Medial Collateral Ligament Injury
Alternate Names : MCL Injury
What are the treatments for the injury?
Treatment for MCL injuries depends on a number of factors including:
the degree of MCL injury
other injuries that may have occurred at the same time
the person's age and future activities
The first step in treatment is the RICE method. This stands for rest, ice,
compression with an elastic bandage, and elevation of the leg. Medicines such
as nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain. More
painful injuries or those where the knee is unstable may require a splint or
brace to immobilize the knee as well as crutches. After
an initial period of RICE, physical therapy is started. This is aimed at
restoring the range of motion in the knee joint and increasing strength in the
thigh muscle. The majority of MCL injuries will heal successfully without
surgery. Cases in which the ligament has been completely torn and the knee is
unstable may require surgery. Sometimes a special brace that allows knee
movement while avoiding tension on the ligament is useful while the injury is
healing.
What are the side effects of the treatments?
Medicines can cause allergic reactions and stomach
upset. Long-term use of NSAIDs may harm the stomach, kidneys, or liver. The
knee can become stiff if it is immobilized for too long. Surgery carries a risk
of bleeding, infection, and allergic
reaction to the anesthesia.
What happens after treatment for the injury?
If the ligament remains loose, the knee will feel unstable. There
will be a tendency for the joint to give way, possibly leading to reinjury. If
healing and physical therapy go well, the person can often return
to normal activities.
The healthcare provider will periodically check the flexibility and strength of
the knee and assess the stability of the joint. Any new or worsening symptoms
should be reported to the provider.
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