Neck Noises: Are They Normal or a Cause for Concern? - Rehabilitation

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There is a crackling sound in the back of the neck?


Hello, doctor.
I would like to ask about a sound I’ve been experiencing in the back of my neck when I move or even when I’m still.
It sounds like a rustling noise, similar to the sound of hands rubbing against hair, and it is especially noticeable when I lie down.
Is this sound normal?

Wu, 30~39 year old female. Ask Date: 2020/10/29

Dr. Lin Ruixiang reply Rehabilitation


Hello Ms.
Wu: Based on your description, this is not a normal phenomenon.
It is caused by the uneven sliding of tissues during movement.
Generally, it should not be painful; however, if there is pain or associated weakness, medical attention is necessary.
The Hualien Hospital of the Ministry of Health and Welfare cares about your health.

Reply Date: 2020/10/29

More Info


When it comes to neck noises, such as the "crackling" or "crunching" sounds you describe, it's important to understand that these sounds can be quite common and are often not a cause for concern. However, there are several factors to consider that can help determine whether these noises are normal or if they warrant further investigation.

Firstly, the sounds you hear in your neck could be attributed to a variety of benign causes. One common explanation is the presence of gas bubbles in the synovial fluid of the joints. When you move your neck, these bubbles can collapse or burst, creating a sound similar to cracking knuckles. This phenomenon is generally harmless and does not indicate any underlying health issues.

Another potential cause of neck noises is the movement of tendons and ligaments over bony structures in the cervical spine. As you move your head or neck, these soft tissues can shift and create sounds. This is often more noticeable when lying down or in certain positions, as you mentioned. Again, this is typically not a cause for concern unless accompanied by pain or discomfort.

However, if the sounds are new, persistent, or associated with other symptoms such as pain, stiffness, or reduced range of motion, it may be worth consulting a healthcare professional. Conditions such as cervical spondylosis, which is age-related wear and tear on the spinal discs, or other degenerative changes in the cervical spine can lead to sounds and may require medical evaluation.

In some cases, neck noises can also be linked to muscle tension or strain. If you have been experiencing increased stress, poor posture, or prolonged periods of inactivity, these factors can contribute to muscle tightness and discomfort in the neck area, potentially leading to audible sounds during movement.

To assess whether your neck noises are normal or a cause for concern, consider the following:
1. Accompanying Symptoms: Are you experiencing any pain, swelling, or stiffness in your neck? If so, it may be advisable to seek medical advice.

2. Duration and Frequency: Have the sounds been persistent, or are they occasional? If they are new and frequent, it may be worth discussing with a healthcare provider.

3. Impact on Daily Life: Are the noises affecting your daily activities or quality of life? If they are causing concern or discomfort, it’s best to consult a professional.

4. Posture and Activity Levels: Evaluate your posture and activity levels. Poor posture or prolonged sitting can contribute to neck issues, so incorporating regular movement and ergonomic adjustments may help alleviate symptoms.

If you decide to seek medical advice, a healthcare provider may perform a physical examination and possibly recommend imaging studies, such as X-rays or MRIs, to rule out any underlying conditions. They may also provide guidance on exercises, stretches, or lifestyle modifications to help manage any discomfort.

In summary, while neck noises can be normal and often benign, it’s essential to pay attention to accompanying symptoms and changes in your condition. If you have concerns, don’t hesitate to reach out to a healthcare professional for a thorough evaluation and personalized recommendations. Taking proactive steps to maintain neck health, such as practicing good posture, staying active, and managing stress, can also contribute to overall well-being.

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