Why Your Knuckles Crack?

MANISH SUTHAR, M.D. 

If you've ever laced your fingers together, turned your palms away from you and bent your fingers back, you know what knuckle popping sounds like.  Joints produce that cracking noise when bubbles burst in the fluid surrounding the joint. 

Joints are the meeting points of two separate bones, held together and in place by connective tissues and ligaments. All of the joints in our bodies are surrounded by synovial fluid, a thick, clear liquid. When you stretch or bend your finger to pop the knuckle, you are causing the bones of the joint to pull apart. As they do, the connective tissue capsule that surrounds the joint is stretched. By stretching this capsule, you increase its volume. An increase in volume results in a decrease in joint pressure. So as the pressure of the synovial fluid drops, gases dissolved in the fluid become less soluble, forming bubbles through a process called cavitation. When the joint is stretched far enough, the pressure in the capsule drops so low that these bubbles burst, producing the pop that we associate with knuckle cracking.

It takes about 25-30 minutes for the gas to re-dissolve into the joint fluid. During this period of time, your knuckles will not crack. Once the gas is redissolved, cavitation is once again possible, and you can start popping your knuckles again.

As for the harms associated with this habit, according to Anatomy and Physiology Instructors' Cooperative, only one in-depth study regarding the possible detriments of knuckle popping has been published. This study, done by Raymond Brodeur and published in the Journal of Manipulative and Physiological Therapeutics, examined 300 knuckle crackers for evidence of joint damage. The results revealed no apparent connection between joint cracking and arthritis; however, habitual knuckle poppers did show signs of other types of damage, including soft tissue damage to the joint capsule and a decrease in grip strength. This damage is most likely a result of the rapid, repeated stretching of the ligaments surrounding the joint. A professional baseball pitcher experiences similar, although obviously heightened, effects in the various joints of his pitching arm.

On the positive side, there is evidence of