Do You Need Surgery for an MCL Tear or Sprain? How Long to Recover?

Published: May 07, 2023 Duration: 00:04:23 Category: Howto & Style

Trending searches: mcl sprain timeline
Introduction In this video, I'm going to answer two of  the most common questions people ask us,   which is, one, “Do I need surgery for my  MCL tear or sprain?” And second, “How do   I know when my MCL is actually healed, that I  can play sports again?” For those of you who don't know me, my name is Maryke. I'm one of the  physiotherapists from sports-injury-physio.com,   where you can get online physiotherapy  assessment as well as treatment of   your injuries. Have a look at the Description of  this video if you want a link to our website.   Do you need surgery for your MCL tear or sprain? Do you require surgery if you've had an MCL tear  or strain? The good news is, no. The research   shows that even Grade 3 tears, where the whole  ligament is torn, can heal really well if you   immobilise it in a brace for six weeks. Now, this  is not a brace that doesn't allow any movement;   it's important to actually have some movement –  it should just support the MCL. And I've made a   whole video about what type of braces are the best  and what to look out for in that. So, have a look   at the Description of this video if you want more  info about that. The second thing that's important   is, you have to do the correct rehab exercises  to strengthen your leg muscles, strengthen the   ligaments, and also develop the control in your  leg. There are some occasions where surgery may   be required, and one of them is, for instance, if  the … when you tore the MCL, you also pulled   a small piece of bone out, and the part of the  muscle … of the hamstring has now moved in between   the ligaments and the bone, and now they can't  grow together. So, there are some cases where   your surgeon may say, "Uh, you actually do need surgery",  but the vast majority of people will get away   without surgery. How do you know that your MCL has  actually healed? Now, there are two things we're gonna ...   How do you know when your MCL has healed? two concepts we're going to talk about.  One is about, has it healed? And the second is, is   it actually strong enough for your sport? Because  that's important as well. So, to know if it's   healed is, you can check, have I got full range  of motion in my knee? So, can I bend it all   the way up, all the way straight, without any pain  or discomfort? Second, when somebody tries to do   that gap test on my knee by pushing in, trying to gap it on  the inside, is that pain-free and is it stable? If   you answer yes to both of those, your ligament has  very likely healed. But now, it doesn't mean that   it's strong enough for your sport. So, let's think  about this. If you're somebody who just walks,   your ligament doesn't get that much force through  it. But if you're somebody who plays a sport like   soccer or football, you've got to be able to  change direction, so that MCL is going to have   to withstand quite high forces. Now, the only  way that you can get it strong enough for your   sport is to go through a step-by-step programme  of slowly building that strength. So, you'll   typically start with your easy exercises that your  physio prescribed in the first few weeks – really   just range-of-motion and stuff. And then, as you  get stronger, you'll start doing like squats, and   you'll start then adding into different direction  lunges, for instance, adding some weight. But   eventually you need to build up to jogging  in straight lines, changing direction slowly.   Once you can do that, you start adding speed to it,  because that increases the forces on it. So,   you can see it's a slow process, and there's no  one moment, now you're ready for it. It's about,   what have I done in the last couple of weeks  determines how strong I am at this point, and what   I should be doing in the next couple of weeks. So,  your physio will be able to tell you when you're   safe to go back to sport, but it's important  to go through that process. To give you an   How long for an MCL to heal? idea of timelines: A very minor MCL sprain  usually takes about four weeks, maybe six weeks   to fully rehabilitate. A medium one about 6 to  12 weeks, and a complete tear usually about 12   weeks or longer to get back to full sport. Now,  remember, if you want more information about that,   I've made other videos about the braces and  treatment options for it. So, have a look at   the links in the Description of this video if you  want to watch those. Brilliant! Hope you found   How we can help that useful. And remember, if you need more help  with an injury, you're welcome to consult one of   the team via video call – link to the website  in the Description of this video. Take care!

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