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MCL Injury

The medial collateral ligament (MCL) is one of the most commonly injured knee ligaments. Learn about causes, symptoms, and effective treatment options.

What is an MCL Injury?

The medial collateral ligament (MCL) is a band of tissue on the inside of your knee that connects your thighbone (femur) to your shinbone (tibia). It provides stability and limits the sideways movement of your knee.

MCL injuries typically occur when the knee is hit from the outside, forcing it inward. This is common in contact sports like football, soccer, and hockey. The good news is that most MCL injuries heal well without surgery.

Grades of MCL Injury

Grade 1 (Mild)

Ligament is stretched but not torn. Minimal pain and swelling with no instability.

Grade 2 (Moderate)

Partial tear of the ligament. Moderate pain, swelling, and some instability.

Grade 3 (Severe)

Complete tear of the ligament. Significant pain, swelling, and knee instability.

Symptoms

  • Pain on the inner side of the knee
  • Swelling along the inside of the knee
  • Tenderness when touching the inner knee
  • Feeling of instability or "giving way"
  • Stiffness and difficulty bending the knee
  • Popping sound at the time of injury

Common Causes

  • • Direct blow to the outside of the knee
  • • Twisting or pivoting movements
  • • Awkward landing from a jump
  • • Contact sports collisions
  • • Skiing falls

Treatment Options

Most MCL injuries heal well with conservative treatment. Surgery is rarely needed.

RICE Protocol

Rest, Ice, Compression, and Elevation for initial management

Bracing

Hinged knee brace to protect and support the ligament during healing

Physical Therapy

Exercises to restore strength, flexibility, and stability

Surgery

Rarely needed; reserved for complete tears with persistent instability

Recovery Timeline

Grade 1

1-3 weeks to return to activities

Grade 2

3-6 weeks for recovery

Grade 3

6-8+ weeks, may require bracing

Get your MCL injury evaluated

Schedule a consultation with Dr. Hunter to assess your MCL injury and create a treatment plan for optimal recovery.