Why Is your knee clicking and what to do for about it

By Last Updated: August 4th, 202317.7 min readViews: 1101

Introduction

Have you ever heard a strange clicking sound coming from your knee? If so, you may be experiencing knee clicking. This phenomenon can be both disconcerting and painful. Knee clicking is often caused by muscle weakness or tightness, misalignment of bones, damage to tissue or cartilage, inflammation of tendons and ligaments, injury to the knee joint, aging and wear and tear on the joints, or fluid build up in the joints. In this article we will explore what causes this condition and how it can be treated. So if you’ve been wondering why your knee has been clicking lately – read on!

Key Takeway: Knee clicking is typically a tendon rolling over a bony bump or popping is typically a release of nitrogen gas popping in the joint and not anything to be worried about. However, if the clicking is painful while walking or it has swelling with it then we suggest you go see a physical therapist or doctor for your knee pain

What is Knee Clicking?

Knee clicking is a condition in which you hear a clicking or snapping sound coming from your knee.

It can be caused by a variety of issues, including muscle weakness or tightness, misalignment of bones, damage to tissue or cartilage, inflammation of tendons and ligaments, injury to the knee joint, aging and wear and tear on the joints, or fluid build up in the joints.

The most common cause of knee clicking is due to weakened muscles that lack stability around the joint. This can lead to instability in the joint which causes it to click when it moves.

Other causes may include cartilage tears due to overuse or injury, tendonitis due to overuse of certain muscles around the knee joint, bursitis caused by inflammation of the bursa sac around the joint and arthritis due to age-related degeneration of the cartilage in the joint.

Knee clicking can cause pain, discomfort and an inability to move freely. To treat this condition you should first identify what is causing it as treatments will vary depending on this factor.

Treatment options may include physical therapy exercises such as stretching and strengthening exercises for weak muscles; rest; ice or heat therapy; orthotics for misaligned bones; surgery for more severe cases; lifestyle changes such as reducing weight if needed; medication such as NSAIDs and corticosteroids; and bracing for extra support during activities.

If you have been experiencing knee clicking for more than a few days then you should consult with your doctor about treatment options best suited for your condition.

Why is your knee clicking?

One of the most common reasons for knee clicking is the accumulation of tiny air bubbles (nitrogen) within the fluid inside the joints.

When you move, these bubbles collapse due to changes in pressure inside the joint, resulting in a popping noise. This type of clicking is not usually painful and is not a cause for concern.

Another reason for knee clicking is the iliotibial band (ITB) flicking over the adjacent bony landmark, known as the lateral condyle of the femur.

This type of clicking is often pain-free and is not a cause for concern.

A third type of clicking that can occur at the front of the knee is due to an anatomical structure called a plica.

The plica is a fold in the thin tissue that surrounds the knee joint. If the clicking is accompanied by pain, it could be a sign of a meniscus tear, which means there is a small piece of loose cartilage caught in the joint.

Popping or clicking noises accompanied by a “grinding” feeling in the knee joint may be early signs of arthritis.

Breakdown of cartilage that occurs with age can result in the frayed edges of the cartilage getting caught between the joint surfaces, resulting in popping.

Ligament injuries, meniscus tears, knee osteoarthritis, and patellofemoral syndrome are other major causes of knee clicking

Knee clicking while walking

Knee clicking is a common phenomenon that occurs when tiny air bubbles accumulate within the fluid inside the joints, and when you move, they collapse due to the changes in pressure inside the joint.

The noise occurs when the gas bubbles collapse, and when the bubbles burst, this is called ‘cavitation’.

Cavitation is typically not worrisome, as long as it is unaccompanied by other symptoms like swelling or severe pain.

However, if you feel some pain as the clicking/popping occurs, it could be a sign of a meniscus tear, which means there is a small piece of loose cartilage caught in the joint.

Tissue damage or lesions, for example, might be the source of an underlying condition. Scar tissue, a torn meniscus, or a tendon sliding across a projecting bone in the knee joint may all produce discomfort when the knee snaps or catches.

Other possible causes of clicking and catching of the knee include ligaments and tendons catching as they go over a bony lump and popping as they snap back into place, or soft tissue or scar tissue within the knee catching and causing the noise.

Knee osteoarthritis, patellofemoral syndrome, and lumbar disc and nerve injury can also cause knee clicking

Why is your knee clicking and painful?

Knee clicking and pain can be caused by various factors, including ligament injury, meniscal tear, or patellar tracking problems.

Knee popping is usually harmless when not accompanied by pain or swelling, and it occurs because of the structure of the knee, which consists of three bones: the kneecap called the patella.

However, when swelling, pain, or both accompany knee popping, it could indicate injury to the tissues surrounding the knee, referred to as soft tissue or bone.

If the knee is clicking or popping, it could be an indication of a ligament injury, such as an anterior cruciate ligament (ACL), posterior cruciate ligament (PCL), or medial collateral ligament (MCL) tear.

Knee ligament injuries are common sports injuries but can also occur from high-energy accidents.

In addition to popping or clicking, symptoms often include sudden, severe pain in the knee, pain that persists while walking, the knee abruptly gives out, causing you to fall and feel unstable while walking, and swelling within 24 hours after the initial injury.

Another possible cause of knee clicking and catching is when the ligaments and tendons catch as they go over a bony lump and pop as they snap back into place.

Soft tissue or scar tissue within the knee can also cause clicking and popping. If the clicking or popping is accompanied by pain, it could be a sign of a meniscus tear, which means there is a small piece of loose cartilage caught in the knee.

clicking knee when climbing stairs

A clicking knee when climbing stairs can be caused by a tiny air bubbles popping or a tendon moving over a bony bump in your knee.

One common cause is the accumulation of tiny air bubbles within the fluid inside the joint, which collapse and burst due to changes in pressure inside the joint.

Another possible cause is a bad fall or accident that can cause cartilage in the knee to break.

Sharp and stabbing internal knee pain when climbing stairs can be a sign of a serious meniscus or internal issue.

Popping or crackling sounds when ascending or descending stairs or changing from a sitting to a standing position are commonly associated with patellofemoral pain syndrome.

Additionally, muscles attached to the knee can pull the kneecap off-center, causing popping sounds

Knee clicking when squatting

Knee clicking, or crepitus, is a common occurrence when doing squats and lunges.

The most common cause of knee clicking is gas bubbles inside the synovial fluid surrounding the joints.

When you bend your leg, these bubbles sometimes burst, causing the cracking sound. Knee clicking does not always indicate a problem, and it is not harmful.

However, if you experience pain or swelling, it is best to consult a doctor or physiotherapist.

Strength imbalances in the knee muscles can also cause knee clicking, but no pain, particularly while squatting.

The quad muscles are responsible for keeping your kneecap in line as you bend and straighten your knee. Outer quad muscles are often stronger than the inner quads, pulling the kneecap off track as you move. This condition, called runner’s knee, can cause clicking in your knee.

Treatment for runner’s knee includes strengthening exercises to correct tracking of your kneecap during movement.

To reduce the chances of knee clicking, it is recommended to squat with proper form, warm up and cool down properly, lose weight, and strengthen the surrounding muscles.

Orthotics can also be prescribed to wear to keep the kneecap in place. If you are experiencing knee clicking, it is best to see a physiotherapist to identify the best rehabilitation approaches

Symptoms of Knee Clicking

Knee clicking is a condition which causes a snapping or clicking sound to come from the knee joint when it moves.

Symptoms of this condition include pain, discomfort and an inability to move freely. It can also cause swelling around the joint, tenderness, and sometimes a feeling of instability in the joint.

If you experience any of these symptoms along with knee clicking then you should consult your doctor as soon as possible.

Treatment options will vary depending on what is causing the condition but may include physical therapy exercises, rest, massage therapy, medications and lifestyle changes such as reducing weight or adjusting activity levels. In more severe cases surgery may be necessary.

If you suspect that you have knee clicking it is important to get see the right doctor for knee pain so that appropriate treatment can be started.

Causes of Knee Clicking

Knee clicking is most commonly caused by a misalignment of the joint structures or an imbalance in the musculature around the knee.

This can be due to overuse from high-impact activities, sudden movements, or an underlying medical condition such as arthritis.

It can also occur if there is cartilage damage in the joint or if a ligament has been strained or torn. In some cases, it could even be caused by fluid accumulation in the joint space which causes it to become unstable and click when moved.

If you suspect that you are suffering from knee clicking then it is important to get it checked out by a doctor as soon as possible so that appropriate treatment can begin.

Muscle Weakness or Tightness

Muscle weakness or tightness can be a sign of an underlying medical condition, such as arthritis or an injury. It is important to recognize these signs and seek medical attention to ensure proper diagnosis and treatment.

Weakness in the muscles around the knee may be caused by a variety of factors including overuse from high-impact activities, sudden movement, or even a lack of proper stretching before exercise. Tightness in the muscles can also result from direct trauma to the area or from an underlying medical condition like fibromyalgia or chronic fatigue syndrome.

If you experience any muscle weakness or tightness near your knee it is important to speak with your doctor right away. Your doctor will be able to assess your individual situation and prescribe appropriate treatments such as physical therapy, medications, or lifestyle changes that can help reduce discomfort and improve mobility.

Misalignment of Bones

Misalignment of bones can occur for a variety of reasons, including genetic predispositions, injury, and age-related wear and tear. It is important to be aware of the signs and symptoms associated with misalignment as well as understand the causes in order to seek proper treatment.

The most common symptom of misaligned bones is pain or discomfort in the affected area. Other signs include limited range of motion, clicking or grinding noises when moving the joint, swelling or redness around the joint, and muscle weakness or tightness in the surrounding muscles.

If you experience any of these symptoms it is important to seek medical attention right away. Your doctor may recommend X-rays to determine if there is any misalignment present and suggest treatments such as physical therapy or medications that can help reduce discomfort and improve mobility.

In some cases surgery may also be necessary to correct severe misalignments.

Damage to Tissue or Cartilage

Damage to tissue or cartilage can occur for a variety of reasons, including overuse, injury, and age-related wear and tear.

It is important to be aware of the signs and symptoms associated with damage to tissue or cartilage in order to seek proper treatment.

The most common symptom of damage to tissue or cartilage is pain or discomfort in the affected area. Other signs include swelling around the joint, limited range of motion, clicking or grinding noises when moving the joint, and muscle weakness or tightness in the surrounding muscles.

If you experience any of these symptoms it is important to seek medical attention right away. Your doctor may recommend X-rays to determine if there is any damage present and suggest treatments such as physical therapy, rest, medications that can help reduce discomfort and improve mobility. If necessary surgery may also be recommended in more serious cases.

Inflammation of Tendons and Ligaments

Inflammation of the tendons and ligaments can cause pain, swelling, and stiffness in the affected areas.

It is often caused by injuries or repetitive motions that put strain on the joints. Other contributing factors may include overuse or aging.

Symptoms of tendon and ligament inflammation include tenderness, warmth in the joint area, reduced range of motion, and clicking or grinding noises when moving the joint.

If you experience any of these symptoms it is important to seek medical attention right away. Your doctor may recommend X-rays to determine if there is any damage present and suggest treatments such as rest, medications that can help reduce discomfort and improve mobility.

Physical therapy and exercise programs may also be recommended to strengthen weak muscles and tendons around the joint and promote better healing. In more serious cases surgery may be required to repair damaged tendons or ligaments.

Injury to the Knee Joints

Injury to the knee joints can be painful and debilitating.

It is important to seek medical attention right away if you experience pain, swelling, stiffness, reduced range of motion or clicking/grinding noises when moving the joint. X-rays may be required to determine if there is any damage present and help diagnose the injury.

Treatment options include rest, medications to reduce discomfort, physical therapy, supplements for knee pain, exercises to strengthen muscles and tendons around the joint and in more serious cases, surgery may be necessary to repair damaged tissues.

If proper care is not taken after an injury or if it is left untreated for too long it can lead to chronic pain and further damage. It is therefore important to take prompt action when dealing with an injury related to the knee joint.

Aging and Wear and Tear on the Joints

As we age, our joints may experience wear and tear due to the natural degenerative process of aging.

Joints that are most susceptible to this wear and tear include knees, hips, and spine.

The most common symptom of joint pain associated with aging is aching or stiffness in the affected joint(s). This can be accompanied by swelling, reduced range of motion, clicking/grinding noises when moving the joint, or even feeling a grinding sensation when pressure is applied.

Taking steps to stay active through exercise and stretching can help reduce discomfort.

Additionally, speaking with your doctor about medications or supplements specifically designed for treating joint pain can provide additional relief.

If left untreated, these symptoms can lead to more severe problems such as chronic pain and limited mobility. It’s important to take care of yourself so you can live a healthy life as you age!

Fluid Build Up in the Joints

Fluid build-up in the joints can be an uncomfortable and painful experience.

Commonly referred to as “water on the knee,” it is a condition that causes swelling, pain, reduced range of motion, and clicking or grinding noises.

Fluid build-up in the joint can be caused by a variety of factors such as overuse, injury, infection, or even arthritis. If left untreated, this condition can lead to more serious problems such as chronic pain and limited mobility.

The good news is that there are several steps you can take to help reduce discomfort associated with fluid build-up in your joints.

Stretching exercises can help reduce stiffness and improve range of motion.

Additionally, speaking with your doctor about medications or supplements specifically designed for treating joint pain can provide additional relief.

Finally, taking steps to stay active through exercise will help keep you limber and reduce discomfort from fluid build up in your joints. Taking these steps now can help you enjoy a healthy life as you age!

Treatments for Knee clicking

Knee clicking can be a painful and frustrating condition, but there are several treatments available to help.

One of the most effective treatments is physical therapy, which can help reduce pain, improve range of motion, and reduce joint swelling.

Additionally, medications such as NSAIDs or steroids can provide relief from inflammation and pain.

If the condition persists despite these treatments, it may be beneficial to consider injections such as hyaluronic acid or corticosteroids to further reduce inflammation and discomfort.

Finally, in extreme cases where other treatments have failed to provide relief, surgery may be an option to correct any underlying issues causing knee clicking.

Regardless of the treatment chosen, it’s important to discuss all options with your doctor before making a decision.

Physical Therapy

Physical therapy is a safe and effective way of treating knee clicking. Physical therapy helps to reduce pain, improve range of motion, and reduce joint swelling.

It can also help to strengthen the muscles surrounding the knee joint and correct any underlying issues causing the clicking.

During physical therapy sessions, your therapist may use a variety of treatments such as stretching exercises, strength training, ultrasound, or electrical stimulation.

These treatments aim to reduce inflammation and pain while improving mobility and stability around the knee joint.

With dedication to the prescribed treatment program, physical therapy can be an effective way to manage knee clicking over time.

Strengthening Exercises

Strengthening exercises are an important part of treating knee clicking. These exercises focus on strengthening the muscles around the knee joint, which can help reduce the pain and clicking associated with the condition.

Strengthening exercises may include quadriceps and hamstring sets, leg presses, and step-ups.

It is important to start out slow, as too much strain on the joint can lead to further injury or pain.

Building up strength gradually over time will help to ensure that you are able to perform your exercises safely and effectively.

Additionally, it is important to stretch regularly in order to maintain full range of motion and flexibility in the knee joint.

With dedication and consistency to strengthening and stretching, you may be able to improve your knee clicking significantly over time.

Ice or Heat Therapy

Ice or Heat Therapy is a popular non-invasive treatment option for those suffering from knee clicking.

Ice therapy can help reduce inflammation and discomfort associated with the condition, while heat therapy can assist in increasing blood flow to the area and relaxing muscles surrounding the knee joint.

When applying ice or heat therapy to the knee, it is important to wrap the area tightly with a towel to ensure that contact is maintained between the ice or heat pack and the skin.

It is also important to limit application times for both types of therapy – no more than 20 minutes at a time – as too much cold or heat can disrupt circulation and cause further damage.

When done correctly, ice or heat therapy can be an effective way of reducing pain and improving mobility around the knee joint.

Stretching Exercises

Stretching exercises are an important part of knee clicking treatment. They can help to relieve pain by increasing flexibility in the joint and strengthening the muscles around it.

Stretching should be done slowly and gently, with no bouncing or jerking motions. Start with a few simple stretches that focus on the quadriceps and hamstrings, such as standing quadriceps stretch and seated hamstring stretch.

As you become more comfortable, add more complex stretches such as half-kneeling hip flexor stretch or lateral lunge. Remember to hold each stretch for at least 30 seconds and repeat each one three times per session.

If you experience discomfort while stretching, stop immediately and consult your doctor. With regular stretching sessions, you will likely see improvements in your knee clicking symptoms over time.

Weight Loss

Weight loss can be beneficial for those suffering from knee clicking, as it helps reduce the stress placed on the joint.

By losing excess weight, you can help to reduce inflammation and pain associated with knee clicking.

In addition to exercise and dietary changes, there are a number of supplements that may help reduce inflammation in the joint and improve mobility around the knee. Vitamin C, omega-3 fatty acids, turmeric, and fish oil are all examples of supplements that may help with knee clicking.

Additionally, collagen supplements have been found to be helpful in providing relief from joint pain and improving flexibility.

The key is to find what works best for you and stick with it to see results.

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