Knee Sounds: Are They Signs of Degeneration? - Orthopedics

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If a doctor hears a popping sound from their knee when standing up, could this indicate degeneration? Would supplementing with glucosamine be effective?

Yu Qing, 20~29 year old female. Ask Date: 2009/04/10

Dr. Hong Ximing reply Orthopedics


Hello! There are many causes for knee pain, with degeneration being one of them.
Other common conditions include bursitis and patellofemoral syndrome.
It is advisable to consult an orthopedic physician for a detailed diagnosis.
Supplementing with glucosamine may increase the lubrication of synovial fluid, which can be effective for some individuals.

Reply Date: 2009/04/10

More Info


When it comes to knee sounds, particularly the "popping" or "cracking" noises that some individuals experience when standing up or moving, it's important to understand that these sounds can be quite common and are not always indicative of degeneration or serious underlying issues.
The sounds you hear from your knee can arise from several factors. One common explanation is related to the movement of gas bubbles within the synovial fluid of the joint. When the joint is moved, these bubbles can burst, creating a popping sound. This phenomenon is generally harmless and does not signify any damage to the joint.
Another potential cause of knee sounds is the movement of tendons or ligaments over bony structures. As you flex or extend your knee, these soft tissues may shift position and create noise. This is often referred to as "crepitus," and while it can be alarming, it is not necessarily a sign of degeneration.
However, it is essential to consider the context in which these sounds occur. If the popping or cracking is accompanied by pain, swelling, or a feeling of instability in the knee, it may warrant further investigation. Conditions such as patellofemoral pain syndrome, meniscus tears, or osteoarthritis can lead to both sounds and discomfort. In such cases, a thorough evaluation by an orthopedic specialist is recommended to determine the underlying cause and appropriate treatment.

Regarding the use of glucosamine supplements, there is some debate in the medical community about their effectiveness. Glucosamine is a natural compound found in cartilage, and it is often marketed as a supplement to support joint health. Some studies suggest that glucosamine may help reduce pain and improve function in individuals with osteoarthritis, while others show minimal benefit. If you are considering glucosamine, it's advisable to discuss this with your healthcare provider to ensure it aligns with your overall treatment plan.

In summary, the sounds you hear from your knee when standing up are not automatically indicative of degeneration. They can result from normal physiological processes or the movement of soft tissues. If you experience pain or other concerning symptoms, seeking a professional evaluation is crucial. Additionally, while glucosamine may offer some benefits for joint health, its effectiveness can vary, and it is best to consult with a healthcare provider for personalized advice.

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