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Author Topic: Advice for MCL Injury  (Read 1198 times)

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Offline wilks1986

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Advice for MCL Injury
« on: March 10, 2015, 08:50:57 AM »
Hi Folks,

I'm new here and looking for some advice if possible.

4 weeks ago I injured my left knee. I'm a little ashamed to say it was on a night out and I'd had one too many beers, and so don't recall how it happened (not something I make a habit of!), other than I'm pretty sure I twisted or fell awkwardly on to it. The next morning I woke up to a fairly intense pain on the inner most aspect of my knee. Difficult to walk without making the pain worse and tender to touch. Over the next couple of days there was some mild redness and a bit of heat radiating from the knee but not much in the way of swelling. The pain sharpened somewhat, and was keeping me awake at night everytime I turned over and also made walking pretty uncomfortable. I visited a GP and they said it was nothing major, as there would have been more swelling prevalent, and sent me on my way.

Its now a month since the injury occured. After doing some research I'm pretty sure its an MCL sprain/tear, as the symptoms seem to be similar: pain when standing after being seated for a long time, pain at night when moving the leg after being in the same position for longer periods of time, pain when squatting (as in backside to ankles). Whilst the pain has improved a little since the first week, it seems to have remained the same for a few weeks now and I'm wondering why its not improving. I've read that a grade 1 injury normally heals in a couple of weeks, so I'm assuming its likely a grade 2 - I know there are several variables involved in this, but what would be reasonable timescale for healing for this? Various sources on the web quote different times from 4-8 weeks. I'm wondering how much longer I should give it before seeking further help.

For additional info I dont partake in any sports but workout 4 times a week. I've been skipping leg day since the injury, for fear of making it worse, but wondering if some light weight work might help? As mentioned, the pain seems worse at night and in the morning, and then eases a little during the day.

Appreciate any help anyone can offer!

Offline vickster

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Re: Advice for MCL Injury
« Reply #1 on: March 10, 2015, 09:06:39 AM »
If no improvement after 4 weeks despite RICE, I'd go to a sports physio (assuming you are in the UK, an initial assessment will cost around 50-70).  They'll be able to give an opinion on diagnosis and an exercise programme to help

Or you could go back to the GP, but you'll unlikely be referred to a specialist, possibly for a physio assessment

Presume no private insurance through work, otherwise you could go that route and get (most) costs covered

Knee injuries unfortunately often take months rather than weeks to resolve and require patience

Good luck :)

Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline wilks1986

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Re: Advice for MCL Injury
« Reply #2 on: March 10, 2015, 10:09:42 AM »
If no improvement after 4 weeks despite RICE, I'd go to a sports physio (assuming you are in the UK, an initial assessment will cost around 50-70).  They'll be able to give an opinion on diagnosis and an exercise programme to help

Or you could go back to the GP, but you'll unlikely be referred to a specialist, possibly for a physio assessment

Presume no private insurance through work, otherwise you could go that route and get (most) costs covered

Knee injuries unfortunately often take months rather than weeks to resolve and require patience

Good luck :)

Hi Vickster,
Thanks for such a quick response.
If I'm honest, I wasnt particularly thorough with the RICE treatment, as it wasnt until a while later that I actually realised what it was! During the first few days I elevated it a bit and iced it a bit also, but then stopped. Do you think it would be worth icing it again now, 4 weeks later? Or is it the case the whatever is causing the pain now is less due to swelling and more due to the actual damage to the ligament itself?

Offline Audice

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Re: Advice for MCL Injury
« Reply #3 on: March 10, 2015, 11:35:30 AM »
Wilks ~ Speculation isn't your best friend. After a month w/o mprovement I have to agree with Vickster that it's time for some professional help. Wishing you well.
April, 2005 - ACL rupture, medial meniscus tear within posterior horn to articular surface, abnormal signal within lateral meniscus, partial tear MCL, bone contusions tibia/fibula, Baker's cyst.
No repairs.

Offline vickster

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Re: Advice for MCL Injury
« Reply #4 on: March 10, 2015, 11:40:46 AM »
I'd go and see that physiotherapist.  Look for a sports physio locally with expertise in knee injuries.  I'd give the gym a rest (at least legs) until you have done so :)

Perhaps have a swim (front crawl avoid frog kicking) if you want to have a cardio work out

Ice won't hurt (15 mins, couple of times a day, wrapped in teatowel), I also find a hot bath helpful for my tatty knees
Came off bike onto concrete 9/9/09
LK arthroscopy 8/2/10
2nd scope on 16/12/10
RK arthroscopy on 5/2/15
Lateral meniscus trim, excision of hoffa's fat pad, chondral stabilisation
LK scope 10.1.19 medial menisectomy, trochlea microfracture, general tidy up

Offline wilks1986

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Re: Advice for MCL Injury
« Reply #5 on: March 10, 2015, 11:58:06 AM »
Thanks both, I appreciate your time.

I've just been in touch with a local sports physio who has given me some advice and some things to try. If I see no significant improvement after a couple more weeks I'll be paying her a visit.

Thanks again.