You should know you're a medic - Do people who crack their knuckles get arthritis?
Is it anecdotal or is it true? Edward Wild delves into the issue
“My gran used to put the milk in the cup before the tea, and over a period of 40 years all her teeth fell out.” This tragic case, based on a real grandmother, highlights the difficulty we encounter when anecdotal evidence becomes established as folklore. These beliefs are often deeply held and immutable, especially when they come from vaguely plausible foundations. One such conviction, that has frequently caused arguments among my colleagues, is the notion that habitual “cracking” of the knuckles causes arthritis in later life.
Let us, in true medical student style, begin with some definitions. By “knuckles,” we mean of course the metacarpophalangeal and interphalangeal joints. Some disturbing individuals may boast more extensive repertoires of clickable joints, including the toes, knees, and spine, but the principle remains the same.
The “arthritis” that crackers allegedly get must surely be osteoarthritis, a degenerative disease of cartilage with a well established