Irish trio set to miss rest of Six Nations
Leinster lock McCarthy could be out for the season after suffering concussion during defending champions Ireland's 10-9 defeat by France in Paris last Sunday.
Meanwhile back row forward O'Brien (torn hamstring) and wing Dave Kearney (shoulder) are in line to miss Ireland's three remaining Championship games, starting against England at Twickenham on February 27.
"Mike McCarthy has seen a specialist now and he's going to effectively re-condition himself, freshen himself up to kick-start next season now," coach Joe Schmidt said.
"That's the latest word. Maybe that's not the definitive word. I think just for him it's an opportunity to freshen himself up a little bit and that will give him a good entry point to next season."
As for O'Brien and Kearney, Schmidt added: "Sean is likely to miss the rest of the Six Nations, as is Dave Kearney, but we'll continue to monitor those guys and see how they go."
France made no secret of their attempts to 'target' Jonathan Sexton, who has a history of concussion injuries, in Paris last weekend.
There were fresh concerns about Sexton's fitness when the outside half cut short his involvement in Friday's training session after rolling his ankle.
But Schmidt said he saw no reason why at this stage his No.10 would not be fit to train on Monday.
"He just rolled his ankle," said Schmidt. "Johnny will be fit to train Monday. The problem with rolling your ankle is if you do train on it – and you can train on it – is that you just get more inflammation whereas the sooner you stop the inflammation, in 48 hours' time you are up and running so I wouldn't be concerned at all."
There have been calls for Sexton to both do less tackling and change his style of defending after he suffered neck and shoulder problems in Ireland's opening 16-16 Six Nations draw with Wales, which he then aggravated at the Stade de France.
But Schmidt, who said Sexton had recovered from those injuries, was wary of changing the stand-off's approach.
"He is fully loosened up," said the New Zealander. "Again, I suppose he put himself in the line of fire because he doesn't take a step back. He is a competitor. That's the nature of the beast and there is a lot of that we don't want to change, to be honest."
While Ireland, bidding for a third successive outright Six Nations title, have had a faltering start this season, while England have won both their first two matches under new Australian coach Eddie Jones courtesy of away victories against Scotland (15-9) and Italy (40-9).
Agence France-Presse