Hello @grammyx4. I’m responding to your discussion topic at the invitation of Nate, our moderator on this topic. He noticed that I had an experience with low back pain arising from the sacroiliac joint, which you mentioned. In my case, no fracture was involved. Instead, the joint had become inflamed from some unknown cause. We found that out after several weeks of PT which relieved the pain not at all. My primary care doctor (not my spinal surgeon or pain doctor) suspected the inflammation and arranged for an injection into the sacroiliac joint of an anti-inflammatory agent. The infection cleared up in a few days, and the pain has not returned since. That turned out to be the evidence that we sought: Pain relief from an injection into the joint confirmed the diagnosis of inflammation there — in fact, this was the only way to fix the problem and confirm its cause.
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You tore a bit of tendon or ligament, somehow. If it doesn’t hurt until you put stress on that muscle in your hand, it’s usually a tendon. Stop playing with it, or doing anything that causes even a little pain; that is re-tearing strands that are. If you have pain or numbness in your hand or wrist, you could have ulnar tunnel syndrome. Learn about the diagnosis, symptoms, and treatment.
My case may not offer you any avenue of relief, since fractures are involved in your situation but not mine. Perhaps your medical team would answer that question for you. Of course, we’ll be interested in learning what therapy you receive and how it is working to give you some relief.
When neck cracking or grinding sounds are first noticed, it is normal to wonder whether something is wrong in the cervical spine. In general, a doctor should be consulted if neck cracking, also called neck crepitus, accompanies any of the following:
- Pain or swelling. Neck crepitus with pain or swelling could indicate osteoarthritis or some other type of inflammatory process in the joints of the neck.
- Recent accident or injury. If the neck is making new cracking or grinding sounds after trauma, such as a car accident or a fall, then that could indicate a structural change that needs to be addressed by a qualified health professional.
See Cervical Osteoarthritis (Neck Arthritis)
- Frequent or constant. If the neck crepitus is constant, such as a sound that can be recreated every time or nearly every time the joint is moved, then that could signal a problem in joint function, especially when accompanied by pain.
- Recent surgery. Sometimes new neck sounds develop after surgery in the cervical spine. These sounds might show up weeks later, and while they could be normal and nothing to worry about, they should be mentioned to the surgeon just in case.
See Cervical Spine Surgery
Otherwise, neck cracking and grinding sounds alone most likely do not indicate a health problem. If a person is excessively worried about frequent neck cracking sounds even though there is no pain or other troubling symptoms, it is worth seeing the doctor to rule out a serious underlying condition and regain peace of mind.
Neck Cracking Not Linked with Arthritis
Some people regularly crack their neck on purpose—either due to a nervous habit or perhaps to bring some therapeutic relief from neck tightness. As such, it is common for people to wonder whether repeatedly cracking the neck can wear down the joints and cause arthritis.
A review of the current medical literature indicates that frequent, purposeful knuckle-cracking of the fingers does not increase the risk for arthritis in those joints.1,2 Joint cracking in the neck has not been as thoroughly studied, but there is currently no evidence to suggest that purposefully cracking the neck increases the risk for arthritis.
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Can Purposefully Adjusting the Neck Be Dangerous?
While quite rare, and at the time of this article inconclusive, there are reports of vertebral artery dissection in the neck resulting in a stroke after certain types of manipulation of the cervical spine. There is debate whether vertebral artery damage is equally likely to occur in people who do not receive spinal manipulation in this subset of the population.3 A review of the medical literature indicates that spinal manipulation of the neck by a qualified medical professional does not appreciably stress or stretch the vertebral artery.4-8
As a standard precaution, anyone experiencing concerning symptoms such as pain, dizziness, lightheadedness, numbness, tingling, or other troubling symptoms after neck cracking should consult a qualified health professional immediately.
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See Understanding Neck Pain and Dizziness
References
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- 1.Boutin RD, Netto AP, Nakamura D, et al. Knuckle cracking: can blinded observers detect changes with physical examination and sonography? Clin Orthop Relat Res. 2017; 475(4):1265-71.
- 2.Deweber K, Olszewski M, Ortolano R. Knuckle cracking and hand osteoarthritis. J Am Board Fam Med. 2011;24(2):169-74.
- 3.Cassidy JD, Boyle E, Cote P, et al. Risk of vertebrobasilar stroke and chiropractic care – results of a population-based case-control and case crossover study. Spine. 2008;33:S176-83.
- 4.Symons B, Herzog W. Cervical artery dissection: a biomechanical perspective. J Can Chiropr Assoc. 2013 Dec;57(4):276–8.
- 5.Haynes MJ, Vincent K. Vertebral strains during high speed, low amplitude cervical spinal manipulation. J Electromyogr Kinesiol. 2012;22(6):1017.
- 6.Herzog W, Leonard TR, Symons B, Tang C, Wuest S. Vertebral artery strains during high-speed, low amplitude cervical spinal manipulation. J Electromyogr Kinesiol. 2012;22(5):740-6.
- 7.Symons B, Wuest S, Leonard T, Herzog W. Biomechanical characterization of cervical spinal manipulation in living subjects and cadavers. J Electromyogr Kinesiol. 2012;22(5):747-51.
- 8.Wuest S, Symons B, Leonard T, Herzog W. Preliminary report: biomechanics of vertebral artery segments C1-C6 during cervical spinal manipulation. J Manipulative Physiol Ther. 2010;33(4):273-8.