What’s Happening When I “Crack” Your Neck?

A patient asked me this question just now. And, I get asked this a lot.

When I adjust, or “crack,” your neck, the goal is to improve the range of motion in specific joints that aren’t moving well. During the adjustment, the joint surfaces are gently stretched and distracted from each other. These joint surfaces are covered in smooth cartilage and lubricated by synovial fluid. As the joint surfaces separate—similar to pulling apart a suction cup—the release of pressure causes that popping sound. This happens when we overcome the hydrostatic pressure within the joint.

This popping sound is known as cavitation or tribonucleation—a technical term for the release of gas bubbles in the joint fluid due to the change in pressure.

What Are the Benefits?

When the joint pops, reflexes trigger pain relief and muscle relaxation. This allows for a greater range of motion in the affected area.

How Long Does It Last?

Immediately after an adjustment, there’s a period—typically around 20 minutes—where the joint remains more mobile, and the muscles are relaxed, during which the joint won’t pop again. The increased range of motion can last anywhere from 3 hours to 3 days, depending on the individual. During this time, improved mobility allows for better nutrient delivery to the joints, and it helps retrain the body’s reflexes to maintain relaxation for longer periods.

Apparently, when you get your neck adjusted, the sound comes from the opposite side of your neck.

Dr. Lloyd