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Cracking Knuckles: Causes and Side Effects

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The synovial fluid, which lubricates the joints, contains bubbles that explode when people snap the knuckles, which produces a "popping" or "cracking" sound.

Medically reviewed by

Dr. Anuj Gupta

Published At July 4, 2023
Reviewed AtJuly 4, 2023

Introduction:

The cause of the joint's popping or cracking sound when pulled is still a question. Several individuals believed for a very long time that the noise was caused by nitrogen bubbles developing or dissolving in the joint fluid. Others hypothesized that the movement of the ligaments surrounding the knuckle was to blame. When someone pulls on the knuckles, one may hear a "cracking" sound that results from the synovial fluid bubbles bursting under the increased pressure or the pulling apart of the bones. It is this synovial fluid that lubricates the joints. Knuckle cracking will not injure the joints, according to a few studies. However, there is no solid proof that cracking the knuckles enlarges the joints or lessens the power of the grasp.

What Is Crackling?

  • What occurs when joints break, crack, and pop is the noise of cracking or popping in the joints. It is the result of bubbles bursting in the synovial fluid.

  • The synovial fluid reduces friction and protects the cartilage by lubricating the joints like the oil in an automobile engine.

  • It typically takes 20 minutes for the bubbles in the synovial fluid to reform in the joints before they can fracture again.

  • The 20 minute pause, during which gas bubbles are re-forming in the synovial fluid, may be a draw of knuckle cracking.

  • During that time, people could feel more relaxed, as if the joints were no longer under pressure. However, the majority of the enjoyment is psychological. A psychological phenomenon is the feeling of satisfaction following knuckle cracking.

Why Do People Break Their Knuckles?

Most people commonly crack their knuckles, which can be brought on by a variety of factors, according to studies. People love hearing these pops and cracks for a variety of reasons, some of them are as follows:

  1. Sound- Some individuals like listening to the sound of knuckles cracking.

  2. The Sensation- Some individuals believe that cracking their knuckles releases stress and improves mobility by creating more space in the joint. Although it can seem like there is more space, there is no proof that this is the case.

  3. Anxiety- When someone is anxious, cracking the knuckles could help to busy the hands, like shaking them or twisting the hair.

  4. Stress- Some stressed-out people need to express their emotions about something. Knuckle cracking could provide distraction and release without really doing any harm.

  5. Habit- It is simple to continue cracking the knuckles till it occurs without even realizing it once they start doing so for any of these causes. However, it becomes a habit when they often crack their knuckles without realizing it. Those who crack their knuckles five times a day or more are referred to as habitual crackers.

How Does It Impact The Joints?

  • Although consistently cracking the knuckles might be relatively harmless, it can hurt them if done incorrectly or too frequently.

  • Incorrect knuckle pulling or cracking can injure ligaments and even induce finger dislocation.

  • After cracking the knuckles, if one experiences immediate pain or swelling, one may have injured the joint, so be sure to visit a doctor immediately.

  • Consistently cracking the knuckles can also erode the cartilage in the joints over time, generating swelling that causes discomfort.

Can Knuckle Cracking Induce Arthritis?

  • Although cracking the knuckles may irritate others around them, it is unlikely to increase the chance of developing arthritis. Various research examined the prevalence of hand arthritis in frequent knuckle-cracking users versus non-knuckle-cracking individuals.

  • A cracked knuckle makes a "pop" sound as bubbles in the fluid lubricate joints, synovial fluid, and rupture.

  • Extending or bending the fingers backward and exerting negative pressure may draw the bones apart and cause the bubbles to burst.

  • There are compelling reasons to stop knuckle cracking, even if it does not lead to arthritis.

  • A reduction in grip strength may result from persistent knuckle cracking. Moreover, at least two accounts of injuries sustained while knuckle-cracking have been documented.

What Are the Adverse Effects of Knuckle Cracking?

  1. Everyone can acquire the habit of knuckle cracking. Even though one could appreciate the sensation it gives, it might make those around them insane and have unfavorable side effects in the future.

  2. Although cracking the knuckles does not cause arthritis (as is commonly stated), one researcher discovered that it might create other issues, including joint swelling and a loss of hand strength, or depending on the degree and duration of the behavior, it could even be an indication of more serious nerve illnesses.

  3. The knuckles, or metacarpophalangeal joints, connect the fingers to the rest of the hand.

  4. Although these joints are extremely secure, they can become dislocated if enough external pressure is applied. Ligaments are tissues that link the bones together where a joint is located.

What Are the Methods to Stop Cracking the Knuckles?

  • Be aware of behavioral treatment. Behavioral therapy approaches are the way to go if they want to stop, no matter how often they crack their knuckles.

  • So, since knuckle-cracking is a habit, it is feasible to modify the behavior using behavioral strategies.

  • Positive and negative behavioral therapies are the two primary types of behavioral treatment, to oversimplify a little.

    • Techniques used in positive behavioral treatment include incentive schemes: Set objectives and reward oneself (or a loved one) when achieved.

    • Negative methods include using small penalties or other reminders to draw attention to the behavior and encourage the person to stop.

  • Take additional preventive measures like

    • Embark on a new interest. For example, engaging in a pastime that keeps the hands (and mind) occupied, such as writing, sketching, or doing crafts.

    • Always have a little bottle of hand cream in the pocket or bag.

    • Tape the "knocking knuckles" with the help of a friend, or tape the fingers to the palm to form a fist.

    • Apply the rubber band technique. The oldest behavioral technique is to secure the wrist with a rubber band.

    • Pull the rubber band back and release it as soon as they realize they will break the knuckles so that it will snap back into the flesh.

    • One might be able to quit the behavior through the minor sting they experience since they might ultimately start to equate the knuckle cracking with discomfort.

Conclusion:

Since there is no danger of cracking the knuckles, there should be no discomfort, swelling, or alteration of the joint's form. These are indicators that something is wrong and should be examined by the doctor. It is not hazardous to crack the knuckles, according to research. It does not grow the knuckles bigger or give anyone arthritis, but it can be noisy or disturbing to those around them. It might be challenging to stop a habit like knuckle cracking, but it is possible. One may break the behavior by being conscious of the times they are doing it and by seeking alternative stress relief methods.

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Dr. Anuj Gupta
Dr. Anuj Gupta

Spine Surgery

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