Neck Cracking and Grinding

Osteopathic English

Neck Cracking and Grinding

A Summary of What the Condition Is

  • What commonly causes the symptoms
    • Tendon and ligament movement over bone.
    • Joint capsule gas release.
    • Arthritis.
    • Misalignment of joints.
    • Pressure changes within the cervical facet joints
    • Adjacent bones grinding together.
    • Injury: Motorcar accidents and whiplash
  • When to seek help:
    • If there's pain or stiffness with neck sounds.
    • If neck movements make you dizzy.
    • If your neck range of motion is severely limited.
    • If your cervical spine is unstable.
    • If you feel numbness in the neck and/or are light-headed.
  • Recommended stretches:
    • Lateral neck stretches.
    • Chin tucks and retractions.
    • Semi-circular neck movements.
    • Exercises that strengthen neck muscles improve joint support.
  • N.B. and Disclaimer
    • Consistent performance of these stretches (twice daily) can significantly improve neck mobility and reduce sounds.
      This summary, and the rest of this page, and this blog, are for informational purposes only. They do not constitute medical advice. They're for educational purposes. Consult with a healthcare professional if you have any health concerns.
AN OVERVIEW OF NECK GRINDING AND CLICKING

Patient Consultation

Osteopath: Hi, so what brings you here today?
Patient: Hi, I’ve been having this grinding and cracking sensation in my neck, especially when I turn my head. It’s been going on for a few months now.
Osteopath: I see. Does it cause you any pain?
Patient: Sometimes, yes. It’s not always painful, but it can feel stiff, and sometimes there’s a dull ache that spreads to my shoulders.
Osteopath: Understood. When did you first notice these symptoms?
Patient: It started a few months ago. I can’t remember exactly when, but I think it got worse after a long day at work where I was sitting at my desk for hours.
Osteopath: That’s helpful to know. Do you do a lot of desk work or spend a lot of time in the same position?
Patient: Yes, I'm a pencil pusher, so I’m at my computer most of the day.
Osteopath: Do you recall any specific injury or incident that could have triggered this? For example, a fall, accident, or sudden movement?
Patient: No, nothing like that. It just sort of crept up on me.
Osteopath: Okay. Have you noticed any other symptoms, like headaches, dizziness, or tingling in your arms or hands?
Patient: I do get occasional headaches, but I’m not sure if they’re related. No dizziness or tingling, though.
Osteopath: Got it. And how about your range of motion? Does the grinding or stiffness limit how far you can turn your head or tilt it?
Patient: Yes, it does. Turning my head to the left feels especially restricted.
Osteopath: Thank you for explaining. On a scale of 1 to 10, how would you rate the discomfort or pain when it’s at its worst?
Patient: Maybe a 6 or 7 when it’s really bad.
Osteopath: And does anything make it feel better or worse?
Patient: It feels a bit better with heat or a gentle massage. But sitting for long periods definitely makes it worse.
Osteopath: That’s useful to know. Have you seen anyone about this before or tried any treatments?
Patient: No, this is my first time seeking help for it.
Osteopath: All right. Just to confirm, you don’t have any medical conditions I should know about, like arthritis, or are you on any medication?
Patient: No, nothing like that.
Osteopath: Perfect. Last question—how’s your overall posture during the day?
Patient: Probably not great. I tend to hunch over my desk without realizing it.
Osteopath: That’s quite common. Thanks for sharing all of that. I’m going to start by having a closer look at your posture and doing a few assessments to understand what’s going on. I’ll also check the mobility of your neck and spine.
Patient: Okay, sounds good.
Osteopath: Great. Please lie face up on the examination table so we can have a closer look.

Words & Phrases to Remember

Term Definition Click to hear it
Cervical Spine The portion of the spine that is located in the neck. /ˈsɜrvɪkəl spaɪn/
Neck Cracking A sound produced when the neck is manipulated or moved. /nɛk ˈkrækɪŋ/
Cervical Radiculopathy Pain that radiates from the neck into the shoulders and arms. /ˈsɜrvɪkəl rədɪˈkjuləpi/
Neck Pain Discomfort or pain in the cervical region. /nɛk peɪn/
Grinding A sensation or sound of friction between joints or bones. /ˈɡraɪndɪŋ/
Whiplash Injury to the neck caused by sudden jerking motion. /ˈwɪplæʃ/
Neck Stiffness Reduced flexibility or mobility in the neck. /nɛk ˈstɪf.nəs/
Muscle Tension Tightness in the neck muscles that can cause pain. /ˈmʌsəl ˈtɛnʃən/
Chiropractic Adjustment Manual manipulation of the spine to relieve discomfort. /ˌkaɪrəˈpræktɪk əˈdʒʌstmənt/
Cervical Vertebrae The seven vertebrae in the neck region of the spine. /ˈsɜrvɪkəl ˈvɜrtɪbreɪ/
Nerve Root Compression Pressure on a nerve root in the cervical spine, often causing pain or numbness. /nɜrv ruːt kəmˈprɛʃən/
Facet Joint A joint between two vertebrae that allows for movement in the spine. /ˈfæsɛt dʒɔɪnt/
Cervical Lordosis The natural inward curve of the cervical spine. /ˈsɜrvɪkəl lɔrˈdoʊsɪs/
Range of Motion (ROM) The extent of movement of a joint, often assessed during a physical examination. /reɪndʒ əv ˈmoʊʃən/
Neck Flexion The action of bending the neck forward. /nɛk ˈflɛkʃən/
Neck Extension The action of bending the neck backward. /nɛk ɪkˈstɛnʃən/
Cervical Disc A cushion-like structure between the vertebrae that provides support and flexibility. /ˈsɜrvɪkəl dɪsk/
Osteopathic Manipulation A technique used by osteopaths to relieve pain and improve function through manual therapy. /ˌɑstiəˈpæΘɪk məˌnɪpjuˈleɪʃən/
Anamnesis The medical history of a patient, including symptoms and previous conditions. /ˌænəmˈniːsɪs/
Pain Assessment A process of evaluating the intensity and nature of a patient's pain. /peɪn əˈsɛsmənt/
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