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In SLIGHT scoliosis (visible on Xray), the spine is not straight and has a slight S-shaped curve. This causes an uneven asymmetrical pull on the ribcage, which is why the sternomanubriojoint cracks when you arch backwards.

Sometimes, some people with this can also have pain right between the shoulder blades. And it feels oh-so-good to crack it.

Perhaps all this is nonsense, but if you have a chest Xray, you should take a look to see if the spine is straight.
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My "sternum issue" started almost six months ago when I was getting a chiropractic adjustment for lower back pain. It was my first visit to a chiropractor and I'm 51 years old. She said it seemed like I had a dislocated rib and she could help me. I said OK and she did a minipulation that really popped my sternum, which got very sore for the next few days. I continued to lift weights and play tennis 2-3 times a week and run a few miles a weeks too. My theory is that the adjustment stretched the cartilage and I exacerbated it by lifting and the tork of serving.

The soreness continued to worsen and radiate to my upper back under the shoulder blades - including sharp pains and really tight / cramping muscle aching. It's also caused my neck to be really tight with limited range of motion. Also some pain radiating down left arm with a little numbness.

I went to an or orthopedic MD and he was puzzeled at the range of symptoms. Xrays showed nothing alarming and my heart is stong. One month later (last week) I had bone scans and they showed a "hot spot" in the sternum (menubrium), but no fracture. The doc is continuing to suggest more anti-inflamatory meds, muscle relaxers and pain killers, but so far there's no improvement at all, even though I haven't lifted weights, played tennis or run for over two months.

The back cramps/soreness and sternum cracking continues and it extremely painful, with the worst symtoms being first thing in the A.M and at night when the worst pain sets in. Soooo frustrating, but somewhat comforting to know others are out there with similar conditions.
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i fractured my sternum at gymnastics practice about a year ago and it hurts really bad when you crack it but myn still cracks occasionally and it still hurts bot not near as bad. and i didn't even know it was broken i was doing a double back flip and i landed on my head and rolled over surprisingly enough i didn't hear the crack just then. so my coach told me to do just a back tuck on the floor and when i did it hear a huge crack and then it didn't hurt anymore ... so i just ignored the stiffness for now. about three days later i went to bars and when went to do a cast to handstand on the bars it crack louder than before so i tried to get it to pop again and it didn't and then it was very hard to breath it felt like there was a ball there and the ball was just like gone then my coach called my mom and i when to to hospital they kept me there for 4 days and didn't know what to do with a fractured sternum. so they sent me to chop were they were deciding whether to do surgery and put it back in place to to just let it heal with a bumb from were the bone moved. i stayed there for 2 days and then they decided to leave it be and see what happens. i couldn't do anything at all for at least 8 weeks ... but i went swimming (not smart ). then i started going to the gym again like 3 times a week i could only do splits and leg strength. and i got back to all my gymnastics fully in September i broke it in may!!!
i was so bord for like 5 months. so yea try not to break your sternum anytime soo its not fun

bye the way i was 13 when it happened
peace!
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alright, so ive had the same problem that everyone is talking about, i noticed it after i had a car wreck, i had fractured my neck and they took x-rays but i dont think they did a good exam of me at the time, and i had screwed up my wrists in the process, but i have a good idea that it was caused from the impact of the wreck. That was about 3 years ago and ive had the popping since, mine pops especially when im in a vehicle and i have to do the whole turning and twisting but when it pops its a good relieveing feeling but i noticed that i have a tiny slight tense feeling when i breathe deeply and sit up straight afterwards, also i had read in one of the posts about somethng popping in the middle of your shoulder blades and ive had that since the wreck also but never considered that they could be connected , but if i dont sit up for even 5 min and i do sit up every time theres either a pop or a mediium pop so to say but its always in that specific spot. Laying down makes my back feel better even though my sternum or breastbone doesnt hurt, theres no discomfort other than the small tension i explained, theres no bump, etc. I dont smoke, but smoking will effect and make things worse for anyone so people that smoke and have this problem it will not make it better obviously, and i dont lift weights, dont really play sports but i do exercise regularly and meditate but still have it, dont sit at a comp for along amount of time but im sure that has alot to do with it, i have been stressed at frequent times and agian im sure that would and does effect it but i also havent been stressed for the majority of the time and still the same not less results.I havent been to a doctor or talked to anyone thoroughly about it until i came across this forum and read EVERY single post lol to try and find some idea of what it could be.
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Background, 32yrs old, my chest started cracking and feeling like it had pressure needing a crack release two months ago, it cracks every few hours, it started soon after a chest trauma, I had a side impact from a much larger sibling shoulder charging me, he ran down a hill a few steps and hit my left side - my right against a car, my chest turned blue in the centre that night.

I've done mild weights for years but not lately, I've had a painful elbow for months from a fist impact from a certain sibling in my elbow cartiledge which stopped weights for a few months before this. elbow pain took about 4 months to subside by the way, so either the tendon or cartilage can take that long to heal)

After reading all your posts I suspect inflamed cartilage or a misaligned rib.

I'm seeing a chiropractor - my spine and neck are all tight, they usually are from lots of desk work, over 7 hours a day. Chiropractor says the spine and chest plate are connected and work together. He didn't seem worried as there isn't pain and didn't seem to think of cracking as abnormal.

From your posts lots of possible causes seem to relate:

Trauma
Posture (I link stress to this in that stress is usually long work hours)
Ongoing Cracking may keep cartilage inflamed
Dehydration may not help recovery (I drink a lot)
I sleep on my side too


I'm going to try the following multi pronged approach

Chiropractic
See a Dr for anti inflamatries, take them to see if cracking stops if cartilage was inflamed
Supplements to aid cartilage healing, fish oil, vitamin d, glucosamine?
Breathing techniques to remove pressure and avoid cracking
Good posture, Light stretches, light exercise, and yoga, not heavy weights, just to improve flexibility, and muscles for posture support for now.

I want to lift weights again heavily soon so looking to fix this first. Years of cracking and building to pain does not sound like something I want in my life.

A concern I have is what if not cracking it just results in locking it up and something fusing that should be a joint with movement, and is just cracking because it's missaligned or inflamed.

I'd like to hear more about if posters are drinkers and if anyone cures themselves please remember to revisit and give your story. Thank you for all your posts.
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I had this problem for a year several years ago. It went away when I started sleeping on my back, with an orthopedic pillow. For years I've been sleeping in this same way and it also alleviated some back pain. I had forgotten about it. Recently I started doing work on my laptop at night, lying on my stomache in bed for hours. Sure enough, the sternum problems started again after a few nights! I stopped doing that, and it seems to be going away. I think that is pretty much the problem, in my case. Consider how you are sleeping and avoid constant pressure on your sternum.
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Ive been able to "pop" my chest fairly easily, although I CANNOT get it to "pop" right now. The pressure is soo much and any stretch of any sort doesnt relieve the pressure. Through sneezing I can feel a tiny crack but I need a major pop. Anyone have a sure fire way to get it cracked?

Also, I am curious to know if there is any correlation between the pressure in the sternum and "cracking/popping" of the neck?
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I'm not sure how long it's been going on for me but it sure does feel like stiff joint of some sort. The only way I seem to be able to "pop" it is to twist my torso to the right and pull my right shoulder back, it always seems to relieve the pressure. I do lift weights but I really don't think this is caused by the weight lifting. It's when I stop exercising and sit around for a few days that it tightens up again. For me this is an occasional problem but sometimes I get a really intense pain in my upper spine between my shoulder blades, it almost feels like a bad cramp in a way and this is what concerns me. Sometimes it's so terrible that I can't sleep all night, there's really no way to relieve it other than to take some advil. I was just wondering if anyone has had this combination or if it's two separate problems. Things that seem to egg this on are sitting around for long periods of time or too much sleep.
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my stepson was doing dips and said it felt like his sternum twisted. He said his chest slipped under the other side and didn't pop back out until he jumped down to the ground. Now he can barely do anything.
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i have costochondritis and recently mine started popping. i guess i'm sorta glad other people have it. makes me less worries.
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First I want to thank everyone who contributed to this posting. I felt like I was going through this alone.

I'm 38. I've had this chest pain on and off for about 8 months. My chest has only popped a few times and the pain has only been really bad a few times. With that being said I can feel my chest does not feel 100%. It feels sore and stiff.

I suspect what caused the initial episode was a very stressful and strenuous day at work. I was carrying a fair amount of gear for most of the morning and it was a dangerous job. Two nights later I woke up at 1:30 AM with sharp chest pain and I drove myself to the emergency room. After several tests in a good ER the conclusion was costochondritis.

Like I said I was initially told I had costochondritis, and as far as I can tell this may be the case. From what I've read about costochondritis, it is suppose to go away and it's not a chronic condition. In my case it seems to be lingering.

I was sleeping on my side the night it happened. It felt like my chest was an old rusty hinge when I rolled onto my back and expanded my chest. Motrin made the pain go away, but after a couple of weeks it caused me stomach pain. I work on computers for several hours a day, and I sit a lot. My shoulders stay rolled forward and I stay in a single position. I'm working on my posture now.

In the last couple of weeks I have started having dull pain in my lower back, including the area near the base of my spine. The pain is at it's worst in the early morning. I suspect I need to get some sort of orthopedic pillows. I've had aches in my knee and both shoulders for a few years but chest and now back pain is more than I can ignore.

I've done a couple chest X-rays and blood tests and everything seems fine. I plan on being tested for arthritis and to visit a chiropractor. My mother has had strange chronic pain including RLS for years. I'm hoping taking better care of myself will turn this around or slow the progress.

I've started paying attention to my posture, taking fish oil, walking 45 min to an hour a day, vitamin d, joint juice, and light stretching. I'm also looking at changing my sitting desk to a standing work station. Wish me luck.

This really sucks. I wish you all well and if you find something that works for you, please spread the word.

Rick
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Someone posted very early on in this thread that they used to wrestle. I did as well, and i absolutely think thats what caused it for me. He also said that this did not become apparent until several years later and again, thats how it was for me. Unlike many others, i really dont get much pain associated with this problem. When i feel that it needs to be "popped" i just pull my arms back and push my chest out and it pops(it almost feels like it is popping in a couple different areas, similar to the sensation of popping your back). However, if i am hunched forward, that does produce some pain for me, but never enough to attempt to get diagnosed or even take otc pain killers. I do have some lower back problems as well and i have some trouble sleeping, but i do not think that my sleeping problem is related to my chest.
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28 years male. I've developed this recently. I woke up one night like at 3 am with severe chest pain in my sternum, and I asked my wife, who is a doctor (though, an intern, just out of medical school) and she said it could be inflamed sternum and told me to go back to bed (my sternum was also jutting out weirdly). I woke her up because any chest pain in an adult can be serious, and you should take it seriously, you don't want to miss a heart problem, even if it is unlikely. I do workout regularly and have a problem with overdeveloping my chest by bench pressing too much, putting strain on my shoulders, neck, and back. I think this may be related in the end.

Some guy above posted he wanted to go to a chiropractor instead of a doctor because he didn't want the doctor to just mask it with anti inflammatories. Anti inflammatories treat the cause AND the symptom.

Have you ever bit the side of your lip? It gets swollen, then you bite it again because it is swollen and sticking out, and so you bite it again, making it more swollen. It is a cycle.

That happens inside of your body too, a disc or cartilidge or a tendon or something can get inflamed, when it is inflamed it grows and pushes against nearby structures, thus being irritated, and so it continues to be inflamed. You need antiinflammatories to break the cycle. Going 3 days a week to a chiropractor for 10 years might help him buy a boat, but it if you need something like prednisone it won't help. One time when I seriously hurt my back manipulating didn't help, so after pain for 6+ months, debilitating pain, going on a course of high dose ibuprofen for 6 weeks broke the cycle and fixed my problem.

If you take an anti-inflammatory it may relieve your symptoms immediately, but for it to help the inflamed tissue heal to cure the pain you need to go on the drugs for longer. It is kinda like antibiotics, you need to take the whole course.

Now, about doctors vs. chiropractors.... I think most people don't really know the details of what makes the difference.

There are two types of actual medical doctors. MDs and DOs. Both go to medical school, are licensed by the state to practice medicine, and can fulfill any medical specialty from neurosurgeon to psychiatry. They're also licensed to write prescriptions.

MDs and DOs often sit in the same classes in medical school, can sit for each other's boards, and apply for each other's residencies. DOs supposedly have a "philosophical" difference of wanting to treat the whole patient and not just the disease, but in one office where my wife used to work she said the MDs were the more holistic ones, oddly enough.

The only technical difference is that in addition to all the MD curriculum DOs ALSO learn osteopathic manual manipulation. which is basically what chiropractors do. Not all DOs practice it in real life, some don't like doing it, but they're trained to do it. So to simplify, you could say DOs are trained with everything MDs and Chiropractor's combined.

Now Chiropractors, not actual medical doctors. Not licensed to perform any specialty in the medical field, no chiropractor surgeons for instance. They're also not licensed to prescribe medicine. A chiropractor can tell you to take an OTC medication, and they may do so, but that isn't a substitute if you need a prescription.

There are two main problems with chiropractors. One is that many incorporate unproven therapies into their practice. They aren't officially trained in anything but manipulation and so they add a bunch of stuff you don't need to be licensed to do (because it isn't real medicine) to build their business and make their patients feel like they're getting more whole healthcare (they're not).

The other problem with chiropractors, or an extension of the same problem, is that they really have one legitimate tool in their toolbox, manipulation. They also typically seem to have some professional insecurity so rather than turn patients away they'll try to use manipulation to fix any problem, any problem. I saw on a TV show a chiropractor diagnosed a pregnant woman with a bowel obstruction and decided spinal manipulation would fix her. No, Mr. Chiropractor, that was a baby, not constipation. I've seen advertisements for chiropractors saying they can crack your back and you won't need vaccinations or antibiotics. Some claim to treat cancer. These people are dangerous, and should be avoided.

There is also the rampant practice of trying to get patients to come back 3 times a week for years for something that really only provides temporary relief. A real doctor won't do that, if they can't cure you they'll refer you to a specialist, not try to milk your wallet. And yes, if they can't help you, an MD or a DO will refer you to someone else, sometimes even a Chiropractor, because they tend to not suffer from the same professional insecurity. It is a rare chiropractor who'll admit you're out of his league and send you to a doctor.

There are also of course sometimes problems with chiropractors causing damage with manipulation. In my home town a woman almost died because the chiropractor tore one of her neck arteries, she collasped at his office and had to be rushed to the ER and barely lived.

If you're going to go to a chiropractor, go to one who doesn't practice hubris on a daily basis. Go to one who'll fix spinal issue with spinal manipulation. If they try to sell you magnets, or shark piss, or other stuff you know is just hype and hoople, or if they try to trick you into coming back 3 days a week forever, find someone else.

Or, save yourself the trouble, and just go to a DO. If manipulation is what you need, the DO can do it, or refer you to someone who can, and will feel fine doing so. If prescription medications are what you need, the DO can write those. And if your condition is really a symptom of something far more serious (heart disease, cancer, etc), the DO, who has gone to actual medical school, actual medical hospital rotations, and actual medical hospital residency, can recognize those conditions and get you the treatment you need. Ie, go to the guy (or gal) who has more than one size wrench in his toolkit, because maybe that one wrench isn't what you need.

As for my sternum issue, it hurts most when I'm doing dips, doesn't hurt at all when doing other chest or arm exercises. I plan to try to strengthen my back (lower trap) and stretch my chest to try to correct my muscular imbalance, that, and take ibroprofen.
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I've lived with the popping sternum for about 18 years now. It started happening when I was about 15 or so with no real explanation or cause. I was lifting a lot of weights at the time and played football in high school. I asked a few people about it and got mostly weird looks until I asked my older brother who said the same thing started happening to him in his late teens. It makes me wonder if this can be hereditary in some cases. Just recently I was having a neck pain for most of the day, then while holding my son in the pool that night I got an extremely sharp pain in my shoulder. It almost dropped me to my knees, but after I put my son down it, went away somewhat. That night I had great difficulty sleeping and the next day was horrible. I happened get a short message and the lady working on me kept making sounds as she felt my shoulder and back muscles that were not promising...basically said I should never move again. Okay...so since my work involves moving extremely heavy bronze statues on a daily basis I guess I'm screwed. It feels like I have a turned rib or something...with a pain in my chest by the sternum, and a corresponding pain in my back next to the spine. No amount of stretching my shoulders back will let my sternum pop this time...just pressure and pain like my shoulder is on fire. So annoying.
This has been killing my for a week now and finally drove me to research. Amazing how many people are going through the same thing. I do sleep on my side at night and think that may be contributing. I'm looking into costochondritis but it doesn't sound completely right for what I'm experiencing. Thanks for everyone who has posted about this...if it doesn't solve the problem, at least I don't feel so alone.
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i need help as well, here, im glad i found this forum!
when i was 17 (im 25 now) i had a horridly bad respiratory infection that my doc said would bypass bronchitis and head straight for pneumonia. awesome. im 25 now and i still can't breathe right, i can't run or skate or go up more than a flight of stairs without feeling stupid because i can't breathe. now, im a fit person, i do winterguard and walk everywhere if i can, but its that my sternum keeps popping.
and i read that everyone else hs this but that when they pop it it stops hurting, like a knuckle. only, mine doesn't really stop hurting. the pressure stops and i can breathe a little bit better, but the pain doesn't stop. it feels like i got hit in the chest afterward nearly every time. and these aren't little pops either, they're like, real cracking sounds heard form a distance sometimes kinds of pops. and
and if i need to release that pressure, but it won't pop, it hurts more like i got punched. t starts to close in on my lungs and i can't breathe, and also feels like bruises are about to start forming, it gets that tense and painful. does anyone else go through it to this extreme?
i have been x-rayed before, but i am certain to go back to the doctor hopefully within the week, i was just hoping to have more than symptoms to tell him, maybe some ideas or terms? im not sure.

it is really embarrassing to be 25, healthy weight, good eater, yet i can't go up more than, like, 10 steps without huffing and puffing. i know i am not out of shape, it is just that it doesn't feel like my lungs want to handle the workout. it hurts.
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