Joint Sounds: When to See a Family Medicine Specialist - Family Medicine

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Which specialty should I see?


Hello, doctor: I often hear sounds coming from my feet when I walk, similar to the cracking sound we make when we crack our knuckles (like the continuous "pop" sound Bruce Lee makes in movies before a fight).
My hands also make this sound, especially when I do push-ups, and it’s not just one or two pops; it’s a continuous series of sounds (including when I walk).
Although these sounds are not accompanied by pain, I find it a bit strange.
Could this be due to a calcium deficiency or calcium loss (or something else)? I have experienced these issues since I was around 20 years old, but since there is no pain, I haven't paid much attention to what I should be concerned about.
If I were to seek medical advice, which specialty should I consult?

Yi Zi, 20~29 year old female. Ask Date: 2009/12/28

Dr. Cai Mengru reply Family Medicine


Dear Mr.
Yi,
Regarding your question, it seems more likely to be an issue with the joint ligaments, which is quite common and usually does not require specific treatment.
If you experience pain or other discomfort, you may want to consult a rehabilitation specialist.

Wishing you safety and health.
Sincerely,
Dr.
Tsai Meng-Ju
Attending Physician, Family Medicine Department
Taoyuan General Hospital, Ministry of Health and Welfare

Reply Date: 2009/12/28

More Info


When it comes to joint sounds, such as the popping or cracking noises you describe, it is important to understand that these sounds are often benign and not necessarily indicative of a serious underlying condition. The phenomenon you are experiencing, commonly referred to as "crepitus," can occur in various joints, including the knees, hips, and shoulders, as well as in the fingers.
Crepitus can be caused by several factors. One common reason is the movement of gas bubbles within the synovial fluid of the joints. When you move your joints, these bubbles can form and collapse, creating the characteristic popping sound. This is similar to the sound produced when you crack your knuckles. Another potential cause is the movement of tendons or ligaments over bony structures, which can also produce noise without any associated pain or discomfort.

In your case, since you mentioned that these sounds have been present since you were around 20 years old and are not accompanied by pain, it is likely that they are not a cause for concern. However, if you are experiencing any changes in your joint function, swelling, or pain, it would be advisable to seek medical attention.

Regarding your concerns about calcium deficiency or degeneration, it is important to note that joint sounds are not typically linked to calcium levels. Calcium is essential for bone health, but the sounds you are hearing are more related to the mechanics of joint movement rather than a direct result of calcium deficiency. If you have concerns about your bone health or dietary intake of calcium, it may be beneficial to discuss this with a healthcare provider who can assess your nutritional needs and recommend appropriate dietary changes or supplements if necessary.

If you decide to seek medical advice, a family medicine specialist or a primary care physician would be a good starting point. They can evaluate your symptoms, perform a physical examination, and determine if any further imaging studies, such as X-rays or MRIs, are needed to rule out any underlying joint issues. If necessary, they may refer you to an orthopedic specialist, who focuses on musculoskeletal disorders, for further evaluation.

In summary, while the sounds you are experiencing are likely benign, it is always a good idea to consult with a healthcare professional if you have any concerns about your joint health or if you notice any changes in your symptoms. Regular check-ups and maintaining a healthy lifestyle, including proper nutrition and exercise, can help support your overall joint health.

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