My knee is noisy when I bend it, is it safe to move?

Have you ever experienced knee joint noises that make you wonder if your tissues are rubbing or grinding against each other while going up or down the stairs, squatting or kneeling? Have you wondered what that means or if it is damaging? This noise or feeling is called crepitus which can be caused by nitrogen gas bubbles popping, tendons sliding over bony structures or one bone rubbing on another. Generally, crepitus is not painful and does not necessarily mean that you have arthritis.

A paper by de Oliveira Silva et al., (2018) studied 126 women aged 18-35 years. Some had patellar (kneecap) pain (n=65) and some had no pain (n=51). The study found that 50% of those with patellar pain had crepitus while 33% with no knee pain also had crepitus. Pazzinatto et al., (2019) looked at 584 men and women aged 45-78 years with knee arthritis and crepitus (n=361) and with knee arthritis without crepitus (n=233). Their aim was to assess if crepitus negatively affected people’s perception of their knee health and overall function. They concluded people with both knee pain and crepitus reported higher levels of pain and lower quality of life but functionally performed equally to those with no crepitus. In a separate study, Pazzinatto et al., (2019) studied 4566 participants aged 45-79 years who presented with arthritis with and without crepitus. At the 3 year follow up, the authors found those with arthritis and crepitus were at no greater risk for a total knee replacement than those with arthritis alone.

What does all this mean?

We can conclude that the crepitus in your knee can be a normal phenomenon regardless of age, does not indicate the severity of knee arthritis and may be present without pain. If you have crepitus in your knee with no pain, you can continue to be active regardless of the presence of arthritis. We know keeping active is one of the best ways to maintain a healthy knee. If you have pain in your knee(s) with or without crepitus, it would be a good idea to seek out a Physiotherapist to help reduce your pain and maximize your function.

The articles mentioned above can be found using the following links:

Can You Balance On One Leg?

In a recent study out of the UK, researchers studied women aged 75-80 years old and their ability to stand on one leg to determine their risk of falling. The study found those who were unable to stand on one leg for at least 10 seconds were at a higher risk of falls and hip fractures. Hip fractures often cause serious implications in one’s personal and social life due to pain and loss of physical functioning. Most falls in those over 65 years are related to poor balance which is something that can be prevented. 

How does this relate to physiotherapy?

Our Physiotherapists are knowledgeable on a variety of balance outcome measures and exercises. Outcome measures are designed to determine where your balance compares to the average population of similar age and gender. If your balance is less than average, your Physiotherapist will be able to provide you with exercises designed to improve your balance and more importantly, help prevent any risk of falls and keep you safe.  

If interested, you can access the article in the link below:

Update to Masking and Covid-19 Screening Policies

On June 8, 2022 the Ontario Ministry of Health and Chief Medical Officer of Health announced that masking mandates will be lifted. Instead, Health Care Organizations can now choose to implement their own masking policies.

At Motion Plus Physiotherapy, we are committed to protecting the health of our patients and team members. We treat a variety of patients across the lifespan and with varying abilities. Many of our patients are medically fragile and it is the nature of our work to be in close contact with our patients during their physiotherapy, kinesiology or massage appointments.

Effective June 11, 2022, we will continue to require masking in all clinic common areas and treatment rooms. This policy will be reviewed every 30 days.

Covid Screening:

Effective June 11, 2022, we will stop telephone screening calls for Covid-19. Instead, we will continue with in person screening upon arrival at our office. Patients are welcome and encouraged to call the office in advance of their appointment if they are uncertain if they would pass a Covid screen.



In June 2022, Motion Plus Physiotherapy will have been part of the Guelph community for 25 years! During those 25 years, we have had the privilege of meeting and working with so many local citizens. We are grateful for the opportunity to provide you with a quality service we can stand behind. Reflecting on all that we, as a team, have learned over the years from our amazing patients, we felt it fitting to share some of that knowledge with you.

As part of our new website, we are introducing a new, bi-weekly blog to the Motion Plus community. Our aim is to share up-to-date research in the world of physiotherapy, relevant tips for healthy living, and the latest news at Motion Plus. We hope you enjoy this new feature!