Snap, Crackle & Pop: Why Do My Knees Make Noises - And Should I See a Doctor?
April 5, 2022
Do you ever just go about your daily life and then, seemingly out of nowhere, your knee makes a noise?
You might call it a weird idiosyncrasy and not think twice about it—or you might turn to the Internet to try and find all of the potential issues that might be wrong with your knee.
But if your knee pops or cracks once in a while, it’s usually no cause for concern. After all, joints sometimes make noises, and knees are no exception (especially when you squat or sit down.)
“Infrequent knee pops and cracks are more common in the younger population, says Nancy White, M.D., a sports medicine physician at Henry Ford Health. “When you feel that ‘pop,’ it means your kneecap was pulled a bit outside of where it’s supposed to be, and so it’s correcting itself and getting back into position. You can kind of feel that something moved.”
If, however, pain or swelling accompanies a noisy knee, you should have it evaluated by a sports medicine provider. And if your knee is popping or cracking regularly, that's another sign you should have it checked out.
“If you let it go, your knee could get worse,” says Dr. White. “There are recommendations a doctor can make to prevent this from happening, such as strengthening and flexibility exercises.”
What Is Knee Crepitus?
If your knee sounds like Rice Krispies crackling (or you experience a grinding sensation) it likely means you have knee crepitus, which can signify the beginning of osteoarthritis behind the kneecap.
“Knee crepitus is primarily caused by an issue called patellofemoral dysfunction,” says Dr. White. That sounds like a mouthful, but it means that your knee isn’t tracking straight up and down like it’s supposed to.
“There’s cartilage on the back of your kneecap and on the front part of your thigh, and the cartilage on the front part of your thighbone makes a groove so the kneecap can glide straight up and down in a floating position,” says Dr. White. “If the cartilage is worn down (and inflamed, worn-down cartilage signifies osteoarthritis), the kneecap can’t smoothly glide up and down, causing knee crepitus.”
If you are experiencing knee crepitus, you should see a sports medicine primary care physician, especially if it is accompanied by pain. They can recommend a variety of treatments, such as physical therapy and cortisone injections.
Still not sure if your noisy knees are cause for concern? When in doubt, call your doctor. After all, the sooner your doctor can examine it, the sooner you can prevent an issue from getting worse.
To learn more about your orthopedic condition or to find a provider, visit henryford.com/ortho.
Dr. Nancy White is a sports medicine physician with Henry Ford Health. She sees patients at Henry Ford Medical Center – Novi, and Henry Ford Medical Center – Bloomfield Township.
How To Enhance Your Running Performance
July 11, 2023
With summer now in full swing, lots of us are hitting the track, the streets and the trails to get and stay fit.
Whether you run marathons or prefer a quick lap around the block, there are many ways to adjust your running routine to get the most out of your workout.
"It's not uncommon for runners to get into a regular running routine," says Jamie Schwab, an athletic trainer at Henry Ford Health. "They'll find a comfortable pace and stick with it, often even doing the same route."
Unfortunately, doing the same run day after day not only leads to boredom, but it can also prevent you from reaching your full potential.
5 Tips To Run Smarter
It’s no secret that running is tough on the body. In fact, runners frequently develop muscle imbalances that make the body work harder. But you can take steps that can help you improve your run, maximize efficiency and get the most out of your running workout. Here's how:
1. Listen to your body: Whether you're a seasoned runner or just starting out, pay close attention to what your body is telling you. If your hips and knees are sore, back off. Feeling strong? Run another mile. The key to improving your run is to gradually increase distance and intensity over time. At first, you may only be able to handle a 10- or 15-minute jog. But if you keep at it, you'll be running for 30 minutes straight in no time.
2. Get the right footwear: If you're not a competitive runner, you might think any pair of running shoes will do. In reality, properly fitted running shoes not only enhance your performance but also reduce your risk of injury. Find a running store that can analyze your form and recommend shoes based on your unique gait and foot strike.
3. Pay attention to your target heart rate: Your target heart rate is 220 minus your age. Once you hit that rate during your run, you're working at maximum capacity. Don't want to invest in a heart rate monitor or be bothered with another tracking device? You're probably hitting the zone if you can still carry on a conversation during your run.
4. Focus on strength: If you're an avid runner but you aren’t strength training, you're setting yourself up for injury. "You're asking your body to do a lot during a run," Schwab says. "Weak glutes or hips add stress to your knees and ankles." Want to stabilize your run? Pay special attention to your core muscles. Solid strength training exercises include lunges, planks, squats and pushups.
5. Keep it interesting: Doing the same running routine day after day can be exhausting. Break out of your comfort zone by trying a different route, playing with your pacing, or running stairs or hills. You might even incorporate plyometric activities into your run. These explosive motions — hopping, skipping and jumping — help build power, strength and performance.
Running Safe
Eating well and getting regular exercise are key to enhancing overall health. Plus, a fit body is better equipped to avoid and battle infection. Running can also protect your sanity.
"Running is a great escape for many exercise enthusiasts," Schwab says. "Many people find they not only feel physically healthier, but their mental and emotional health also gets a boost."
The caveat: When you're running, you're placing double or triple your body weight on one side of your body at a time. So it's critical to pay attention to what shape your body is in before you take to the track. A few questions to ask yourself:
- Am I in good cardiovascular shape?
- Am I recovering from shin splints, knee injuries or hip problems?
- Am I at risk of falls?
- Am I suffering from osteoporosis?
It’s always important to check with your doctor before making changes in your exercise regimen. If running isn't appropriate for you, plenty of other activities, such as swimming, hiking and biking, can get your heart pumping.
To find a sports medicine specialist at Henry Ford, visit henryford.com/sports or call 1-800-436-7936.
Jamie Schwab, AT, ATC, SCAT, CSCS, is an athletic trainer with Henry Ford Sports Medicine and works with student athletes at Edsel Ford High School. She is a National Strength and Conditioning Association certified strength and conditioning specialist.