Should Parents Worry About Their Toddler's Neck Clicking Sounds? - Orthopedics

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A 2-year-old child is experiencing cracking sounds in the cervical spine?


Hello doctor, I have a question.
My 2-year-old child rolled forward on the bed without tucking in her chin, and while in an extended position, I heard three cracking sounds from her neck.
She cried for less than five seconds and then started playing again.
When I asked her to turn her head up, down, left, and right, she showed no signs of distress.
Doctor, is the sound from her neck serious? Should I take her to see a doctor immediately? Could there be any long-term effects? Is there anything specific I should watch for? Thank you for your help.

Xiao Zong, 30~39 year old female. Ask Date: 2021/07/16

Dr. Li Wenhong reply Orthopedics


Hello: If there is a sound when you continuously rotate your neck, but there is no pain or limitation in movement, there is no need to seek immediate medical attention.
However, if there is pain or restricted movement, please consult a doctor.
Occasional sounds once or twice without pain are normal; just observe for now.
Avoid intentionally rotating your neck to create sounds, as this may lead to joint instability or other injuries.
Changhua Hospital Orthopedics, Dr.
Li Wen-Hong.

Reply Date: 2021/07/16

More Info


When it comes to toddlers and the sounds they make, particularly in relation to neck clicking or popping sounds, it is understandable for parents to feel concerned. The good news is that in many cases, these sounds are not indicative of a serious problem. However, it is essential to understand the context and the potential implications of such occurrences.

Firstly, neck clicking sounds in children can be quite common and are often harmless. These sounds can occur due to the movement of joints and ligaments in the neck. Just like adults, children have synovial fluid in their joints, which acts as a lubricant. When a joint moves, especially if it is moved quickly or in a certain way, it can create a popping or clicking sound. This is typically due to the rapid movement of the joint and the release of gas bubbles in the synovial fluid, a phenomenon known as cavitation.
In your case, the toddler was rolling over in bed, which is a natural and common activity for children of that age. If the child did not show any signs of distress beyond the initial crying (which lasted only a few seconds), and if she is able to move her neck freely without pain or discomfort, it is likely that there is no cause for concern. The fact that she resumed playing shortly after indicates that she was not significantly affected by the sound or the movement.

However, it is essential to monitor for any additional symptoms. If the clicking sounds are accompanied by pain, swelling, or if the child has difficulty moving her neck, it would be prudent to consult a pediatrician. Additionally, if you notice any changes in her behavior, such as reluctance to move her neck or any signs of discomfort, these could warrant a medical evaluation.

As for potential long-term effects, if the clicking is indeed harmless, there should be no lasting consequences. However, if there were an underlying issue, such as a joint or ligament problem, it could potentially lead to discomfort or mobility issues later on. Regular check-ups with a pediatrician can help ensure that your child’s development is on track and that any concerns are addressed promptly.

In summary, while neck clicking sounds in toddlers can be concerning for parents, they are often benign, especially if there are no accompanying symptoms. It is always best to err on the side of caution and consult a healthcare professional if you have any doubts or if the situation changes. Keeping an eye on your child's overall behavior and physical activity will help you gauge whether further medical attention is necessary.

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