LCL Sprains and Tears - Symptoms, Tests, Recovery Times. Plus: Do I Need Surgery for my LCL Injury?
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- Опубликовано: 26 май 2024
- A lateral collateral ligament (LCL) tear is a knee injury that seldom happens in isolation. The force that causes it is usually so big that something else also gets injured. Sports physio Maryke Louw explains how the LCL typically gets injured, what the symptoms are, how the injury is diagnosed and graded, what the treatment options are, and what the recovery times might be under various circumstances.
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🌟Need help with an injury? You’re welcome to consult one of the team at SIP online via video call for an assessment of your injury and a tailored treatment plan: www.sports-injury-physio.com/
📽️ Other videos you may find useful:
▶️ LCL Knee Braces: • Lateral Collateral Lig...
▶️ LCL Exercises: • 8 LCL Exercises - LCL ...
▶️ Crutch Walking Tips: • Crutch Walking Tips
▶️ How to Use Ice for Injuries: • How Long to Ice an Inj...
📚Chapters:
00:00:00 Introduction
00:01:02 Anatomy of the lateral collateral ligament
00:03:57 Symptoms of an LCL injury
00:06:11 How to test for LCL injuries
00:10:04 How LCL injuries are graded
00:11:33 Who needs LCL surgery?
00:13:11 LCL injury recovery times
00:15:31 Treatment of LCL injuries
00:21:13 How we can help
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References:
Bushnell, B. D., et al. (2010). "Treatment of magnetic resonance imaging-documented isolated grade III lateral collateral ligament injuries in National Football League athletes." The American Journal of Sports Medicine 38(1): 86-91.
Davenport, D., et al. (2018). "Non-operative management of an isolated lateral collateral ligament injury in an adolescent patient and review of the literature." BMJ Case Reports 2018: bcr-2017-223478.
Petrillo, S., et al. (2017). "Management of combined injuries of the posterior cruciate ligament and posterolateral corner of the knee: a systematic review." British Medical Bulletin 123(1): 47-57.
Ramos, L. A., et al. (2019). "Treatment and outcomes of lateral collateral ligament injury associated with anterior and posterior cruciate ligament injury at 2-year follow-up." Journal of Orthopaedics 16(6): 489-492.
Sikka, R. S., et al. (2015). "Isolated fibular collateral ligament injuries in athletes." Sports Medicine and Arthroscopy Review 23(1): 17-21.
Yaras, R. J., et al. (2022). "Lateral collateral ligament knee injuries.” StatPearls Publishing.
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👉 Braces like these ones on Amazon work for LCL injuries:
✅ DonJoy: geni.us/hTAzKk
✅ Komzer: geni.us/74f6
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👉 EVENup Shoe Balancer/Leveler to help with crutch walking: geni.us/EsVA4I
If you buy anything via these links, we may get a small commission at no extra cost to you.
this is really useful information. thank you
You're welcome
This was extremely helpful! Thank you!
Glad it was helpful!
Thank you
Just realized I might need surgery
Reoccurring lcl injury from basketball 😢
I just got LCL augmentation surgery on an acute tear + ACL reconstruction 8 days ago. Can't wait for the exercise video, your content has helped me tremendeously with my (according to my ortho) hopeless and chronic achilles tendinopathy :)))
How quick was you're surgery and how was the first couple days? I'm going in next week it's been 3 weeks since my rotational dislocation. My swelling is down but without crutches my leg dislocates over and over. Never had knee surgery 😊
I'm 70 and suffered an LCL sprain last year. The previous week (I think), I had a sharp pain in the outer side of my hamstring while doing sled pulls. I may have been taking too long a step or moving too quickly. The pain passed quickly but the following week, the LCL suddenly went. My GP had just retired so I went to Urgent Care. The X-Ray result: "No fracture or dislocation is identified. Minimal degenerative changes of the medial compartment. No significant joint effusion. The soft tissue is unremarkable." The nurse even said I was unusually free of arthritis for a man my age. I was prescribed physical therapy and continue to do rehab exercises since being released. Mostly, I have full use but occasionally, the knee gets a bit of slop and there is a bit of pain. I reset the knee by sitting on my haunches with my hand inserted at the back of the knee (this was not prescribed, just something I picked up over the years). Anyway, I weightlift 3 times a week. Am I pushing my luck, especially with squats and deadlifts? I have an excellent trainer who watches me like a hawk.
Not at all - if your knee tolerates the training well (no pain during or after) and you build it up in a sensible way, then it is usually absolutely fine.
I just injured my LCL this past saturday at a jiu jitsu tournament and this video gave me a ton of peace of mind that my injury isnt extreme and wont need surgery
Good luck with your recovery.
I just did the same thing training yesterday I was playing x-guard and entering into matrix back takes.
@@joeoleysyck652 was the injury when you threw the outside leg to their back knee?
Yes exactly. I didn’t have the right angle cause my hook was on the side of his knee instead of behind it. I learned a valuable lesson. Just sucks having to go through the recovery process. Feeling blessed that it wasn’t one of the more problematic ligament tears
@joeoleysyck652 im nervous i wont be able to play dela riva to my left, which is a huge part of my game. I start PT on thursday
❤ vey educative
Your amazing, thanks so much🙏🙏🙏
You are welcome.
I have a grade 2 from running about 10 years ago now. I took a few years off running, came back was doing great and then re injured it again. Took a few years off. Can’t really run past three miles without it bothering me :( I May need surgery. Thanks for the information. Well done!!
You're welcome!
I’ve had a right knee injury for over 5 years. It hasn’t bothered me much through the years. That’s why I didn’t do anything about it. But in the last 3 months it has been getting worse. There is a lot of inwards movement on my knee and the outside of my knee is very tender when I press on it. When I squat my knee usually pops out and goes back in when I stretch it out. I can’t sit down on the ground and cross my legs because my knee would pop out. I can run in a straight direction but find it impossible to change directions without my knee popping out. I’m quite sure my LCL is the problem here and possibly some other ligaments as well.
Brilliant overview . Does it take a few days to determine the extent of these injuries and what else is involved ?
Sometimes - it can often be easier to get a full picture once the acute pain has settled a bit after about 3 to 5 days.
Hi Maryke.. thanks a lot for this content and your channel.
I've been waiting for the LCL video and I'm glad and grateful you finally made it!.
Had a snap sound while doing yoga a month ago, no inflammation nor a lot of pain, small discomfort continued till now and when saw the orthopedist and MRI, there's a partial tear. I didn't wear the brace as didn't really think was serious before the MRI 😢, hope still recovers well, I'm a long distance runner and I've been tormented with the idea of not being able to run anymore..
Thanks for sharing, and good luck with your recovery!
Exactly like me I had a snap and then was a bit sore but got worse over time and now I’m in bad pain.
@scotty90 hi ran 10K yesterday Sunday, 13K last weekend and back at gym and biking but it's been a journey of almost 6 months. Definitely get it checked and pause to focus in recovery and rehabilitation.
I have an itbs but I was confuse with LCL ...your vedio helped me to know my real problem.... thank you very much mam
My pleasure
May your days be long
hello. very nice and educated video. Thank you Doctor. I have been through very serious ACL knee injury on right knee and I have surgery on that and have been playing football for 2 years. And recently I have another injury on the left knee while playing football. While put the left feet on the ground, the other player push me from the inside to outside and I heard a small crack (not big as the crack I have at the ACL injury, and my knee rotated like my ) and I feel that crack is not the crack of ACL torn (Grade 3). After that my outside knee is swollen and hurt, the inside knee seems not very much. After 3 weeks I am now able to walk upstair but still a little uncomfort to walk downstair.
I still feel the knee stable unlike the ACL injury I had before for the right knee so I think the ACL still there, maybe stretched but not completely torn. My question is :
- Do I had an LCL tear or MCL tear or both if I only swelling much from outside of the knee?
- Should I rest and return to sport longer than usual to help my knee perform better and my knee health overall for long time after?
I really can't tell what you have done - you will need to get a physio or doctor to test your knee to check what structures have been injured.
Tore my lcl on sunday playing rugby, im going for a soft tissue scan soon
I currently have in-between a grade 2/3 lcl tear. I'm using a brace for 6 weeks then getting it reevaluated for surgery. I've always been going to PT twice a week. I'm able to walk, pain level has dropped significantly and I'm starting to get near the 90 degrees bend mark. But the problem is sometimes my knee gives out. I have 2 weeks til I get reevaluated hopefully I don't need surgery, I have track field that starts in a few weeks. Do you think I'll be back by then?
It does not sound as if your knee is ready for running yet, let alone fast running, so I don't think track and field will be an option if it is only a few weeks away.
3 weeks ago injured myself while playing basketball, the pain is not there most of the times, but knee feels unstable sometimes while standing straight or while walking down stairs, also very scared if need to have a surgery, hamstrings feels very tight sometimes as well, help with rehab
A good first step is usually to get it properly diagnosed, otherwise you don't really know what rehab is needed. If you want help figuring it out and a rehab plan, this is something that our team of physios can assess and help you with via video call. You can read more about how the online consultations work here: www.sports-injury-physio.com/
I crashed on a bike and hit my knee, now from what i know that my lcl I'm able to move it in certain positions, any thoughts?
Hi.. I have bowed legs and injured the outer part of my both knees during a hike about three weeks ago. It has healed tremendously and sometimes I walk without pain. However, I have noticed the pain still happens after driving or constant movement. Is it serious? Did my bowed legs contribute to the injury?
It doesn't sound serious - it sounds like it is healing really well and likely just need a few more weeks before it regains its full strength. I can't really comment on whether the shape of your legs had anything to do with it because I don't have enough information - there are many factors that can contribute to it e.g. choice of shoes, how fit you were etc.
I feel like i might have this, i get tingling above knee cap where quad attaches and below kneecap on outer side when standing straight up and unstable knees when shakes things like a protein cup
Obviously I don't know your situation but what you are describing sounds more like a nerve injury - those symptoms are not typical of LCL sprains. LCL sprains also only happen when you have a really strong trauma e.g. someone runs into you or falls on you or you fall in a bad position etc.
I just got my Acl reconstruction + Lcl was tightened with a screw...The surgery was smooth, but coming back from the hospital, I hurted my newly repiared LCL at the fibula rejoin. The pain was really significant and even had rapid contractions or spasms for the first 2 days...The pain gradually decreased but the knee gets locked when I try to bend it more than 60°. It has been 20 days and It only pains in the fibula region where the LCL screw was placed. Is it a serious conern? I hope its not a grade 3. The doctor asked me to do my bending exercise even if it pains. What's your take?
In your case, you need to follow the advice of your surgeon - they should know exactly what they have done and what the best rehab is after such a procedure. We can't really make safe recommendations without knowing all the details and doing an assessment.
Yesterday I had a very loud audible POP while at Jiu Jitsu early in the morning and I had some minor pain on the outside of the knee. I was able to go though the rest of the day without issue. By the end of the day it was starting to get sore. I iced it last night and plan to ice today a few times as well. Overall, I think it is pretty minor. My bigger question is what causes the POP? People on the other side of my gym heard the POP. Thank you for your time.
A pop usually means something have torn (but not always) - it could be your LCL or meniscus. See how it goes - if it doesn't calm down significantly in the next week, then getting it checked is likely a good idea.
Im here for the same exact reason . Mine popped last night at BJJ, wasnt too painful but this morning it's real sore. Did yours end up healing or what happened?
@@Kawabunga900 I am a little over a month in and I can get around normally, but still cannot deep knee bend, or put much lateral pressure on the knee. I am going to BJJ now, but now sparing. I have no closed guard right now either. Definitely getting better, but it is slow....
@@pebalsamo Dang man. Good luck and roll safe. Hopefully mine heals up quickly. Hearing that pop last night made my heart stop.😆 Part of the game
@@Kawabunga900 Just FYI, the pebalsamo is me. Not sure how I got logged in under that account.
If a patient has a cardiac stent (cannot get MRI scans) would ultrasound testing be sufficient to substitute?
Yes, Ultrasound can diagnose LCL tears but it won't be able to show you anything inside the knee e.g. meniscus. I think a CT scan might be a safe alternative to and MRI scan.
This happened to me 3 days ago while wrestling. It was painful with some swelling and bruising but I continued to run and 3 days later feel like nothing happened. Should I be concerned?
If it is feeling fine, then you likely just had a mild sprain - I would just avoid any hectic force on it for a few more weeks e.g. be careful with wrestling or very uneven terrain when running.
I got an LCL grade 1 sprain as well as an ACL grade 1 sprain from a basketball injury. My doctor told me to rest for 2-3 weeks and so i did. Now the only symptom that remained is pain on the LCL location, outer side of the knee that only hurts when i put pressure on the spot with my hand. Is it safe to start practice now at a slower pace ofc? It really doesnt bother me or hurt me when i move or run.
I did rehab within that time, exercises at home and gym, and nothins strainous, plus icing, and wore a brace (those designed for sports) if i had to walk distances, and took NSAIDs for the first 10 days (the maximum i could), the knee isn't swollen anymore and the only way this spot hurts is if I press it with my hand, I could just ignore it and try to practice since it doesn't bother me when I move and stretch my knee, but obviously I am afraid it could get worse so I dont know if its safe. Help 🥺
I answer that for you in detail here: ruclips.net/video/6JblCYxeOB0/видео.htmlsi=2lzgNv5PwnZnmQB2&t=792
@@SportsInjuryPhysio Thank you so much!!
I have ligament injury i getting the treatment from one week but my knee is not stable when i give the
pressure knee going out site means leg going outside means lcl side . leg like feel free
Please let me know about this
Ask you physio but sounds like you need a brace - here's a video about it: ruclips.net/video/q8OuAJ5HpMA/видео.html
Im a college runner and I injured my LCL 5 months ago I took a month off and then did 2 months of rehabilitation and I still have lots of pain throughout the week are there any recommendations?
It might be that you also injured something else e.g. bruised the bone which can cause pain to continue for much longer. An LCL should be healed by now, so it might be a good idea to get a second opinion to understand why your pain has not yet settled.
Ma'am im suffering from a very small leg length discrepancy( 2cm diffrence) so im using a heel to equilize my leg size. But some time when i use heavy weight to workout this pain comes in and i think it is an LCL inquiry. How can i prevent this. Is there any solution ma'am.please help
You need to get someone to check your movement when you use the weights to see if you are doing a funny move with your legs or not - if your leg is turning out etc. then you may want to see if you can control it better. Also you need to check if your heel raise is causing your leg to turn out too much.
Basically what I found through trial and error is, if you have no ACL left or a dysfunctional ACL (because it is not fully healed), then you are at a higher risk of "just" injuring the LCL again and again and again....
3 times so far for me, full-ish recovery is about 2-3 weeks after each "injury event". This is all after a full ACL tear 2 years ago (which i "rehabed" without surgery).
I am in my 40s.
Thanks for sharing.
I was playing soccer and i was standing and my opponet knee got hit on my outer knee . At that time I couldn’t move my knee and couldnt walk properly but after 2 days i got ok but i am not 100 percent ok . I do feel pain sometimes when i am putting it in awkward position can u guide please i cant pay doctor
I can't really tell what is wrong without assessing you, but it sounds as if it is recovering.
I twisted my knee and had a my whole knee swollen. Now it's been 2weeks. I can properly walk and i can bend my knee and i can do squats also, but when i drag something with my leg it feels like my knee like my knee falls and gets back to its place why does that happen.
Hi there,
We cannot provide individual treatment advice without doing an in-depth assessment of your injury and your personal circumstances, as the advice might not be appropriate for you. You're welcome to book a video consultation with one of our physios if you would like an assessment and a personalised treatment plan: www.sports-injury-physio.com/
I can’t walk but I did a scan and there were no tears
when i bend and straighten my leg, on the lcl side my knee or something there clicks everytime how i can fix this?
It depends on what it is that is clicking - it can be your IT band, Kneecap, hamstring tendons, meniscus etc. Get it checked by a physio and once they have diagnosed it, they will be able to tell you what to do because the treatment is different depending on the cause.
@@SportsInjuryPhysio i finished pyhsio everything and i got back on my sports but i had pain when landing, it feels like my knee fall and gets back on place, i did mri it said parcially tear lca
@@SportsInjuryPhysio i dont know if i recover properly?
WHAT IS HAPPENING 😭 LITERALLY GOT DIAGNOSED WITH A MINOR LCL SPRAIN YESTERDAY OMG
Can you walk
I can stand still without pain but i cant move
@TatianaShamillakathomi it's all healed now, I had a knee brace on for a few weeks for stability and slowly strengthened it back up to speed
How long did it take same happened to me lol
@@TatianaShamillakathomisame
I cant walk but can stand still i think its my lcl
I could walk on a full torn acl 😕