Knee Noises: Are They a Sign of Injury? - Orthopedics

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There is a sound coming from the right knee joint while walking?


Hello, doctor.
I hear a cracking sound in my right knee joint when walking, but there is no pain.
When I move the joint up and down in a half-squat position, there is also sound, but after repeating the motion a few times, the sound disappears.
The sound in the joint while walking is intermittent.
Is this a sign of joint injury?

Wang, 20~29 year old female. Ask Date: 2022/09/11

Dr. Chen Yongxue reply Orthopedics


Hello, this may be a symptom of patellar valgus.
Please visit the orthopedic clinic for further examination.
Thank you.

Reply Date: 2022/09/11

More Info


Knee noises, often described as popping, cracking, or grinding sounds, are common occurrences that many people experience. These sounds can arise during various activities, including walking, bending, or squatting. In your case, you mentioned hearing a "kaka" sound in your right knee while walking and during half-squat movements, but without accompanying pain. This situation raises a few important considerations regarding knee health and potential underlying issues.

Firstly, it's essential to understand that not all knee noises indicate an injury or a serious problem. Many times, these sounds can be attributed to harmless phenomena. For instance, the noise could be caused by the movement of tendons or ligaments over the bony structures of the knee joint. This is particularly common in individuals who may have tight muscles or tendons, which can create a snapping sensation as they move. Additionally, the presence of gas bubbles in the synovial fluid of the joint can also lead to popping sounds when the pressure changes during movement.

However, while the absence of pain is a reassuring sign, it is still crucial to monitor the situation. If the noises are accompanied by swelling, instability, or pain, it could indicate a more significant issue, such as a meniscus tear or ligament injury. In your case, since you are experiencing sounds without pain, it is less likely that you have a severe injury, but it is still wise to be vigilant.

Regarding your specific question about whether these noises are a sign of injury, the answer is not straightforward. Knee noises alone, especially when not accompanied by pain or other symptoms, do not typically signify an injury. However, if you have a history of knee trauma or if you notice changes in the way your knee functions, it would be prudent to seek further evaluation. An assessment by a healthcare professional, such as an orthopedic specialist, can provide clarity. They may perform physical examinations, including tests for joint stability, and may recommend imaging studies like an MRI if they suspect any underlying damage.

In terms of preventive measures and management, maintaining good knee health is essential. Engaging in regular strength training and flexibility exercises can help support the knee joint and reduce the likelihood of injuries. Focus on strengthening the muscles around the knee, including the quadriceps and hamstrings, as well as improving flexibility in the hip and ankle joints. Additionally, proper warm-up and cool-down routines before and after physical activities can help prepare the joints for movement and aid in recovery.

If you continue to experience knee noises or if they become more pronounced, consider consulting a physical therapist. They can provide tailored exercises and techniques to improve joint function and address any underlying issues that may contribute to the sounds you are hearing.

In summary, while knee noises can be concerning, they are not always indicative of injury, especially in the absence of pain. However, it is essential to remain aware of any changes in your knee's function and to seek professional advice if you have concerns. By taking proactive steps to maintain your knee health, you can help ensure that your joints remain strong and functional for your activities.

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