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Doctor’s Alert on Knuckle Cracking: It’s Not Bones Grinding

Knuckle cracking is a common habit for about 54% of people, often done multiple times a day. Whether it’s out of boredom, stress relief, or simply for the satisfying pop, many believe myths that knuckle cracking causes arthritis, makes fingers bigger, or weakens grip over time. Dr. Syed Nadeem Abbas of Dr SNA Clinic, a specialist in joint pain management and stem cell-based treatments, clarifies the truth behind this widespread habit.

Firstly, there is no strong scientific evidence linking knuckle cracking to arthritis. The characteristic popping sound is actually caused by the collapse of gas bubbles—primarily nitrogen—in the synovial fluid that lubricates your joints. This harmless process is known as cavitation.

However, it’s important to be cautious if knuckle cracking is accompanied by pain, swelling, warmth, or limited motion. These symptoms may indicate an underlying joint problem requiring medical evaluation. “That popping sound is generally not bones grinding,” explains Dr. Abbas. “But painful clicks, locking joints, or persistent swelling should prompt a professional assessment.”

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Arthritis can affect individuals of any age, from children to seniors. While osteoarthritis tends to develop later in life, inflammatory arthritis types like rheumatoid or psoriatic arthritis can appear much earlier. Early diagnosis and personalized treatment plans are key to protecting joint health and preserving function.

Proper movement is beneficial for maintaining joint mobility. Low-impact cardiovascular exercises like swimming and cycling, along with progressive strength training, can reduce stiffness and improve joint support. During arthritis flare-ups, adjustments rather than cessation of exercise are recommended. Guided rehabilitation programs support activity without overloading vulnerable joints.

Dr. Abbas also highlights that stem cell-based therapies show promise for appropriate patients by modulating immune responses within the joint. These treatments can reduce inflammation, resulting in less pain and improved function, especially when combined with rehabilitation and healthy lifestyle changes.

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