Motivated by the remarkably narrow range of measured spin frequencies of similar to 20 accreting (and weakly magnetic) neutron stars in the Galaxy, Bildsten conjectured that their spin-up had been halted by the emission of gravitational waves. Lf so, then the brightest persistent X-ray source on the sky, Scorpius X-1, should be detected by gravitational wave interferometers within 10 years. Bildsten pointed out that small non-axisymmetric temperature variations in the accreted crust will lead to 'wavy' electron capture layers, and the resulting horizontal density variations near e(-) capture layers create a mass quadrupole moment. Neglecting the elastic response of the crust, Bildsten estimated that even e(-) capture layers in the thin outer crust can develop the quadrupole necessary to balance accretion torque with gravitational waves, Q(22) similar to 10(37)-10(38) g cm(-2) for accretion rates (M)over dot similar to 10(-10)-2 x 10(-8) M-circle dot yr(-1). We present a full calculation of the crust's elastic adjustment to the density perturbations induced by the temperature-sensitive e(-) capture reactions. We find that, due to the tendency of the denser material to sink rather than spread sideways, neglecting the elastic response of the crust overestimates, by a factor of 20-50, the Q(22) that results from a wavy capture layer in the thin outer crust. However, we find that this basic picture, when applied to capture layers in the deep inner crust, can still generate Q(22) in the necessary range, as long as there are less than or similar to5 per cent lateral temperature variations at densities in excess of 10(12 g) cm(-3), and as long as the crustal breaking strain is high enough. By calculating the thermal flow throughout the core and the crust, we find that temperature gradients this large are easily maintained by asymmetric heat sources or lateral composition gradients in the crust. If the composition or heating asymmetries are independent of the accretion rate, then for (M)over dot less than or similar to 5 x 10(-9) M-circle dot yr(-1) the induced quadrupole moments have approximately the same scaling, proportional to (M)over dot(1/2), as that necessary to balance the accretion torque at the same spin frequency for all hi. Temperature gradients in the deep crust lead to a modulation in the thermal emission from the surface of the star that is correlated with Q(22) In addition, a similar to0.5 per cent lateral variation in the nuclear charge-to-mass ratio in the crust will also result in a Q(22) sufficient to halt spin-up from accretion even in the absence of a lateral temperature gradient. We also derive a general relation between the stresses and strains in the crust and the maximum quadrupole moment they can generate. We show, under quite general conditions, that maintaining a Q(22) of the magnitude necessary to balance the accretion torque requires a dimensionless strain sigma similar to 10(-2) at near-Eddington accretion rates, of order the breaking strain of conventional materials. This leads us to speculate that accreting neutron stars reach the same equilibrium spin because they all are driven to the maximum Q(22) that the crust can sustain.
