Knee Noises: Causes and Care Tips for Young Adults - Orthopedics

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Knee problems


I would like to ask the doctor, today I noticed that when I am sitting and touch my knees, there is a cracking sound when I move my knees.
This happens in both legs, but I do not feel any pain or discomfort.
I would like to know what could be the reason for this, especially since I am only 23 years old and I am a bit worried that there might be an issue with my knees.
I would also like to ask how I should take care of my knees on a daily basis.
Thank you, doctor.

J, 20~29 year old female. Ask Date: 2018/08/08

Dr. Li Yongheng reply Orthopedics


Hello, based on your symptoms, it is possible that you are experiencing either plica syndrome or patellar malalignment.
Generally, these conditions are not serious, so there is no need to worry excessively.
Strength training can be beneficial for maintaining knee health.
Numerous studies support the importance of quadriceps training for knee care.
Thank you for your inquiry.

Reply Date: 2018/08/08

More Info


Knee noises, often described as popping, cracking, or grinding sounds, are common among young adults and can be concerning, especially when they occur during movement. However, it is essential to understand that these sounds are not always indicative of a serious problem. In many cases, they can be attributed to normal physiological processes within the knee joint.

One of the primary reasons for these noises is the movement of tendons or ligaments over the bony structures of the knee. As you bend or straighten your knee, these soft tissues may momentarily catch on the bony prominences, leading to a popping or cracking sound. This phenomenon is often harmless and does not require any treatment, particularly if there is no accompanying pain or discomfort.

Another possible cause of knee noises is the presence of gas bubbles within the synovial fluid of the joint. When the knee is moved, these bubbles can burst, creating a popping sound. This is known as cavitation and is also considered a normal occurrence.

However, if you experience knee noises along with pain, swelling, or instability, it may indicate an underlying issue such as cartilage damage, meniscus tears, or other joint problems. In such cases, it is advisable to consult a healthcare professional for a thorough evaluation.

To maintain healthy knees and prevent potential issues, consider the following care tips:
1. Strengthening Exercises: Focus on strengthening the muscles around the knee, particularly the quadriceps and hamstrings. Strong muscles provide better support to the knee joint and can help prevent injuries. Exercises such as squats, lunges, and leg presses can be beneficial.

2. Flexibility Training: Incorporate stretching exercises into your routine to improve flexibility in the muscles and tendons surrounding the knee. This can help reduce tension and improve the range of motion.

3. Proper Warm-Up and Cool Down: Always warm up before engaging in physical activities and cool down afterward. This helps prepare your muscles and joints for exercise and aids in recovery.

4. Cross-Training: Engage in a variety of physical activities to avoid overuse injuries. For instance, if you enjoy running, consider incorporating cycling or swimming into your routine to reduce the stress on your knees.

5. Weight Management: Maintaining a healthy weight can significantly reduce the stress placed on your knees. Excess weight can lead to increased wear and tear on the joint, potentially leading to pain and discomfort.

6. Use Proper Footwear: Ensure that you wear appropriate shoes for your activities. Good footwear provides adequate support and cushioning, which can help prevent knee problems.

7. Listen to Your Body: Pay attention to any signs of discomfort or pain. If you experience persistent knee noises accompanied by pain, it is essential to seek medical advice to rule out any serious conditions.

In conclusion, while knee noises can be concerning, they are often benign, especially in the absence of pain. By following a proactive approach to knee care, including strengthening exercises, flexibility training, and proper warm-up routines, you can help maintain the health of your knees and reduce the risk of injury. If you have any ongoing concerns or experience pain, do not hesitate to consult a healthcare professional for personalized advice and treatment options.

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