Don’t Ignore That Crunch! How Physical Therapy Helps With Neck Noises

neck clicking sound Jun13th 2025

Is your neck making strange sounds? A little pop here, a crackle there—it can be unsettling when your neck starts to sound like a bowl of cereal. While neck noises are common and often harmless, they can sometimes indicate a deeper issue that’s worth investigating.

At Houghton Physical Therapy, we frequently work with clients who notice these crunchy or clicking sensations when turning their head, stretching, or simply going about daily activities. If you’ve ever wondered, “Is this normal?”—you’re not alone. This blog breaks down what causes these sounds, when to be concerned, and how physical therapy can help.


What Causes Neck Crepitus?

“Neck crepitus” is the term used to describe the crackling, crunching, grinding, or popping sounds that can come from your neck when you move it. There are several common causes, ranging from totally normal to medically significant.

1. Gas Bubbles in the Joints

One of the most common and benign causes of neck noise is the release of gas bubbles in your joints.

  • Inside your joints is a fluid called synovial fluid, which helps lubricate movement.
  • When you move or stretch, pressure changes within the joint capsule can release small gas bubbles.
  • This is the same mechanism behind knuckle cracking—and it’s typically harmless and not associated with pain.

Unless the noise is frequent and accompanied by other symptoms, this type of crepitus is usually nothing to worry about.

2. Joint Degeneration or Arthritis

As we age, our joints naturally undergo wear and tear. Conditions such as cervical osteoarthritis or cervical spondylosis can cause:

  • The breakdown of cartilage
  • The formation of bone spurs
  • A roughened surface between vertebrae, which can grind or crunch during movement

If your neck noises come with stiffness, reduced mobility, or pain, joint degeneration may be the cause—and that’s when it’s time to get it checked.

3. Tendon or Ligament Movement

Sometimes, the structures that help support your neck—like tendons or ligaments—can become tight or imbalanced.

  • These soft tissues may snap or rub against bones as they shift during movement.
  • This is especially common in people who have muscle tension, poor posture, or work at desks all day.
  • While not usually dangerous, this kind of noise can indicate areas of imbalance that benefit from targeted therapy.

4. Previous Injuries or Scar Tissue

Have you had a whiplash injury? Neck sprain? Shoulder or spinal surgery?

  • Scar tissue and changes in joint mechanics following trauma can contribute to noise during movement.
  • These tissues may cause friction or create an uneven path for motion, resulting in grinding or crackling sensations.

Even old injuries can lead to long-term changes that affect how your neck moves and sounds.


Is Neck Crunching Dangerous?

Most of the time, no. If your neck cracks or crunches without pain, stiffness, or other symptoms, it’s probably nothing to lose sleep over.

However, it’s important to watch for warning signs:

  • Persistent pain
  • Headaches or dizziness when turning your head
  • Numbness or tingling in the arms
  • Reduced range of motion
  • Pain that wakes you up at night

If your neck noise is accompanied by any of the above, it’s best to book an evaluation. Early intervention can often prevent worsening pain or dysfunction.

👉 Schedule your FREE Discovery Visit today


How Physical Therapy Can Help Neck Crunching Sounds

Whether your neck is noisy from poor posture or old injuries, physical therapy offers safe, effective solutions to help reduce symptoms and improve your mobility.

1. Personalized Assessment

Your journey begins with a one-on-one evaluation by a licensed physical therapist who will:

  • Examine your posture and spine alignment
  • Assess joint motion, strength, and flexibility
  • Review your health history, habits, and any previous injuries

This holistic approach helps us identify what’s really causing the sound—and tailor your treatment accordingly.

2. Neck Stretching

Tight muscles from desk jobs or prolonged sitting are common culprits of neck stiffness and sound.

  • Gentle, targeted stretching routines improve mobility and blood flow
  • Stretches also help decompress the spine and reduce tissue tension

Even 5–10 minutes of daily mobility work can lead to big improvements.

3. Strengthening Exercises

Weak or imbalanced muscles can cause inefficient motion and lead to compensations.

  • Strengthening the deep neck flexors, shoulder stabilizers, and upper back muscles helps support the neck
  • Exercises like chin tucks, scapular squeezes, and isometric holds are commonly prescribed

When your muscles are balanced and strong, your joints don’t have to work as hard—and they’ll be quieter, too.

4. Posture Re-Education

Many neck symptoms (and sounds) are linked to poor posture—especially “tech neck” from hours on screens.

  • Physical therapists teach you how to hold your head and neck in better alignment
  • You’ll learn how to adjust your workspace, sit properly, and reduce tension throughout the day

Better posture = less pressure on joints = fewer neck sounds.

5. Manual Therapy Techniques

Hands-on treatment is a game changer for many of our clients.

  • Techniques like joint mobilizations, soft tissue massage, and trigger point therapy help reduce tension and restore smoother motion
  • These methods also stimulate healing, increase circulation, and ease discomfort

Every technique is selected based on what your body needs most.

6. Dry Needling or Cupping

If available at your clinic, these techniques can target stubborn tissue restrictions.

  • Dry needling works on deep muscle knots and areas of tension
  • Cupping therapy helps release fascial adhesions and improve tissue glide

These techniques often pair well with traditional PT for added relief and faster results.


When Should You Seek Help for Neck Noises?

Here’s when you should consider seeing a physical therapist for neck crepitus:

  • You’re experiencing pain or stiffness
  • The sound is persistent and worsening
  • You’ve had a recent injury or accident
  • You notice dizziness, numbness, or tingling
  • You simply feel unsure and want peace of mind

Even if you’re not sure what’s causing the noise, we’ll help you figure it out—no guesswork needed.


Why Early Evaluation Matters

Letting a noisy neck go unchecked may not be dangerous, but it can lead to:

  • Compensation patterns that create strain elsewhere (like the shoulders or back)
  • Joint degeneration if movement remains uneven or restricted
  • Increased anxiety or tension from wondering if something is wrong

Don’t wait for discomfort to settle in. A quick assessment could give you the clarity—and relief—you’ve been looking for.


Your Next Step: Book a Free Discovery Visit

Not sure if physical therapy is right for your neck issues? That’s exactly why we offer a Free Discovery Visit.

In just one session, you’ll:

✅ Meet privately with a licensed PT
✅ Get clarity on what’s causing the crunching
✅ Learn what you can do next—no pressure, no obligation

It’s a safe, simple way to get answers and take control of your health.

🗓️ Book your free Discovery Visit today and take the first step toward a quieter, more comfortable neck.


Final Thoughts

Crunching sounds in the neck are common—but that doesn’t mean you should ignore them. Whether it’s harmless gas bubbles or a sign of deeper dysfunction, physical therapy can help you feel stronger, move better, and stop worrying about every little crackle.

At Houghton Physical Therapy, we’re here to help you feel your best—from head to toe.

➡️ Click here to schedule your Discovery Visit
📞 Or call us at (508) 223-2300 to learn more

Claim Your FREE Neck Pain Report

If you’re looking for more insights into what could be causing those sounds in your neck, or perhaps you’re wondering what tensions in your neck and shoulders are caused by, then download our FREE report linked just below!

Neck & Shoulder Pain Report – Houghton Physical Therapy

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