What Should I Know about Cracking Knuckles and Arthritis?

health wellness

Perhaps the most important thing to understand about the relationship between cracking knuckles and arthritis is there is no relationship between cracking knuckles and arthritis. The art of knuckle cracking may be cringe-inducing to some, but practitioners are not necessarily setting themselves up for a lifetime of anti-inflammatory medications and mentholated hand cremes. A lifetime of swollen knuckles is not out of the question, however.

Knuckle popping involves applying a certain amount of pressure against one or more finger joints, primarily the first joints closest to the hand. If done correctly, the knuckle joints will separate slightly and a loud popping or cracking noise can be heard. Once all of the available finger or toe knuckles have all been cracked or popped, there is usually a recovery time before they can be cracked again. Some people are capable of popping virtually every joint in their hands, feet and even a few vertebrae in their necks and spines.

Because long-term habitual knuckle cracking can cause the knuckles to become swollen or stiff, some have tried to prove a connection between cracking knuckles and arthritis, although the two conditions are triggered by entirely different mechanisms. Arthritis is an inflammatory disease which can affect almost every joint in a person's body, while knuckle cracking can only be performed safely on relatively few joints.

Many joints in the human body are lubricated with a substance known as synovial fluid. This fluid tends to collect between knuckle joints, and over time it produces bubbles of nitrogen gas. A knuckle cracker hyper-extends the knuckle joints, allowing this build-up of nitrogen gas to escape. The released gas creates the satisfying popping sound which designates a successful knuckle cracking. It can take from several minutes to several hours before the synovial fluid creates more nitrogen bubbles, which is why most knuckle crackers can only produce one pop per knuckle.

While the process of releasing nitrogen bubbles through knuckle cracking is considered relatively harmless, it can lead to some stiffness, swelling and pain around the joints over time. Because of the similarities between arthritis and habitual knuckle cracking symptoms, it is easy to understand how the two conditions could become intertwined in a person's mind. While arthritis is a chronic condition which often requires years of treatment, the effects of habitual knuckle cracking are generally temporary and can be reduced significantly once the habit is broken.

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9
There seems to be so many pros and cons...to crack or not to crack. I, myself have a jaw that gets so tight I feel if I don't "crack it" I'll scream sometimes. I have TMJ though and I know what it feels like for it to be "out of place" or "locked" in an open position while I'm eating. My doctor told me that continuing to "crack" it will make it worse and possibly mean surgery later on to put it back where it's supposed to be. When it's loose from cracking it too much I suffer continuous headaches, face and jaw aches -- can't sleep. So, I've finally taken my doctor's advice and stopped cracking it, though it was so hard to do. It hasn't slipped "out of place" in a very long time, my headaches etc. have diminished. For me, the doctor was right. Everyone is different though.
- anon42747
8
from what i have read the knuckles can't be cracked continually. My girlfriend can crack her knuckles every second of every minute. Why is that?
- anon40656
6
It was my understanding that the bubbles formed in the joint in response to the negative pressure of the act of popping (a momentary disarticulation of a joint) which then broke the surface tension of the synovial fluid. If this explained the inability to "crack" knuckles, then where do the bubbles go? They shouldn't leave the joint. I understood the inability to crack knuckles as it taking time for the synovial fluid to redissolve the nitrogen gas.

The irritability and pain when they are not cracked has more to do with the joint being stretched on a regular basis, and then not stretched for a day or so. The pain and irritability has more to do with not stretching the ligaments around the joint than to do with the actual popping.

- anon40257
5
People who crack their knuckles are gross and disgusting. It's the same as farting or picking your nose in front of others. Do it in private, please, instead of making the rest of us want to kill you for messing up our shared space.
- anon40246
4
what exercise should i apply for my osteoporosis. and medicines needed?
- anon40237
3
I've been cracking my knuckles since I was very young. Now my hands are throbbing. If I don't crack my knuckles they start to hurt tremendously. It's great that it's painful to try and quit doing this...
- anon28639
2
I can both of the joints in each of my fingers. I can crack my thumb, ankle, wrist, back, neck, knees, and ankles. I was always told that I am going to get arthritis if I keep doing, but now I know that I won't. I'm going to tell my friends that it is not going to cause us pain in later years. Yeah!!! Yey!!
- gremlin
1
i can crack almost my entire back since i was 18 and it gives me massive relief from my upper back pain, especially in my neck area. can the causes of my upper back pain and my persistent urge to crack my back be inter-related? if even for a single day i do not crack my back i feel restless and irritated.

why is it so? can this have long term repercussions? almost all my joints can be cracked including my achilles heels. but the problem essentially lies with my back..help! i am 26 years old.

- reema

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Written by Michael Pollick
Last Modified: 23 August 2009

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