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Is cracking your knuckles bad for you?

<p><strong>Snap. Crackle. Pop. </strong></p> <p>No, it’s not the cereal, it’s tribonucleation, the technical term for cracking your knuckles. Whether done out of habit, stress or just because it feels good, you’ve likely been warned by someone who means well (or has just had enough of the sound) that it will give you arthritis.</p> <p>But their warning doesn’t have much merit, according to most medical professionals.</p> <p>One doctor was so eager to prove his nagging family wrong that he cracked the knuckles in his left hand at least 36,500 times (by his count) for over 50 years while leaving his right hand untouched. Dr Donald Unger, an allergist, did this in the name of science, though he seems to have been at least as motivated by an eventual “I told you so”. Publishing his findings in a letter to the scientific journal Arthritis &amp; Rheumatology in 2004, he said that “There was no arthritis in either hand, and no apparent differences between the two hands.”</p> <p>His findings are, of course, anecdotal, although often cited by professionals in the field. But do they mean that there are no side effects to cracking your knuckles (or other parts of your body for that matter)?</p> <p><strong>Is cracking your knuckles bad for you?</strong></p> <p>“As best we understand, it seems to be neutral,” says Dr Erin Brown, a clinical professor at the University of British Columbia. “There’s not a lot of research about this,” he adds, but “other studies have not found that it’s associated with arthritis.”</p> <p>Despite this, the popping noise can be disconcerting/annoying for some. What is the sound we hear when someone cracks a knuckle or other joint? It has to do with gas bubbles that form in the synovial fluid, which lubricates your joints, when two solid surfaces (i.e. your bones) move apart temporarily, creating a sort of suction.</p> <p>There’s been some debate over the years over whether the sound happens when that gas bubble bursts or when it’s formed. Recent studies using MRIs show that these little gas bubbles persist even after the ‘pop’ has been heard, suggesting that it’s the creation of the bubbles that makes the noise.</p> <p><strong>Listen up!</strong></p> <p>And if you’re one of the people irritated by the sound, that could be because mathematicians have found that the sound produced by cracking your knuckles can reach up to 83 decibels, which is louder than the average radio and similar to city traffic from inside a car.</p> <p>Whether you love it or hate it, up to 45 percent of you do it, and many describe a feeling of relief from doing so. Some of that could be because after a joint is cracked, there’s a slightly increased range of motion, so you feel more flexible.</p> <p>Of course, there are some things to watch—er, listen—out for.</p> <p><strong>Should I be worried about hearing other bones crack?</strong></p> <p>“As you get older, a lot of us have knees or something else that creaks. You sit down and you get up and you can hear them snapping and cracking. That’s a different thing,” says Dr Brown. “That is the bones actually rubbing against each other, and that can be a sign of wear and tear.”</p> <p>He also mentions that while he’s never seen it, there have been odd cases where someone can dislocate a joint when it pops out of place. But when it comes to basic knuckle cracking, however, Dr Brown assures us that if it feels okay, we’re free to keep doing it.</p> <p>Still, if you’re cracking any part of your body, heed the doctor’s orders – if it “doesn’t feel right, then it’s probably worth having assessed because it could be something else.”</p> <p><em>Image credits: Getty Images</em></p> <p><em>This article originally appeared on <a href="https://www.readersdigest.com.au/healthsmart/is-cracking-your-knuckles-bad-for-you" target="_blank" rel="noopener">Reader's Digest</a>. </em></p>

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What’s happening when our joints crack?

<div> <div class="copy"> <p><span style="font-family: inherit;">We’ve all had the experience of standing up and hearing a loud pop in our back or hip, or trying to tiptoe through the house only to have our foot make a cracking sound each time we take a step. So what’s happening in our joints when this happens, and is it a bad sign?</span></p> <p>What if we purposefully crack our knuckles? Will we get arthritis like our parents used to tell us?</p> <p>The noise we hear when our joints pop is likely to be due to movement of the tendon over bone. Tendons attach muscles to bones and are a bit like elastic bands that stretch over joints. It is thought tendons can make a popping noise when they move quickly across a joint.</p> <p>When a joint moves, the position of the tendon changes relative to the joint. Sometimes the tendon will shift its position slightly, causing it to make that popping sound as it snaps back to its normal place. This noise is quite normal whether it’s loud or soft, or happens frequently or not.</p> <p>The chronic degeneration of joint cartilage, known as osteoarthritis, leads to stiffness and reduced mobility of the joint. When this cartilage is damaged the surfaces of the bones rub against each other during movement, causing pain.</p> <p>Many factors contribute to arthritis, and people experience joint pain for many possible reasons, including genetics, age, weight and previous injury.</p> <p>Several causes of osteoarthritis have been identified and preventative strategies need to be developed. But, as far as the question of a causal link between joint cracking and osteoarthritis, there doesn’t appear to be any compelling evidence.</p> <p>If you’ve experienced any pain or swelling of the joint when it cracks, this should be assessed by a doctor as there may be abnormalities in the joint structures such as loose cartilage or an injury to ligaments. If the joint locks or gets stuck when it cracks this may also be an indication of an underlying problem and should also be assessed by a doctor.</p> <h2>Is cracking my knuckles bad for me?</h2> <p>Knuckle cracking is a habitual behaviour involving manipulation of the finger joints. For a long time, it has been suggested cracking your knuckles will increase the likelihood of developing arthritis later in life. Although this idea has persisted across generations, only in recent decades has any research looked scientifically at the question of the consequences of knuckle cracking.</p> <p>Synovial fluid is a substance found in the cavities of joints. It has a consistency similar to egg white and its purpose is to lubricate the joint to reduce friction during movement.</p> <p><a rel="noopener" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1129752/" target="_blank">Early research suggested</a> when the joint is extended the pressure within the joint is greatly reduced, causing gases dissolved in the synovial fluid to form microscopic bubbles or cavities. Eventually, joint fluid rushes into the areas of low pressure and the larger bubbles collapse, or pop, producing that familiar sound.</p> <p>In 2015, <a rel="noopener" href="http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0119470" target="_blank">a group of researchers from Canada</a> used magnetic resonance imaging (MRI) to investigate the mechanisms of knuckle cracking. They concluded knuckle cracking occurs as a result of formation of space in the synovial fluid in the form of bubbles rather than the collapse of the bubbles due to synovial fluid rapidly filling the space, debunking the previously held notion.</p> <p>Donald L. Unger was a medical doctor who was curious about the long-term effects of knuckle cracking, so he cracked the knuckles of one hand only for 60 years. He found there was no difference in the amount of arthritis between his hands at the end of this time.</p> <p>There has been some formal research on the topic. An <a rel="noopener" href="http://ard.bmj.com/content/49/5/308" target="_blank">early paper from 1990</a> found cracking the knuckles over a long period was associated with swelling and reduced grip strength in some people. However, the authors found no difference in arthritis of the hands between people who habitually cracked their knuckles and those who didn’t.</p> <p>A <a rel="noopener" href="https://www.ncbi.nlm.nih.gov/pubmed/21383216" target="_blank">2011 study</a> assessed radiographs of people, aged 50 to 89 years, according to the frequency of their knuckle-cracking behaviour. Again, the prevalence of osteoarthritis of the hands was similar between people who cracked their knuckles often and those who did so rarely.</p> <p>So knuckle cracking doesn’t cause any harm and equally has no apparent benefit. To quote a <a rel="noopener" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1129752/" target="_blank">study</a> on habitual knuckle cracking:</p> <p>The chief morbid consequence of knuckle cracking would appear to be its annoying effect on the observer.</p> <p><a rel="noopener" href="https://theconversation.com/profiles/andrew-lavender-219133" target="_blank"></a><em>Image credit: Shutterstock</em></p> </div> <div id="contributors"> <p><em>This article was originally published on <a rel="noopener" href="https://cosmosmagazine.com/science/biology/whats-happening-when-our-joints-crack-and-is-it-bad/" target="_blank">cosmosmagazine.com</a> and was written by The Conversation.</em></p> </div> </div>

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