MCL Evaluation with Paul Marquis PT
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- čas přidán 8. 09. 2024
- See a step-by-step evaluation of a patient with an MCL sprain. Here I will show you some of the special tests I use and explain why I came to the conclusion that the patient had an MCL sprain. I hope you enjoy this video. Please LIKE and SUBSCRIBE. #MCL#kneeevaluation#OrthoEvaPal
Absolutely awesome thank you for giving me a better idea of what to expect for my appt tomorrow and also when I attend my physio. It’s always good to have a direction or and idea of what to expect. Well explained and even when explaining can understand. 😊
You are welcome Dorisa! Good luck with your appointment!
This was very helpful in diagnosing my MCL sprained. Thanks!
Glad it helped Craig!
Great video. Very detailed without any filler.
Great Upload...Popped my MCL twenty five years ago... and the knee blew up had MRI and Ultrasound and arthroscopic examination and some rattling around of instruments, the knee kept blowing up and the joint drained and shot with steroids, large muscle wasting of my Quad, never resolved and had an unstable leg , the the other knee kicked off and same procedures on same, the upshot was i was in a bad way, then i slipped on gravel slope the left leg popped an saw same went in a near Horizontal position and it popped back...I knew i was in trouble got special standing Lateral Pre consultation X Rays and met the Consultant... he asked me how i was, and i said Sore, i told hime i had parked the car a half mile away from the rooms, he told me i had a Hair line Fracture across my Tibia Plateau and a Grade 2 tear of my MCL... the upshot was Hinged Brace , two crutches and twelve Weeks on same, In the review everything had healed up, and i have Zero excess fluid in either Knee ...that was five years ago, had i got the right treatment back twenty five years ago, i would have been sorted, but at least i got same, so i'm thankful to be back to Normal ... wish i had met a similar specialist like your good self, but i'm just lucky i met a good specialist five years back...
Thanks doc !
PERFECT
an important area to differentiate.
keep in mind a meniscal contusion/tear can accompany a MCL sprain. so it's often not an either/or issue.
Usually the menisco-tibial ligament is involved.
Excellent video! After a recent MRI, I have an appt next week for an mcl partial tear, which I think occurred around April. I don't know if a brace will be suggested at this time or not. Thank you for the clear explanation of what to expect at the evaluation appt.
Thank you and you are welcome!
I also have same injury since 5 months I had injury by twisting from inside the same problem like this guy but in football but I can still play. And first I cannot bend my leg for 2 weeks after that I can now I can do it fully but it still pain near MCL area and it's hurt when I get unbalance
Thanks for this video. I did something to me knee. And after watching this I strongly feel its my MCL. The points you touched above and below the knee where he flinched. I flinched just watching as that is where my pain is. Stupid me. I have been resting my leg straight. If I understand you. This is not what I should have been doing.
Watching this made me scream in pain. My right knee at this moment is in terrible pain when weight is applied to it...
Great video and very detailed one. Could I get a double hinge brace without seeing a doc and without a prescription? I have insurance. Where could I go and get a knee brace like the one described? Health store?
Doc I have the same situation I was in the beach and hit by a wave and hit the ground on the inner left knee. It's be 9 months now and it's still bothering me and ai had an xray did not see anything but when they did MRI they saw something. I will be seeing an orthopedic doctor hopefully soon. The pain is the when I walking for awhile and something if I move sideways and put weight on it something I felt my knee will just not hold on. Please advise. Your example is the same as mine.
Hi there,
What type of test would you do to evaluate if a patient is ready to return to playing sports?
Many thanks,
Joe
Absolutely same problem. Iam afraid that if I start running again that portion will start swelling. Inside part of the knee. Exactly the same problem in the same direction and alignment.
May want to consider an orthopedic consult, compression sleeve or maybe a double upright hinged brace.
I threw a stick into the air and not intentionally jumped up. Heard a crack/pop, now have inner burning feeling. Exactly same location as on this video. Watched your video, think i have meniscus tear. Its 3rd day getting slightly better still limping. I am a tile guy work on my knees all the time. How much time do i need my knees to rest before i can go back to work????
Why knee move same like this after MCL surgery ? Will it take time to tighten up?
Sir, I had MCL Grade-III tear without any injury to any other ligaments and bones. I'm under rehab now. My question is can MCL Grade-III heal (rejoin)on its own with proper rehab and physio excercises and strength training ? Help please.
(As per MRI report ACL, PCL & LCL all are normal in good shape without any injury).
I just hurt my knee from a mild snowmobile accident where it bucked me off. I felt a pop and now my leg hurts from my knee to the top of my foot and my toe. Seeing all these tests used to Diagnose the injury is scaring the hell out of me on how painful it looks like it's gonna be for these tests to be performed.. 😢
I do not have money to treat my MCL injury please 🥺 what exercise will I do to get better.. I had vulgar pressure on my knee which caused the ligament to be sprained
If there is inflammation to the knee doctor what it would be?
Hi doc, my mri shows calcific tendonitis in the mcl and acl sprain. Getting laser and ultrasound. Unable to bend my knees. Even touching the inner side of the knee is painful. Is my treatment correct?
Sir... I had MCL partial tear and doctor suggested for 5 weeks bed rest with brace. But 6 weeks I started and still my leg is having stiffness in the knee joint even after 30 sessions of physio. Is it really takes more time to free up my knee joint.
Hi am not dr but have you tried glucosamine and eating chicken soup may be helpful
what did you do during your physio sessions? did they make you exercise? or was it just manual and electrotherapy?
Same here I had That injury what grade of mcl was that. How many weeks for the recovery??
Doc i hurt my knee at soccer a few days ago. I have swelling but not too bad. I can keep my leg fully extended without any pain and have limited range of motion for bending it. I cant bear weight or walk whenever i try to my knee feels unstable and wobbly. Please help!! I dont know whats wrong
How about MCL without surgery?
My knee was injury 8 years ago
Hi Endy, it depends on the size of the tear. Most do not need surgery unless the knee is very unstable.
@@OrthoEvalPal ok right Mr Paul. But all my knees are injury.
The right knee was injury in 2013.
The left knee was injury in 2017.
Eventhough I dont play football again.
I ever play badminton.
My knees are rocking. I dont how it's Acl, Mcl, Meniscus n PCL
How about your opinion.?
Must I do surgery?
@@anaksekolah9430 your question makes no sense all of a sudden your talking about both knees saying they both still suck.. he's gonna say go see a specialist and it takes no specialist to know that
@@scrubled6854 wht should i do
@@anaksekolah9430 go see an orthopedic specialist lmao 🤣
Good morning... so this Valgus test, are you supposed to have that little bit of play when you go outwards with it??? I play soccer, and a couple of days ago in a game, I attempted to make a long pass by using the inside of my right foot, but an opposing player stuck his foot in there just in time to block my pass. It was a pretty forceful block. Had to walk off the field within a couple of minutes due to the discomfort. In like 30 minutes or so, I could already tell that it got swollen. I am able to bend my knee to like a 15-20 degree angle, but If I try to go further, I begin to feel like my knee wants to lock up from the inside. All of my pain is from the inside of my right knee. I can extend just fine. I haven't tried to see if I can flex my quad muscle. Just trying to determine if its something serious or not. I have been icing on and off. What do you think Doc???
You should go have it checked. You could have a piece of meniscus locked in your knee not allowing you to bend it. A good orthopedic assessment will send you in the right direction
I dislocated my kneecap (towards the outside of my knee) in ballet just over a month ago. My orthopedic surgeon diagnosed me with a slight tear of the MCL. It does still hurt along the MCL when I try and bend my knee all the way, and I also still get a pinch just below my kneecap when I try and use my muscles to straighten my leg fully (sitting with my leg straightened in front of me, for example, is painless). Is this normal or something I should mention to my physical therapist? Thanks!!
Hi Isabella,I definitely would mention this to your physical therapist. There are many structures that can be pain generating in the inside part of your knee. Best of luck!
@@OrthoEvalPal Thank you so much, I'll ask them about it!
I am a college athlete. I partially tore my MCL in my right knee February of 2017 and ever since then I have not been the same. I have recently been having a lot of locking and giving out especially when I walk. My leg won't extend all the way straight as well. I do get tenderness on the inner part of my knee but got use to most of the pain. I'm wondering if you would know what can be wrong with my knee?
I also can not balance on my knee
Without putting my hands on it, I can't tell. But what I can say is that you need to see an Orthopedic specialist.
@@OrthoEvalPal okay thank you very much!
Can I have your instagram id
i can walk on my leg but i am having horrible pain. i think it’s my mcl but i’m not sure tho. how do u tell if you have a mcl injury,
Doc..i had a MCL injury 4 months ago n nw my knee is opening like the tibia bone between MCL n patellar ligament moves out when i swing my leg horizontal above surface ... N my doc told me to do excersie only n excersie is not helping it's has strengthened other parts but nt that part..
My Dr. didn't any of those tests. Kinda wish he did. 😒
Sir can I know what is the exact treatment for that
Bacuse I got injured same MCL when I tried for long jump practice my whole body weight put on right leg while I jumped and while landing first I let my right leg to landing that time I fall down with sprain in my right leg knee in the left side part now 2weeks past but not get stiffness still my leg knee feels tilting to right side with pain if I tried to give full weight that leg
Sir if possible please give me some suggestions am from india
Hello doctor, I would ask you if you can explain to me. - I got a stroke, and I had a hematoma 4.5 cm, and that passed me in a month. However, I still feel small pains in MCL when I bend my leg. I went to therapy, and I didn't feel anything when I started running, but I stopped awkwardly and the pain returned. -So what should I do, and how long should I fully recover?
Difficult to tell if it was your MCL. You could have a meniscus tear causing issues here too. Hard to tell without an evaluation
@@OrthoEvalPal It's collateral ligament for sure, meniscus is okey..
How do i avoid it's surgery
Abnormal horizontal tear in posterior horn of medial meniscus reaching up to tibial articular margin this is findings of My left knee injury MRI.what shall I do,shall I go through surgery?
Not up to me to determine from here but if it is catching and locking then yes. Lots of factors go into determining if you need surgery or not.
What is the rationale behind locking the knee in 20-30 degree flexion? Would this not increase risk for extension lag if worn for a few weeks ?
The medial structures can scar down in that position. When in full extension, the MCL and capsule are being stretched and therefore will heal in a stretched position leaving it unstable. Deal with the extensor lag later.
@@OrthoEvalPal excellent point! Do you have a recommendation on a good double hinged knee brace on amazon?
Any specific exercise you can recommend for a mild MCL strain?
Hi Karen, your question has prompted me to consider a video for it.
Sir I met with an accident 14 days ago i hurt right side leg hit on road my knee joint bend inner side at the first day ..x ray reports are normal gap between both bones is normal doctor say to me ligment injury i am under medication after 14 days swelling decrease pain is little bit but walking with brace only my question is my injury is mcl,or lcl how many days can heal my age 35
Too hard to tell without doing the evaluation myself. Sorry
My motorcycle dropped on the inside part of my left leg on just above the knee joint on the upper bone.
I had pain around knee cap and along mcl.
My doctor gave me a straight 0° brace.
Can straight 0° brace cure mcl as well?
It should help it rest and scar up to give stability. It will make your muscles weak though, so be sure to start a PT program when the doctor allows.
@@OrthoEvalPal thank you very much 😊🙂
Hey doc, i think I'm experiencing just that discomfort. I can't even fully straighten my knee. What should I do?
I would see an orthopedic surgeon to have it evaluated. You may not need surgery but you may need some therapy to help guide you to get it straight
Where are you located
Hello doctor
Hey Paul. How long does MCL takes to recover, for all the 3 types. And do they recover completely? Plz specify.
Grade 1 and 2 could take 6-8 weeks. Grade 3 may need surgical repair. But remember that there may be other concomitant injuries that are in play here.
Langsung urut saja jgn banyak komen.
Bodo
One thing i have been noted that during examination doctor should have to remove rings. 😜
I have same thing but I don't have good extension, restricted about 10degrees with discomfort and pain
Have you had it evaluated by an orthopedist?
@Ortho Eval Pal with Paul Marquis PT I have my MRI scan copies. Deep articular meniscus horizontal flap tear near posterior horn. MCL grade 1 however its been 4weeks and still have issues.
i almost puked when he did the 30 degree test🫣
Can plz send mail id i will share my MRI report, I have pain in my knee
Sorry, too difficult to evaluate without being hands on
My mcl and meniscus both are torn .Do i need a surgery ?
I would leave that up to an orthopedic surgeon to decide. Depends on your pain and if your knee is quite unstable. Many factors to consider.
Sir I have ACL surgery
If I have grade 2 MCL is it necessary to do MCL surgery
@@sibabratadebata6902 not necessarily. It Depends on how unstable the inside of your knee is