Treatment of an MCL tear depends on the severity of the injury. Treatment always begins with allowing the pain to subside, beginning work on mobility, followed by strengthening the knee to return to sports and activities. Bracing can often be useful for the treatment of MCL injuries.
Fortunately, most often surgery is not necessary for the treatment of an MCL tear. In some specific circumstances, surgery may be recommended. Most often, surgery is used for the treatment of specific types of severe MCL injuries.
Treatment of Grade I MCL Tears
Grade I tears of the MCL often resolve within a few weeks.
Treatment consists of:
Resting From Activity: This means you won’t be playing the sport where you sustained the injury while you recover. Icing the Injury: Learn how to ice correctly Anti-Inflammatory Medications Knee Exercises: See which exercises are used for MCL tear recovery.
Treatment of Grade II MCL Tears
When a grade II MCL injury occurs, the use of a hinged knee brace can be useful in early treatment. The hinged knee brace will allow you to bend the knee, but provide support to the injured ligament.
Otherwise, the treatment principles are the similar to those for patients with a grade I MCL tear. Athletes with a grade II injury can return to activity once they are not having pain directly over the MCL or symptoms of instability.
Treatment of Grade III MCL Tears
When a grade III MCL tear occurs, patients should brace their knee and use crutches until the pain has subsided. The knee can be immobilized for a few days initially, but early range-of-motion will help in the recovery process.
Once the patient can begin bending their knee, early range-of-motion exercises should commence, including stationary bicycling. Normal walking and progression to jogging can begin as pain allows. Use of a hinged knee brace is usually very helpful to support the knee, especially in the earlier stages of rehab.
Surgery for MCL Tears
MCL tears often do not need surgery. There are many studies that document successful nonsurgical treatment in nearly all types of MCL injuries. Most surgeons agree that for patients who complain of persistent knee instability, despite appropriate nonsurgical treatment, surgery is reasonable.
Some surgeons advocate surgical treatment of grade III MCL tears in elite athletes or in those athletes with multiple ligament injuries in the knee. In these circumstances, you should discuss the optimal management of your injury with your healthcare provider.
