Joint Noises: When to Seek Medical Advice for Your Joints - Orthopedics

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Joint issues


Hello, doctor.
Recently, I've noticed that my limbs and shoulder joints make popping sounds whenever my body is still for a while.
Although it doesn't hurt, it is somewhat bothersome.
I asked others, and they said it might be because I haven't exercised in a long time, but I walk frequently and for long durations.
Is that not enough? Should I see a doctor, or would it be sufficient to just do a bit more exercise? Additionally, I had some issues with my temporomandibular joint (TMJ) a while ago and took muscle relaxants for about two to three weeks.
Could that be related? However, I've stopped taking them for a week, and the joints still make sounds.
Thank you for your response, doctor.

A-Nan, 20~29 year old female. Ask Date: 2002/01/24

Dr. Shi Qiming reply Orthopedics


Hello, A-Nan: The sounds occurring around the joints are usually caused by tendon friction and are not associated with any pain symptoms, so there is no need to worry.
It is similar to the principle of the sounds produced in your interphalangeal joints, so you don't need to be overly concerned.
If you still have questions, you can visit the orthopedic specialist, Dr.
Wang Zi-Kang, for an examination.

Reply Date: 2002/01/24

More Info


Joint noises, often described as popping, cracking, or clicking sounds, are common occurrences that many people experience. These sounds can arise from various joints in the body, including the shoulders, knees, and elbows. While they can be concerning, especially if they are new or accompanied by pain, it's essential to understand their potential causes and when to seek medical advice.


Understanding Joint Noises
1. Normal Physiological Sounds: In many cases, joint noises are completely normal and can occur due to the movement of tendons and ligaments over the bones or the release of gas bubbles in the synovial fluid (the lubricant in joints). This phenomenon is often harmless and does not indicate any underlying pathology.

2. Increased Activity or Inactivity: You mentioned that you walk regularly, which is excellent for joint health. However, if you've recently increased your activity level or if you've been less active, your joints might respond with noises as they adapt to the changes. Sometimes, prolonged inactivity can lead to stiffness, and when you move, the joints may make sounds as they loosen up.

3. Muscle Relaxants and Joint Function: You also mentioned taking muscle relaxants for a temporomandibular joint (TMJ) issue. Muscle relaxants can affect muscle tone and joint stability, potentially leading to changes in how your joints function. Even after stopping the medication, your body may still be adjusting, which could contribute to the noises you're experiencing.


When to Seek Medical Advice
While joint noises are often benign, there are specific situations where it would be prudent to consult a healthcare professional:
1. Accompanied by Pain or Swelling: If the noises are accompanied by pain, swelling, or a decrease in range of motion, it could indicate an underlying issue such as tendinitis, bursitis, or even a joint injury.

2. Persistent or Worsening Symptoms: If the joint noises become more frequent or are associated with other symptoms like instability or locking of the joint, it may warrant further investigation.

3. History of Joint Problems: Given your previous issues with the TMJ, if you notice changes in how your jaw or other joints function, it would be wise to discuss this with a healthcare provider.

4. Impact on Daily Activities: If the noises are affecting your ability to perform daily activities or causing you anxiety, seeking medical advice can help alleviate your concerns.


Recommendations
- Continue Regular Activity: Regular walking and exercise are beneficial for joint health. Consider incorporating a variety of movements, including strength training and flexibility exercises, to support joint function.

- Monitor Symptoms: Keep track of any changes in your symptoms, including the frequency and nature of the noises, as well as any pain or discomfort.

- Consult a Specialist: If you have ongoing concerns, especially related to your previous TMJ issues or if you experience new symptoms, consider consulting an orthopedic specialist or a physical therapist. They can provide a thorough evaluation and recommend appropriate interventions.

- Self-Care Practices: Engage in gentle stretching and strengthening exercises for the affected joints. Applying heat or cold therapy may also help alleviate discomfort.

In summary, while joint noises can be a normal part of movement, it's essential to be aware of your body's signals. If you experience any concerning symptoms or if the noises persist, don't hesitate to seek medical advice for peace of mind and appropriate care.

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