Shoulder Cracking During Push-ups? You Might Need a Specialist

If you’ve ever heard your shoulder crack or pop during a push-up, you’re not alone. And you’re not necessarily injured. At Wilmington Health, we’re often asked whether those joint sounds are something to worry about.

Here’s how to determine if or when to see a sports medicine doctor; orthopedic surgeon, or joint pain specialist for support.

Why do shoulders crack or pop during push-ups?

In most people, shoulder cracking during movement is harmless and can happen for a variety of reasons. 

One common cause is cavitation. This is the release of gas bubbles from the joint fluid as the shoulder moves, like when you crack your knuckles. Another frequent cause is the natural shifting of tendons or ligaments within the shoulder. Popping sounds can also be a result of mild joint instability, or it could be a sign of bursitis, which is inflammation of the small fluid-filled sacs that help cushion the joint. In some cases, changes in the ring of cartilage around the shoulder socket called the labrum can contribute to unusual joint sounds during movement.

None of these causes automatically indicates a serious sports injury. However, if the popping is painful, follows an injury whether recent or older, or begins to interfere with your movement, it’s a good idea to get it checked out by a joint pain doctor or orthopedic specialist.

Could the shoulder sounds be a medical condition?

Yes. In some cases, shoulder cracking is tied to an underlying joint or muscle condition, especially when it’s paired with pain, weakness, or reduced range of motion. 

Two conditions we commonly see are osteoarthritis and rotator cuff tears. Osteoarthritis occurs when the cartilage in the shoulder gradually wears down, resulting in friction and altered mechanics within the joint. Rotator cuff tears can also change the way tendons function and how the shoulder moves overall, which may lead to popping or clicking during repetitive motions or exercises like push-ups.

These conditions typically present alongside other symptoms. Early diagnosis and treatment through either non-surgical sports injury care or orthopedic surgery, depending on the severity.

How can I prevent shoulder popping or cracking?

Preventing shoulder popping during push-ups or other movements often starts with small changes to your exercise technique and training plan. Adjusting your hand placement during push-ups can make a big difference. Keeping your hands closer together and your elbows tucked in can reduce the strain on your shoulders. You might also consider limiting your range of motion by placing a small cushion under your chest. This helps prevent overextending your shoulders, especially if you’re doing a high number of reps.

Strengthening the muscles that support your shoulder can also promote better joint stability. Focus on the rotator cuff and upper back. This kind of targeted exercise program is a central part of physical therapy and sports medicine, and it plays a powerful role in injury prevention and recovery.

Should I stop doing push-ups if my shoulder pops?

It really depends on how your shoulder feels. If the cracking is pain-free, and you haven’t experienced a recent or specific injury, you may be able to continue your push-ups, especially if you modify your form to reduce strain.

But if the popping causes pain, stop and reassess. Continuing to push through discomfort can worsen an existing issue or cause a new one. In this case, it’s worth speaking with a sports medicine doctor or physical therapist who can evaluate your form and recommend safe alternatives or modifications to your exercises.

When is it time to see a doctor?

If the cracking is painful, follows a particular shoulder injury, or becomes more frequent and persistent, it’s time to seek medical attention. Weakness, instability, or a loss of function in the shoulder joint are also red flags that may indicate something more serious is going on.

At Wilmington Health, our sports injury treatment team can diagnose and treat the root cause of your symptoms. Whether the issue stems from a tendon, muscle, or bone injury, we tailor your care to your unique needs and activity level.

Do I start with sports medicine or orthopedic surgery?

Patients often ask us whether they should see a sports medicine provider or an orthopedic surgeon. 

Sports medicine doctors are a great starting point if your symptoms are mild or unclear. The doctors typically focus on non-surgical injury care, injury prevention, and performance support. Orthopedic surgeons, on the other hand, specialize in surgical solutions for more advanced or complex injuries. 

The good news is, you don’t have to decide which provider to see on your own. At Wilmington Health, our sports medicine and orthopedic surgery teams work collaboratively to provide the best possible outcome, whether your treatment plan involves physical therapy, injections, bracing, or surgery.

Don’t Ignore Persistent Shoulder Cracking

Shoulder cracking doesn’t always mean something’s wrong, but when it does, early treatment can prevent long-term complications. At Wilmington Health, our experienced providers are here to support your recovery and keep you active.

If your shoulder popping is new, painful, or simply won’t go away, we’re here to help. Reach out today to schedule a consultation with a member of our Orthopaedics and Sports Medicine team.