to provide stability and function properly. When any knee injury, such as an MCL tear, occurs it can limit or completely restrict your mobility and compete like you’re used to, or just live a pain-free day-to-day life. Certain physical therapy exercises and other treatment modalities, prescribed by a doctor, have been proven to help those who have suffered an MCL injury mitigate pain and swelling and return to optimal functionality.

What Types of MCL Injuries Are There?
For all intents and purposes, an MCL injury is either a sprain, wherein the MCL is stretched beyond its normal limits, or a tear, where the MCL is either partially or completely torn or separated from the bone. MCL injuries are “graded” in three tiers:
- Grade 1 — A grade 1 sprain or tear means that the ligament has been stretched, and less than 10% of the the fibers in your MCL are torn. These are not generally severe, and don’t result in much instability. You will likely experience some tenderness and some soreness.
- Grade 2 — This is more significant tearing, generally to the middle layer of the ligament. You will probably lose some stability in the joint, 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 retain little to no stability. You will likely feel intense pain and a wide array of symptoms. Grade 3 MCL injuries often occur alongside other knee injuries such as ACL tears.
However significant your MCL injuries, the team of professional Twin Oaks, MO physical and occupational therapists at Axes can, as a team with your doctor, create an extensive plan specially made for you and your injuries to get you back to the things you love safely.
What Causes MCL Injuries?
Ligament injuries account for 40% of all knee injuries, and the MCL is the most commonly injured ligament. 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 too forcefully. They can also happen because of landing or unnatural bending, such as if your foot stays in one place while your leg keeps moving.
MCL injuries usually occur athletes in contact sports and in athletic events that require a lot of sudden movement 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
If you suffer an MCL injury in Twin Oaks, MO, you’ll probably notice the pain right away. Other symptoms may include:
- Hearing or feeling a popping sound or sensation
- The knee being unstable
- Inability to bear weight
- Bruising
- Tenderness where the MCL is located
- Inflammation, either on the inside of the knee or the whole knee
Sometimes you may feel a “wobbly” sensation, or in other cases the knee feels too stiff. Any time you feel pain or instability in your knee, cease any strenuous activity immediately and seek medical treatment for a diagnosis.
Diagnosis and Treatment of an MCL Injury in Twin Oaks, MO
MCL injuries are diagnosed in a physical examination. The examination will usually start with a doctor or physical therapist in Twin Oaks, 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 whether or not your knee is unstable. They’ll also gently feel for swelling, and may compare your injured knee to the healthy one.
Most physical therapists or physicians with knowledge of movement health in Twin Oaks, MO will be able to diagnose an MCL injury with the above procedures. A phsycian may also order the following imaging tests to check the severity of the injury and whether or not you have suffered other damage to the knee:
- An MRI (magnetic resonance imaging), which uses a magnet and computer-generated radio waves to take detailed images of the knee joint
- An ultrasound, which uses sound waves and can help determine how severely the ligament is torn
- An X-ray, which does not show soft tissue, to insure your femur, patella, tibia, and fibula have not been broken
You can also come to the Axes location most convenient for you for a free, no-obligation injury screening. While we can offer you an evaluation, Missouri law requires a prescription for further physical therapy.
How to Treat and MCL Injury in Twin Oaks, MO
The initial treatment of an MCL injury consists of basic first aid: inflammation reduction, relieving pain, and using the R.I.C.E. Method of Rest, Ice, Compression, and Elevation. For mild injuries, the R.I.C.E method, over-the-counter pain relievers, and a few days or week or two of rest may be sufficient to get mostly back to normal.
Professional physical therapy is needed for grade 2 and 3 tears to restore strength and function and get you back to the activities you love. You’ll also need to refrain from rigorous activity for an even longer period. Your Axes physical therapist in Twin Oaks, MO will be able to fit you for a knee brace to give your knee stability while it’s healing. With physical therapy, you’ll still continue icing your knee and taking anti-inflammatory pain medication.
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 joint. The surgery is performed by using a graft, either from one of your other ligaments or from another person, 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, which ensures that your knee will be healthy enough for the surgery, and you’ll build back strength safely after the surgery.
How Do Physical Therapists in Twin Oaks, MO Treat MCL Injuries?
For recovering from any injury, a physically therapist will create safe and evidence-backed exercises, each aimed at helping a specific part of the body regain a specific level or function. Physical therapy slowly and effectively improves strength in the strength in the muscles that power the knee, flexibility of soft tissue, and range of motion to the joint in the interest of not only recovery, but injury prevention. Depending on you and your injuries, your treatment plan may include:
- At the start, passive motions performed by your physical therapist to slowly get the knee used to normal motion again
- Exercised performed by you later to regain strength
- Exercises with elastic 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 keeps the knee stable and encourages normal motion
- Trigger point dry needling to further help the body’s natural healing process
- Blood flow restriction training to improve strength while lifting lighter weights
- Athletic training and sports therapy for those whose main goal is to get back onto the court or field
At Axes Physical Therapy in Twin Oaks, MO, all of our treatment plans are designed individually to each patient, backed by empirical evidence, and created alongside your physician, in order to get you the best patient outcome possible and get you back to doing what you love to do most.
Other services we offer in Twin Oaks, MO include:
- 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
- Hip Replacement Physical Therapy

Call an Axes Physical Therapist in Twin Oaks, 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 there’s no reason it has to put you on the sideline forever. 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. 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 Twin Oaks, MO, call the location nearest you and request an appointment online.













































































































































































