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Ankle snap, crackle, and pop

Hello,
I’ve tried extensively to search online for ideas about this, but have had no luck.
When I was 11-12 years of age, my ankles started to make a cracking noise every step I took–the same sound that happens when you “crack” your knuckles.
We went to a couple doctors, but they all agreed that it appeared to be “just part of growing up” and gave me ankle excercizes.
10 years later, my ankle still make that noise, doctors have no idea why, and X-rays show my ankle joints to be normal.
It is intensified by moist weather and long periods of inactivity.
In addition to this, my ankle will often unexpectedly roll when I am walking, no matter how smooth or rough the terrain.
Most of the time none of this hurts, but it is inconvenient and sometimes embarassing.
Do I just have weak ankles, or is there something I can to reduce these occurances?
Thanks for your input.

Best Answers

Vivian Abrams DPM

Vivian Abrams DPM

I copied this from a site called "Howstuffworks"The information is about knuckles, but applies to other joints as well.Hope this helps.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. And as we know from chemistry class, with an increase in volume comes a decrease in 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 redissolve 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. But assuming you haven't signed a multimillion dollar contract to constantly pop your knuckles, it hardly seems worth the possible risk to your joints. On the positive side, there is evidence of increased mobility in joints right after popping. When joints are manipulated, the Golgi tendon organs (a set of nerve endings involved in humans' motion sense) are stimulated and the muscles surrounding the joint are relaxed. This is part of the reason why people can feel "loose" and invigorated after leaving the chiropractor's office, where cavitation is induced as part of the treatment. Backs, knees, elbows and all other movable joints are subject to the same kind manipulation as knuckles are.


1 Comment found

    Vivian Abrams DPM

    9 10

    I copied this from a site called “Howstuffworks”The information is about knuckles, but applies to other joints as well.Hope this helps.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. And as we know from chemistry class, with an increase in volume comes a decrease in 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 redissolve 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. But assuming you haven’t signed a multimillion dollar contract to constantly pop your knuckles, it hardly seems worth the possible risk to your joints. On the positive side, there is evidence of increased mobility in joints right after popping. When joints are manipulated, the Golgi tendon organs (a set of nerve endings involved in humans’ motion sense) are stimulated and the muscles surrounding the joint are relaxed. This is part of the reason why people can feel “loose” and invigorated after leaving the chiropractor’s office, where cavitation is induced as part of the treatment. Backs, knees, elbows and all other movable joints are subject to the same kind manipulation as knuckles are.

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