Back manipulation: Harmful or beneficial?
Cracking your back is a common practice for many people, offering temporary relief from stiffness and tension. However, self-cracking comes with its own set of risks, especially when done habitually or improperly. Here's what you need to know about self-cracking your back and when to consult a professional.
Self-cracking can provide immediate relief from minor stiffness or tension and offer a satisfying psychological feeling from the "pop" sound caused by gas bubble release in joints (joint cavitation). However, repeatedly forcing loose joints can lead to joint instability, muscle spasms, soft tissue swelling, and potential worsening of undiagnosed spinal conditions.
In rare and severe cases, self-cracking can cause blood vessel tears and stroke. People with underlying problems like osteoporosis, spinal tumors, or abnormal spinal anatomy are at a higher risk of injury. Neurological symptoms such as tingling, numbness, or weakness may indicate nerve issues that self-cracking cannot safely address.
It is generally safer and more beneficial to have spinal adjustments performed by trained professionals, who can target specific areas accurately to improve joint mobility, reduce pain, and avoid injury. Medical professionals such as doctors, chiropractors, and physiotherapists can recommend the most appropriate exercises for safely stretching the back and they can also perform back treatment to improve the symptoms of certain health conditions that may cause back pain and stiffness.
If you experience neurological symptoms such as tingling, numbness, or weakness in your limbs, have a history or risk factors for stroke or cardiovascular problems, especially before neck manipulation, have advanced osteoporosis or known spinal tumors, or if self-cracking provides no lasting relief or causes increased pain or discomfort, it's essential to consult a doctor or professional.
For chronic or worsening back/neck pain requiring proper diagnosis and treatment, for spinal issues that persist, or for when you want safe, effective, and targeted treatment to improve spinal function and reduce pain, consulting a healthcare professional is crucial.
In summary, occasional self-cracking may feel good but carries risks if done repeatedly or forcefully without proper knowledge. Consult a healthcare professional—such as a chiropractor or physician—for spinal issues that persist, cause neurological signs, or occur in the presence of serious health conditions to ensure safe and effective care.
[1] Arthritis Foundation. (2021). Cracking Your Back: What You Need to Know. [online] Available at: https://www.arthritis.org/health-wellness/healthy-living/manage-pain/pain-relief-safety/cracking-your-back-what-you-need-to-know
[2] Mayo Clinic. (2021). Back pain: Self-care advice. [online] Available at: https://www.mayoclinic.org/diseases-conditions/back-pain/in-depth/back-pain/art-20048389
[3] National Institute of Neurological Disorders and Stroke. (2021). Back Pain Fact Sheet. [online] Available at: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Back-Pain-Fact-Sheet
[4] Spine Health. (2021). Cracking Your Back: Is It Safe? [online] Available at: https://www.spine-health.com/conditions/back-pain/cracking-your-back-its-safe
