Daniel de Boulay The Pop 03
60 lb
Force on the neck when you look down at a phone at 60 degrees, by one spine surgeon's estimate. A head weighs about 10 to 12.
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EssayHealth CareReviewed 31 October 202611 minute read

The PopWhat that sound is, and who pays for it when you work for yourself

What actually happens when a chiropractor cracks your back, whether you should do it yourself, what looking at a phone all day does to your neck and your mood, and how people without a regular employer pay for any of it.

7 terms are marked like this. Tap one for a plain-language definition.

In one line

The pop is a gas cavity forming in the fluid of a joint, and for freelancers the harder question is usually who pays for the visit.

Key takeaways
  • The cracking sound comes from a gas cavity forming in the fluid inside a joint, which researchers filmed in real time with MRI in 2015.[1]
  • A doctor who cracked the knuckles of one hand for more than 60 years won an Ig Nobel for showing it didn't seem to cause arthritis.[2]
  • Tilting your head 60 degrees toward a phone may load the neck with about 60 pounds of force.[3]
  • In one small study, sitting upright improved mood and reduced fatigue in people with depressive symptoms.[4]
  • Chiropractic care is a qualified medical expense, so HSA money can pay for it, and self-employed people may be able to deduct their insurance premiums.[5][6]
(1)

Odd jobs are for writers

Independent producing is a profession in roughly the way that being between relationships is a relationship status. You are technically in it. You can describe it at parties. But for long stretches nothing is happening, and you are mostly waiting for a phone call from someone who has promised to call.

So producers between films become, briefly, other people. We consult. We read scripts for friends who swear this draft is the one. We take jobs that have nothing to do with movies and explain them to our families as research. Every independent producer I know has a list of past jobs that reads like a stack of unrelated library books, and every one of them can tell you which job taught them the most about making a film. The answer is almost never the one you'd guess.

Somewhere along the way I picked up a phrase I've never been able to shake: “Odd jobs are for writers. Eighty-five percent of writing is living.” I don't know who said it first. I know I've repeated it to myself in parking lots more times than I'd like to count, usually while sitting in a car that was also functioning as an office.

My time working in health care began in a chiropractor's office. I went in thinking of it as a gap between assignments. I came out understanding that I had spent my entire adult life with no idea what was going on inside my own spine.

(2)

A tall person's back

I'm tall. People assume this is an advantage until they watch me use an airplane bathroom. The world was designed by and for people of average height, and those of us outside the curve pay a small tax every day: desks too low, car roofs too close, showerheads aimed at our sternums, and every photo taken with me slightly hunched so everyone else fits in the frame.

For years my back and neck hurt in the low, steady way you stop noticing, like a refrigerator hum. I didn't treat it. I didn't even classify it as a problem. It was just what having a body felt like.

Then I spent time around chiropractors and learned what an actually is. I had always pictured something between a massage and a bar fight. What I saw was precise: a clinician finding the joint that wasn't moving the way it should and moving it, quickly, in one direction. The first time someone did it to me, I heard a sound like bubble wrap and felt about an inch taller, which is the last thing I need and somehow exactly what I needed.

(3)

What is the popping sound when a chiropractor cracks your back?

The pop is gas. Your spinal joints, like your knuckles, sit inside a capsule filled with , a lubricant with gases dissolved in it. When a joint is separated quickly, the pressure inside the capsule drops, and a gas cavity forms in the fluid. That process is called , and the forming of the cavity makes the sound.[1]

For decades, scientists argued about whether the noise came from a bubble forming or a bubble collapsing. In 2015, a team led by Gregory Kawchuk at the University of Alberta put a person's finger inside an MRI machine, pulled it until the knuckle cracked and filmed the joint in real time. The images showed a cavity appearing at the moment of the crack. They concluded the sound comes from the cavity forming, not a bubble bursting.[1] So the next time someone at work cracks their knuckles in a meeting, you can tell them, accurately, that they are performing a small fluid dynamics experiment on company time.

What the pop is not is a bone sliding back into place. Your vertebrae were not out of place. The sound is a side effect of a joint moving quickly, and clinicians will tell you an adjustment can work without it.

(4)

Is it bad to crack your own back?

Mostly, the fear is overblown. The best-known evidence comes from Donald Unger, a physician who cracked the knuckles of his left hand, and never his right, every day for more than 60 years. He found no arthritis in either hand and won the 2009 Ig Nobel Prize in medicine for the effort.[2] One man is not a clinical trial, but very few clinical trials have shown that much commitment.

Your back is not your knuckles, though. Twisting hard in a chair until something gives is different from a trained person moving one specific joint. If cracking your back is the only thing that relieves a pain, the pain is the thing worth looking at. And if a crack ever comes with sharp pain, numbness or tingling, stop and see a clinician.

(5)

Text neck, and the stretch we all skip

An adult head weighs about 10 to 12 pounds. In 2014, the spine surgeon Kenneth Hansraj modeled what happens when you tilt it forward. At 15 degrees, the force on your cervical spine rises to about 27 pounds. At 60 degrees, the angle most of us hold while reading a phone, it's about 60 pounds.[3] That's roughly a second-grader sitting on your neck, for hours a day, while you read about other people's vacations.

The industry name for this is , which sounds made up because it was, but the posture is real. Walk through any airport and you will see a few hundred people bowing toward their phones like the screens are small, demanding gods.

The fix is unglamorous. Lift the phone instead of lowering your head. Pull your chin straight back a few times an hour. Roll your shoulders down and away from your ears. Stand up. Almost everyone knows this, and almost no one does it, because stretching has the worst marketing of any health habit in America. It costs nothing, needs no app and produces no content, which in 2026 may be the same as not existing.

(6)

What your posture does to your mood

This is the part I didn't expect. Spending time around people in pain, I started to notice that the way they held their bodies and the way they held their moods seemed to travel together. Hunched people seemed to be having hunched days.

There's some research behind that hunch. In a 2017 study at the University of Auckland, 61 people with mild to moderate depressive symptoms were taped into either their usual slouch or an upright posture and then asked to give a stressful speech. The upright group reported more energy and less fatigue, spoke more words and used fewer first-person pronouns like “I” and “me,” which researchers treat as a marker of self-focus.[4] The authors called it preliminary, and a small study shouldn't be oversold. But the direction is interesting. Standing up straighter appeared to pull people slightly out of their own heads.

I think about that a lot. Most of us treat the body as the vehicle and the mind as the driver. The longer I spent watching people walk into a waiting room, the more it looked like a two-way street. You can't think your way out of everything. Sometimes you have to stand your way out first.

(7)

Who pays when you don't have a regular employer?

Here is where the odd-jobs life and the chiropractor's table meet. If you're a freelancer, a 1099 contractor or a film worker between shows, nobody hands you a benefits packet. The adjustment is the same price as everyone else's. The difference is who pays for it.

How people without a regular employer pay for chiropractic care
Your situationWhat can help
You have a Chiropractic care is a qualified medical expense, so HSA money can pay for visits tax-free. You need a high-deductible health plan to contribute.[5][9]
You're self-employed and buy your own insuranceYou may be able to deduct your premiums through the , as long as you weren't eligible for an employer-subsidized plan, including a spouse's.[6]
You itemize deductionsChiropractor visits count as medical expenses, deductible to the extent your total medical costs exceed 7.5% of your adjusted gross income.[5]
You have no insurance yetThe opens November 1, 2026 for 2027 coverage. On HealthCare.gov, enroll by December 15 for coverage starting January 1; most states run through January 15.[7][8]
You work union film and TV jobsThe MPI plan may cover you if you clear its hours rules. See Does MPI Cover Chiropractic Care?

Two practical notes. First, ask any clinic for its cash rate before your first visit. Many offices have a self-pay price lower than what they bill insurers, and they won't always offer it unless you ask. Second, a flexible spending account usually comes through an employer, so most independent contractors don't have one. The HSA is the account that travels with you.

That last point is the whole story of contract work in miniature. The employee's benefits are attached to the job. The freelancer's benefits are attached to the freelancer, which means you have to build them yourself, usually between gigs, often in a parking lot. If you're a producer wondering where you fit, start with Do Film Producers Get Health Insurance?

(8)

Frequently asked questions

What is the popping sound when a chiropractor cracks your back?

Gas. When a joint is separated quickly, pressure drops in the fluid inside the joint capsule and a gas cavity forms. A 2015 MRI study showed the sound comes from that cavity forming.

Does cracking your back actually do anything?

The sound itself is a side effect, not the treatment. Any relief comes from the joint moving, and an adjustment can work without a pop.

Is it bad to crack your own back?

Gentle self-cracking is generally not considered dangerous, but forceful twisting is different from a targeted adjustment. If it comes with sharp pain, numbness or tingling, see a clinician.

Does cracking your knuckles cause arthritis?

The evidence says probably not. Donald Unger cracked the knuckles of one hand for more than 60 years and found no arthritis in either hand.

What is text neck?

Neck strain from looking down at a phone. One spine surgeon estimated that a 60-degree head tilt puts about 60 pounds of force on the neck.

Can I use my HSA for a chiropractor?

Yes. The IRS treats chiropractic care as a qualified medical expense, so HSA funds can pay for it.

Can self-employed people deduct chiropractic care?

Visits can count toward itemized medical deductions above 7.5% of adjusted gross income. Separately, self-employed people may be able to deduct health insurance premiums.

How do freelancers and independent contractors get health insurance?

Through the ACA marketplace, a spouse's plan, a union plan such as MPI if they qualify, or a professional association. Pairing a high-deductible plan with an HSA is a common approach.

Terms in this essay
  • Adjustment. A chiropractor's term for spinal manipulation: a quick, targeted movement of a joint.
  • Synovial fluid. The lubricating fluid inside joints like the knuckles and the small joints of the spine.
  • Cavitation. The formation of a gas cavity in a fluid when pressure drops. In joints, it makes the cracking sound.
  • Text neck. Popular name for neck strain caused by looking down at phones and screens.
  • Health savings account. A tax-advantaged account paired with a high-deductible health plan that belongs to you, not your employer.
  • Self-employed health insurance deduction. A federal deduction that lets eligible self-employed people subtract health insurance premiums from their income.
  • Marketplace. The ACA health insurance exchange, HealthCare.gov or a state-run version, where individuals buy their own coverage.
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