MCL Sprains

Medial collateral ligament (MCL) sprains cause pain on the inner side of the knee and, in more significant injuries, a feeling of instability. PRP (Platelet-Rich Plasma) is prepared from a small sample of your own blood and injected along the injured ligament under ultrasound guidance, usually 5-7 days after injury once the initial swelling has settled. It aims to reduce inflammation, which may lead to less pain.

PRP is considered for Grade 1-2 (partial) injuries and is combined with a structured rehabilitation program emphasising early protected motion and progressive strengthening. Complete tears generally require surgical assessment. Results vary between individuals and suitability is assessed at consultation. Dr John sees patients in Bowral, serving the Southern Highlands, and at Norwest Private Hospital in Bella Vista.

PRP Treatment Process

Ultrasound Grading
Assesses tear severity

PRP Preparation
Standard concentration

Injection
Delivered along ligament fibres
under ultrasound guidance

Recovery and Pain Relief
Protecting the ligament during treatment with a knee brace may be required depending on grading of the injury

Treatment Eligibility

Ideal Candidates:
✔ Grade 1-2 MCL sprains
✔ Athletes with a partial MCL injury
✔ Isolated MCL injuries

Exclusions:
✘ Complete tears with endpoint laxity
✘ Combined ligament injuries

Pricing

Initial Consultation

30 minutes

$270

PRP Treatment

20 minutes

$550

PRP + Hyaluronic Acid

20 minutes

$750

Frequently Asked Questions

What is an MCL Sprain, and can PRP help?

An MCL (Medial Collateral Ligament) sprain is an injury to the ligament on the inner side of the knee, which helps stabilise the joint against outward forces. MCL sprains are graded from 1 (mild stretch) to 3 (complete tear). Unlike the ACL, the MCL has a good blood supply and many sprains settle with conservative care. Platelet-Rich Plasma (PRP) involves injecting a concentrated solution of your own blood platelets, rich in various growth factors, directly into the injured MCL. PRP aims to reduce inflammation in the affected area, which may lead to less pain.

Am I a suitable candidate for PRP treatment for an MCL Sprain in Australia?

PRP treatment for an MCL sprain is typically considered for individuals with Grade II or III MCL sprains that are not progressing as expected with conservative management. While many MCL sprains settle with physiotherapy and bracing alone, PRP might be an option if recovery is slow, or in cases of chronic pain. Your doctor will conduct a thorough assessment, including a physical examination and often an MRI scan, to accurately diagnose the grade of your MCL sprain and assess the overall stability of your knee. They will discuss the potential benefits and limitations of PRP in your specific situation.

What does a PRP injection for an MCL Sprain involve, and what's the typical recovery process like?

The procedure for a PRP injection for an MCL sprain typically begins with drawing a small amount of blood from your arm. This blood is then processed in a centrifuge to separate and concentrate the platelets, creating the PRP solution. The concentrated PRP is then precisely injected into the injured MCL, usually guided by ultrasound to ensure accurate placement. You might experience some mild discomfort or a feeling of pressure during the injection. After the procedure, it’s common to have some localised soreness, swelling, or bruising on the inner side of the knee for a few days. Your doctor will provide specific post-injection instructions, which usually involve a period of reduced activity and protection, followed by a gradual and structured rehabilitation program. The recovery timeline for an MCL sprain, even with PRP, varies depending on the grade of the injury, but typically involves several weeks to a few months for full return to activity.

How many PRP injections are usually needed for an MCL Sprain, and is it covered by Medicare or private health insurance in Australia?

The number of PRP injections needed for an MCL sprain can vary depending on the individual’s response and the severity of the injury. Often, a single injection might be performed, but in some cases, a course of 1 to 2 injections spaced a few weeks apart may be recommended to achieve optimal results, particularly for higher-grade sprains. Your treating doctor will advise on the most appropriate number of injections for your specific MCL injury. In Australia, PRP treatments for MCL sprains are generally not covered by Medicare. This means the cost of the PRP procedure itself is typically an out-of-pocket expense for the patient. Similarly, most private health insurance funds in Australia currently do not provide rebates for PRP therapy for MCL injuries. It is always advisable to discuss the full costs involved and confirm any potential out-of-pocket expenses directly with your clinic and your private health fund prior to commencing treatment.

Book an appointment

 PRP aims to reduce inflammation, leading to pain reduction. Book a consultation in Bowral or Norwest to find out whether it is suitable for you.