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What the Popping Sound Actually Is

Nothing goes back into place, nothing cracks, and the noise is not a measure of success.

Dr Marcus Ellery
Dr Marcus Ellery
Mar 01, 2032 · 4 min read
What the Popping Sound Actually Is

It is the question everyone wants to ask and most people do not. The sound is called cavitation, and it is gas coming out of solution in the fluid inside a joint.

Not Bones, Not Realignment

Nothing is moving back into place. The phrase “putting it back in” is a hangover from a much older model of how this works, and it is not what is happening. The joint is being moved briefly to the end of its available range, and the pressure change releases dissolved gas.

The Noise Is Not the Treatment

A joint can be mobilised effectively with no sound at all, and a loud one does not indicate a better outcome. Some patients get audible cavitation every time, some rarely, and it correlates poorly with how much better they feel.

Which Is Why We Do Not Chase It

If a technique produces no sound, we do not repeat it to try to get one. That would be treating the noise rather than the person, and it is the point at which a technique becomes a performance.

And If You Would Rather We Did Not

Say so. There are effective mobilisation and soft tissue approaches that do not involve high-velocity technique at all, and plenty of patients prefer them. Nobody will be offended.

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