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Why do my knees click?

jodi-johnson

Written byJodi M Johnson

gareth_stables

Reviewed byGareth Stables

Male sitting on the floor with crossed legs
Why do my knees click or crack – and should you worry? From hip clicking and that odd knee joint pop, uncover what clicking joints mean with help from a specialist, and when it’s time to pay attention

Summary

1What are joints?

A joint is the point where two bones meet to allow movement. In fact, almost every bone in our body is attached to one.

2What makes our joints click?

The clicking, noise you hear is due to gas within the joint being released. The noise is usually the sound of bubbles popping inside you.

3How to prevent joint clicking and pain

Keeping your joints healthy and happy is the key to performing all of the movements you want to do.

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If you pop like bubble wrap every time you bend over or can’t get through a meeting without cracking your knuckles at least once (despite the disapproving looks), have you ever stopped to wonder what these noises could actually mean? Well, that’s what we’re here to tell you. We’ve highlighted not only what these noises could be but also what you can do to keep your joints healthy in the long run, harnessing the expert advice of Gareth Stables – Consultant Orthopaedic Surgeon and Specialist Knee Surgeon.

What are joints?

A joint is the point where two bones meet allowing movement. In fact, almost every bone in our body is attached to one.1 Think of the ‘hinge’ of your knee, for example. This joint is what makes the bottom of your leg move independently from the top.2 Joints are held together and stabilised by strong tissue called ligaments, which help keep bones in place and prevent them from moving too far.3 They’re also protected with cartilage – a very slippery yet strong connective tissue that prevents friction from occurring as the joint surfaces glide over each other when we move.2 Some of our more flexible joints are also surrounded by something called synovial fluid, which helps lubricate them and provide extra cushioning.1,4

Joints come in different forms, such as hinge joints (like the knee) and ball-and-socket joints (like the hips and shoulders), each designed to support a wide range of movement and help keep us active and flexible.1,2

What makes our joints click?

“The medical term for cracking joints is crepitus,” says Gareth. “The cracking, or clicking, noise you hear is due to gas within the joint being released.”5,6 So basically, that clicking noise is usually the sound of bubbles popping inside you.1,6

When this happens, you might find that you aren’t able to ‘crack’ your joint again for a few minutes after – roughly 15-20 minutes suggests some researchers.7 This could be because the gaseous bubbles may take a while to dissolve in the synovial fluid, allowing the joint to return to its normal position. “The clicking noise can also be due to the way your body is structured,” says Gareth. “For example, a ligament can move over a bone and create a cracking sound. However, noisy joints are very common and are rarely a cause for concern.”

But what if you intentionally crack your joints? Is it true that that can contribute to other conditions like arthritis? Well, the good news is that science so far says no.8 That doesn’t mean there’s absolutely zero relationship between arthritis and clicking joints – some people with arthritis find that they get painful, clicking joints due to the condition damaging their cartilage.7

What are the common causes of joint clicking?

Joint clicking is common and most of the time it isn’t something to worry about. It can feel a bit strange though, especially if you’re not sure why it’s happening. One of the most common reasons is simply gas bubbles in the joint fluid.

“You might notice it more when you’ve been still for a while and then start moving again”

Another reason can be tendons or ligaments moving slightly out of place and then snapping back as you bend or straighten a joint. This often happens around the knees, shoulders or ankles – and you might notice it more when you’ve been still for a while and then start moving again. Sometimes, joints can click if the muscles around them are a bit tight or unbalanced. When the joint isn’t moving as smoothly as usual, you might hear or feel more noises than normal.

Should I worry about clicking joints?

While most people experience some form of cracking joints, it can be especially common in people with hypermobility (where you can extend joints outside the normal range of movement).9 However, because their joints can easily stretch further apart, air cavities form and can cause crepitus (a palpable or audible grating, crunching, grinding, or popping sensation produced within a joint during movement).9,10

Hypermobile or not, you might also notice that your joints click more as you get older.9 This is usually down to the surrounding cartilage naturally wearing down over time, which can be connected to conditions like osteoarthritis.9,11,12
Female stretching at home

How to prevent joint clicking and pain

Keeping your joints healthy and happy is the key to performing all of the movements you want to do – whether that’s looking after your kids or playing sports. And thankfully, there’s some research to suggest that the following factors could support your joints and possibly reduce the effects of joint clicking.

Get up and get active

One of the best ways to look after our joints is to use them. Performing weight-bearing exercises, such as brisk walking and dancing or resistance training exercises, like weightlifting, can put pressure or stress on your bones, forcing them to work harder and stay strong.5,9

Exercise can also help increase your skeletal muscle mass as well as potentially reduce the effects of crepitus.13,14 Even if you have a condition like arthritis, you’re advised to move your body where you can to help maintain good muscle strength.18 In fact, some research suggests that being less active can make rheumatoid arthritis symptoms worse, while regular exercise may help reduce inflammation and fatigue.19-21

Eat for joint health

One of the other benefits of doing regular exercise is that it can help you maintain a healthy weight – a factor researchers believe could help keep your joints healthy. This is down to being at a higher weight potentially increasing friction of the joint cartilage, decreasing muscle strength and resulting in joint pain.20,22,23 Importantly, however, being underweight could also increase your risk of broken bones and conditions like osteoporosis.24,25 Although more research is needed in both these areas, it’s important to maintain an overall balanced, healthy diet that fulfils all of your nutrition needs.26

Consider joint supporting nutrients

Making sure you get plenty of certain vitamins and minerals could also play a role in supporting your joint health. Whilst diet should always come first, some people might benefit from supplements...

Calcium
Calcium can help build your bones and keep them healthy, making regular intake essential when looking to take care of your joints.12 Not having enough calcium can potentially lead to osteoporosis later in life.25,27,28 Luckily, most people can get the calcium they need through a balanced diet, including dairy, green leafy vegetables, fortified bread and plant-based milk.25,27 However, if you’re deficient, you may be recommended to take a calcium supplement. Vegans can sometimes need to pay extra attention to their calcium intake, since dairy is a major source of this nutrient. While many plant-based options like fortified plant milks do provide calcium, there’s still some discussion about how well our bodies absorb it compared to dairy sources.

Collagen
Your bones and cartilage are also mainly made from  collagen, which naturally declines as you get older.29-31 Research shows that collagen supplements might help to support this decline and help manage joint pain.31-34

Vitamin C
Vitamin C has also been shown to promote healthy collagen production and can be found in many common foods.35-37 You can make sure you’re consuming plenty of vitamin C by including foods like citrus fruits and broccoli in your diet.37,38 Taking vitamin C supplements could also help you support your intake.39,40 Just remember, it’s important to speak to your GP about adding any kind of supplement to your diet.

Joint cracking FAQs

Should I be worried about constant joint cracking?

In most cases, clicking on its own isn’t a problem. It’s usually only worth getting checked if it comes with pain, swelling, stiffness or a feeling that the joint is catching or giving way. If that happens, it’s a good idea to speak to a GP or physiotherapist.
 

Why do my joints crack more as I get older?

As we get older, natural wear and tear in your joints may also cause them to crack now and again. The smooth surfaces inside the joint may change slightly over time, which can lead to more noticeable sounds. The decrease of collagen as we age may also play a role in this. However, if you’re getting other symptoms along with the cracking, speak to your doctor.
 

Do supplements help with joint popping?

Supplements aren’t directly shown to help with joint popping. Instead, they’re mainly studied for overall joint health, where they may help with pain or inflammation in particular joint conditions, but the evidence is mixed and they’re best taken alongside a balanced diet.41
 

The final say

While cracking joints isn’t usually a sign of arthritis or anything more serious, it’s important to take good care of your joints and bone health.5,7 While a balanced diet should provide everything your body needs, certain supplements can still help support the long-term health of your joints, bones and muscles. Wanting more? Get to know Grime Gran and discover her ultimate supplement stack for backing biceps, bones and more.
Disclaimer – This article provides informational advice and is not a substitute for medical care. Curated by experts for accuracy, we take great care to ensure the information is up-to-date and relevant. However, you should always consult your GP or healthcare professional before using supplements or alternative products, particularly if you have medical conditions or are under supervision.

Sources

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