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Knuckle Cracking Doesn’t Cause Arthritis, Doctors Say

The sound comes from gas bubbles in joint fluid, with pain or swelling a reason to see a clinician.

Overview

  • New guidance reported today reiterates that there is no strong evidence linking habitual knuckle cracking to arthritis.
  • Doctors explain the audible pop as harmless cavitation in synovial fluid rather than bones grinding.
  • Medical review is advised if cracking is accompanied by pain, swelling, warmth, reduced motion, locking, deformity, or persistent discomfort.
  • The habit is widespread, with reports citing studies that about 54% of people crack their knuckles, often several times a day.
  • Experts note that properly guided exercise can ease arthritis symptoms, and one clinician promotes stem cell–based therapies for selected patients, a single-source claim with limited supporting evidence.