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An image depicting a female from the back, holding her lower back in pain, overlaid with a graphic of the spine.

The Truth About Cracking Joints: What Does The Research Say?

Posted on January 7, 2024January 8, 2024 by Dr. Donald L. Aivalotis, II

When it comes to joint cracking, commonly associated with chiropractic adjustments, there’s often a mystery surrounding the “crack” sound and its implications for our joints. In this blog post, we delve into the scientific research to uncover the truth behind joint cracking and its effects on our musculoskeletal system.

What Causes A Joint To Crack?

The audible release experienced during joint cracking is a process called, cavitation. This occurs when a sudden decrease in intracapsular pressure prompts dissolved gases in the synovial fluid to be released into the joint cavity. Notably, these gases, comprising about 15% of the joint volume and primarily composed of 80% carbon dioxide, play a crucial role in altering the force-displacement curve and increasing the joint’s range of motion.

More simply, the cracking sound occurs when trapped gases in joint fluid are quickly released, causing the sound you hear.

Mechanisms of Cavitation

Theories on the cavitation mechanism have been thoroughly reviewed, and new insights suggest that the process is generated by an elastic recoil of the synovial capsule. This “snapping back” from the capsule/synovial fluid interface triggers the cavitation process, providing a fresh perspective on the mechanics behind this phenomenon.

Does Habitual Joint Cracking Cause Arthritis?

Contrary to common beliefs, habitual joint cracking does NOT show a correlation with arthritic changes. However, intriguingly, it does correlate with the loss of grip strength and soft-tissue swelling, temporarily.

It’s important to understand that there are various methods of causing joints to crack and some studies suggest that habitual cracking can lead to ligamentous laxity and instability of the joint. Always consult a chiropractor before cracking a joint on your own.

Implications for Manipulation

The conclusions drawn from the research shed light on the significance of the sudden joint distraction during a manipulation. The timeframe in which this occurs is shorter than that required for the stretch reflexes of periarticular muscles, suggesting a high impulse on the ligaments and muscles associated with the joint. This finding is particularly important, as it proposes that the cavitation process acts as a simple means for initiating reflex actions, contributing to the overall effectiveness of joint manipulation.

Manipulation or more accurately, a chiropractic adjustment, effectively improves joint mobility by not only releasing trapped gases from a malfunctioning joint but also interrupting the reflex spasm that causes limited mobility and pain. This is the healing power of a chiropractic adjustment according to the scientific community.

In unraveling the mysteries behind joint cracking, we find that the cavitation process is a complex yet integral aspect of the musculoskeletal system. Understanding its mechanisms not only demystifies the audible release but also provides valuable insights into the potential benefits of manipulation for joint health. As we navigate the realm of chiropractic care, acknowledging the intricate interplay between joint mechanics and the cavitation process is essential for a comprehensive understanding of its impact on our well-being.

Source: The audible release associated with joint manipulation by R. Brodeur

Similar Articles:

Joint cracking and popping: understanding noises that accompany articular release.

The physics of spinal manipulation. Part IV. A theoretical consideration of the physician impact force and energy requirements needed to produce synovial joint cavitation.

Analysis of zygapophyseal joint cracking during chiropractic manipulation.

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