Focus Physical Therapy - December 2025/January 2026

Cracking the Mystery

What’s Really Happening Inside Your Joints

Most people have experienced it: You stretch in the morning, bend your knees after sitting too long, or crack your knuckles during a meeting, and suddenly you hear a pop! The sound is so familiar that we barely notice it, but it sparks curiosity. Why do our joints make these noises, and is it something to worry about? What’s the science behind the pop? Synovial fluid, a slick liquid that cushions and lubricates our joints so bones can glide smoothly, is the main culprit. This fluid also contains dissolved gases like nitrogen, oxygen, and carbon dioxide. So, when you pull, twist, or bend a joint, the space inside the joint capsule suddenly expands. That drop in pressure forces the gases to form a bubble, a process called cavitation. The “pop” we hear comes from the quick formation and partial collapse of that bubble. Why can’t you crack again right away? Have you ever noticed that after cracking a knuckle, you can’t immediately repeat it? That’s because your joints need a refractory period. Gases usually take 15–20 minutes to dissolve back into the synovial fluid and reset the system for another crack. Is it bad for you? Despite warnings from parents and grandparents, cracking your joints isn’t linked to arthritis. In fact, studies have found no evidence

that habitual knuckle-popping damages joints. One famous doctor even cracked the fingers of just one hand for more than 60 years as a personal experiment and found no adverse effects compared to his other hand. That said, cracking isn’t always 100% innocent. If the noise is paired with pain, swelling,

or stiffness, that could indicate an underlying problem, like arthritis, cartilage wear, or ligament irritation. Joints make noise for other reasons. Not all joint sounds are bubble-related. Sometimes, tendons or ligaments snap as they slide over bony structures. Knees can grind or crunch when cartilage thins, a sound known as crepitus. Shoulders and hips might click as muscles or connective tissues shift during movement. These sounds aren’t always harmful, but if cracking a joint causes discomfort, it’s wise to consult a health care professional.

WHAT OUR PATIENTS ARE SAYING ...

The biggest compliment you can give us is referring friends and family. Thank you for all of your referrals and keep them coming! We love our clients!

“I had a great experience with the doctors and technicians as they helped me get back to normal after meniscus surgery. I am back to normal now! I appreciate the wonderful staff here in helping me get there.” –Dave J.

"Focus Physical Therapy has been a very welcoming place over the last few years. Julian treated me for my evaluation and implemented a plan for each of the different problems affecting me each time. The most ongoing issue was my right knee. Without the therapy I would not have been able to carry out my normal daily activities. After about 2

years, I finally needed surgery, and then the therapy, therapists and aides were so patient and encouraging, allowing me to reach my full range of motion and strength. Thank you for all your expertise!" –M. Osborn

2

• Focus Physical Therapy • Call 949.709.8770

$10

Made with FlippingBook Ebook Creator