HomeAnswersFamily PhysicianradiculopathyI feel cracking sound in my joints. What could be the reason?

Why am I getting cracking sound in my joints?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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iCliniq medical review team

Published At April 27, 2016
Reviewed AtDecember 20, 2023

Patient's Query

Hi doctor,

One year back, while sitting on a chair in office I felt as if my back got stuck and was unable to move. I took two painkillers and managed to sit there for a while, but after two to three hours the pain started radiating to leg. I was diagnosed with moderate disc herniation at L4 to L5 and L5 to S1. I was advised to take bed rest for three months and felt better after five months. Then I got some manipulation done with my lower back and my condition got worse. After that I had slight pain in my tail bone while walking and the pain got worse when I sit for five minutes. It got radiated to hips, thighs and it was worse when I stood up from a sitting position. Then I left with no option except bed rest for another four months that is a total nine months of bed rest. After that I suddenly started walking two to three hours a day in a stretch and started doing some exercises. After few days of getting my body too much into motion I felt my upper back getting stuck and again was unable to move and the pain radiated to my wrist and hand. Then had bed rest for another 10 days and felt a bit better. But, still in pain and resumed with two to three hours of brisk walking and exercises. I noticed that many joints in my body were making cracking sound while I walk or move my body and they were continuous. They are not going away no matter how much I move that joint, the cracking sound will repeat infinite times whenever I move my body. The cracking sound is mostly from lower and upper back, shoulder, ankle, foot fingers, knees also make that cracking sound and it is painful as well. Cracking sound in knees are felt more when I start walking after being in rest state and frequency of cracking sound reduces after walking for two to three minutes.

I got my ESR and CRP checked. They are normal, but there is a slight increase in lymphocytes and RBC. Now, I have been suffering from this continuous cracking sounds and pain in almost all my joints for more than a month now. I also suffer from severe pain in tail bone area. Also suffers from some sensation loss (not persistent) in left side of my upper left leg, pain in groin area (but not anymore), pain in lower back and upper back. Also a few days back a physiotherapist did some manipulation, which again increased my problem and after that when I wake up in morning both my hands are badly at asleep. Doctors say that discs are hydrated and it is rather some other thing which is causing me problems but are unable to diagnose. The amount of rest I have taken and all those manipulations have gone through have only done badly rather than doing any good. I am only 27 years old and unable to do simple tasks like sitting for five minutes. Please help me, what could be the possible reason for all this.

I had some back pain three years ago. My lifestyle is also not good. I do not used to any exercise or walk earlier, only sitting on a chair in front of a computer for 10 to 11 hours. I have also gained weight of 33 lbs in 10 months. Right now, I am taking only vitamin D3 supplement. I am attaching all my reports for your reference.

Hello,

Welcome to icliniq.com.

I have gone through your reports (attachment removed to protect patient identity), but you need to provide me the following details so that I can help you better.

  1. Is the pain radiating to the legs? Do you have any tingling or numbness in your legs?
  2. Any aggravation of pain when you get up in the morning?
  3. Is there any weakness in the legs on walking?

Patient's Query

Hello doctor,

When I sit for long, pain does radiate to both the legs and felt more on buttocks, tail bone and thighs. It gets worse in the above mentioned areas when I stand after sitting for around 15 minutes, but is less prominent in lower leg or feet. My feet and lower leg falls asleep when I sit for five minutes and gets fine as soon as pressure is released from thighs. Pain in lower leg and feet gets prominent when I walk for a while. Tingling sensation has reduced, but is still existent sometimes mostly in the area where I feel sensation loss. Few months back tingling sensation and numbness was very much existent with pain in groin. When I get up in the morning, my hands fall asleep and it is not even possible for me to move hands and this is happening since a week after physiotherapist did some manipulation. I do get more cracking sound from joints in the morning and also pain in that joints when I continue walking with that cracking sound. Also my right shoulder and few areas in my upper and lower back gets tender after bringing that part or joint in use. No weakness, but cracking sound and pain in joints while walking.

Please help.

Hi,

Welcome back to icliniq.com.

  1. Since you are getting radiculopathy symptoms, I suppose you would require surgery.
  2. In cases where there is no tingling or numbness there, we can wait for a longer time by managing conservatively.
  3. But if a person has these symptoms, then persistent surgery is an ideal option as you are young and have your whole life ahead.
  4. Till then you can be started on selective serotonin reuptake inhibitor (SSRIs) like Duloxetine and a combination of Pregabalin and Methylcobalamin.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Anshul Varshney
Dr. Anshul Varshney

Internal Medicine

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