Is it bad to crack your knuckles – Update

A number of years ago i wrote a post looking into the research of whether or not there is any harm in cracking your knuckles.  An update on the subject is needed since knowledge can change over 6 years.

Chronic Cracking of your Knuckles and Arthritis

There isn’t much more research in chronic knuckle cracking and arthritis since I last posted. Two new papers were found during my search on this topic.

The Consequences of Habitual Knuckle Cracking (1975)

This study took 28 people who could recall whether or not they had or had not cracked their knuckles when they were younger. X-rays were taken of the hand. 28 school children were surveyed to determine the prevalence of knuckle cracking in children. One of the 15 knuckle crackers had radiographic signs of arthritis where as 5 of the 13 non-knuckle crackers had signs of arthritis. “The chief morbid consequence of knuckle cracking would appear to be its annoying effect on the observer.”

Effect of habitual knuckle cracking on hand function (1990)

This study took 300 people 74 of which were admitted knuckle crackers (amount of cracking per day was not indicated) for 18 to 60 years and 226 non-knuckle crackers. Six-four (64%) percent of knuckle crackers had an increase in hand swelling where as 5.75% had hand swelling (this was statistically significant). Comparing grip strength, the habitual knuckle crackers’ strength was significantly less than the non-knuckle crackers ( 210 (50) mmHg v 280 mmHg). The knuckle crackers were also more often manual labourers with higher incomes who frequently smoked, drank alcohol, and bit their nails. The signs of osteoarthritis (Heberden and Bouchard’s nodes) were similar between the groups.

Knuckle Cracking and Hand Osteoarthritis (2011)

In this study the authors sent out questionnaires to 319 participants. The questionnaires asked which fingers were cracked, how frequently, for how many years they cracked their knuckles, if there were any other risk factors for osteoarthritis and if they worked in manual labour for over 5 years. They received 215 surveys. Based on these questionnaires they determined there were no differences between controls and those with osteoarthritis based on number of years they cracked their knuckles, the frequency of cracking or working manual labour. They concluded, that there is no association between knuckle cracking and the prevalence of osteoarthritis of the hand.

“Knuckle Cracking”: Can Blinded Observers Detect Changes with Physical Examination and Sonography? (2017)

When compared with subjects who are not habitual knuckle crackers, do habitual knuckle crackers have greater QuickDASH scores (a questionnaire for disability of the arm, shoulder and hand), swelling, weakness, joint laxity, or range of motion? The authors found there are no differences in QuickDASH scores, laxity and grip strength Range of motion comparisons between subjects with a history of habitual knuckle cracking versus subjects without such a history only yielded increased ROM in joints that cracked during manipulation.

Effects of habitual knuckle cracking on metacarpal cartilage thickness and grip strength (2017)

Thirty-five habitual knuckle crackers (cracking their joints ≥5 times/day) Cartilage thickness was measured with ultrasound and grip strength was measured. Grip strength was similar between groups Habitual knuckle crackers had thicker cartilage. Increased thickness may be an indication of edema of the cartilage which may be an early stage of OA.

Download the in depth summary  on knuckle cracking from the link below.

Dr Notley – Does Cracking your Knuckles Lead to Arthritis


The evidence hasn’t changed much. Currently there is no difference in the degree of arthritis and being a chronic knuckle cracker. Cartilage damage could be occurring in those who chronically crack their knuckles but more research is needed.


A Runner’s Endorsement

“I refer to Dr. Notley as my ‘ninja chiropractor’ because it seemed that no matter what ailed me, he was able to fix it. I’m a runner and he helped me understand the way my body moves in relation to my nagging aches, and then, in addition to the ART, manual adjustments, and dry needling, was able to give me the precise therapeutic exercises to balance out my movements and I’ve been running injury and pain free ever since. I’m extremely grateful.” C.D

Testimonial – Crossfit Trainer and Athlete

Often times people forget that I am an athletic therapist as well as a Chiropractor.  I treat all forms of muscle and joint injuries.  Chiropractors are trained to adjust all joints in our body not just the spine.  Athletic therapists are excellent at understanding movement, exercise prescription and treatment for acute/chronic injuries.  When I decided to become a Chiropractor it was so I could expand my treatment skills so I could serve my patients more completely.  Check out this testimonial from one of my patients.

As a trainer and a movement specialist who practices weightlifting, CrossFit, gymnastics, yoga, and jiu-jitsu, I need a self-maintenance strategy and Dr Notley is an essential part of my team. I see Dr. Notley the moment I feel something isn’t quite right in my body, and he is one of the very few practitioners to whom I refer my clients. He has a wide variety of tools in his toolbox, everything from Active Release Techniques, to chiropractic adjustments, to acupuncture. I love how he takes the time I need to get to the bottom of the issue, rather than just trying to relieve symptoms. I never feel like I’m being rushed out of his office. We speak the same language, and I know that Dr. Notley won’t discourage me from practicing any of the sports I love so much. Instead, he will help me get back to training and make suggestions for things I can do to get stronger and healthier.

I always appreciate these comments from patients

Dr Notley

Winnipeg’s only dual credentialed chiropractor/athletic therapist