The phrase "out of joint" means that something is not working properly or is not in the correct alignment. Some synonyms for this phrase include dislocated, misaligned, unaligned, dysfunctional, disordered and uneven. Out of whack, out of sync, off-kilter and off-balance are also some colloquial expressions that can be used to describe the same meaning. When something is out of joint, it can cause discomfort, pain, or frustration. It is important to diagnose and address the underlying issue to get things functioning correctly again. Whether referring to a physical injury or a problematic situation or relationship, using these synonyms can help in effectively communicating the issue at hand.