Does an adjustment have to make a noise to be effective?

No. While it’s true that patients often hear a “pop” during an adjustment, similar to the sound you’d hear cracking your knuckles, it’s not related to the treatment’s effectiveness. Instead, the explanation lies in a lubricant called synovial fluid that’s found in every joint. That fluid contains dissolved gases. Separating joints creates pressure, which forces the gases to rapidly escape, creating a “pop.”

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