MCL Injury | Webster Groves, MO Physical Therapy
MCL Injury in Webster Groves, MO. For many people who maintain an active lifestyle, 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 I ever be able to perform at the same level again? At Axes Physical Therapy in Webster Groves, MO, we are driven by getting our clients back to tearing up the filed. While we’d like to be able to make your MCL injury go away, we can help ensure you get back to feeling like yourself with safe, effective treatments. Physical therapy has been shown time and time again to be a critical aspect of any treatment plan for MCL injuries. Our physical therapists in Webster Groves, MO are movement health experts. For lasting and meaningful recovery, 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 like a strong, firmly attached rope that affixes 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 maintains stability in the inner knee. Its chief purpose is to guard against valgus stress, 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 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 prevents excessive posterior translation of the tibia relative to the femur
- 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 helps keep the outer side of your knee joint stable
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 ability to do what you love most, or just complete basic tasks pain-free. Particular physical therapy exercises and other physician-prescribed treatment plans have been demonstrated through research and studies to help those who have suffered an MCL injury mitigate pain and swelling and return to normal functionality.

What Types of MCL Injuries Are There?
In general, an MCL injury is either a sprain, which stretches the ligament farther than is naturally, or a tear, where the MCL may fray partially or entirely separate from the bone. MCL injuries are “graded” in three levels:
- 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 largely remains stable. Your knee will feel tender, and you may also experience soreness.
- Grade 2 — This injury is when the MCL suffers more significant tearing, usually to the superficial part of the ligament. Your knee will be slightly unstable, and your joint may be loose when manipulated manually. Pain is much more severe in 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. 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 professional Webster Groves, MO physical and occupational therapists at Axes can, alongside your doctor, develop a comprehensive and tailored plan to get you back to the activities your love most safely.
MCL Injuries: Causes and Symptoms
Ligament injuries account for 40% of all knee injuries, 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 by the knee rotating too forcefully. They can also take place when landing or excessive bending, such as if your foot stays in one place while your leg keeps moving.
Athletes in contact sports are the most likely to sustain an MCL injury. 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 Webster Groves, MO, you’ll probably notice the pain right away. Other symptoms may include:
- Hearing or feeling a popping noise or sensation
- The knee being unstable
- Pain or discomfort when trying to bear weight
- Bruising
- Tenderness along the inside of the joint
- Inflammation, either of the MCL area or the whole knee
Sometimes you may feel like your knee is “shaky”, while other times the knee feels too stiff. If you experience any of the above symptoms, do not participate in any more strenuous activity and seek medical treatment for a diagnosis.
Diagnosing and Treating an MCL Injury in Webster Groves, MO
Diagnosing an MCL injury requires going to a physical examination. The examination will usually start with a doctor or physical therapist in Webster Groves, 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 doctors that specialize in the musculoskeletal system in Webster Groves, MO are qualified 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 create three-dimensional images of your soft tissue
- An ultrasound, which uses sound waves and can help determine the grade 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
Alternatively, you can schedule and appointment with the Axes location nearest you for a complimentary, no-risk injury screening. While we can offer you an evaluation, Missouri law requires that physical therapy be prescribed by a doctor.
How MCL Injuries are Treated in Webster Groves, MO
The initial treatment of an MCL injury consists of basic first aid: reducing swelling, managing pain, and implementing 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 some time spent off your feet may be sufficient to get mostly back to normal.
Professional physical therapy is needed for grade 2 and 3 injuries to restore strength and optimal range of motion and get you 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 Webster Groves, 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. The surgery is an outpatient procedure. If your doctor thinks surgery is necessary, our physical therapists will be able to treat you with 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 Webster Groves, MO Treat My MCL Injury?
The aim of physical therapy, when dealing with any injury, is to 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 joint, flexibility of ligaments and tendons, 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:
- To begin, passive motions carried about by your physical therapist to help restore normal functionality
- More active exercises and stretches later to regain strength
- Exercises with resistant bands, weight lifting equipment, or cardio machines such as an elliptical
- Instrument-assisted soft tissue mobilization, which studies show can accelerate knee ligament healing
- Kinesio Taping®, which keeps the knee stable 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 improve their performance
At Axes Physical Therapy in Webster Groves, MO, all of our treatment plans are as unique as each patient, and created with the help of your doctor, 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 Webster Groves, 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 Webster Groves, MO for Your MCL Injury
An MCL injury can be painful and frightening, especially if you’re used to being physically active, but with our help, you can get back to how you used to feel. We know our clients trust us with their recovery, 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 Webster Groves, MO, call the location nearest you and request an appointment online.








