When to Opt for Walking Aids: A Guide on Choosing Between Crutches and Canes
Navigating the nuances of mobility devices can be a game-changer for older adults and those with disabilities facing balance and mobility challenges. A key decision lies between canes and walkers—and it all boils down to the support a person needs, their lifestyle, and, of course, the wallet.
As we age, certain ailments may crop up that make walking a chore. Per the Centers for Disease Control and Prevention (CDC), falls—particularly among the elderly—can lead to some nasty muscle and bone injuries. But never fear, for there's an arsenal of assistive devices at our disposal. While wheelchairs are intended for those with no or limited mobility, canes and walkers cater to those who have a bit more pep in their step.
In this piece, we'll dive deep into the heart of the battle between canes and walkers, clearing up any confusion about when and how to use each, and offering a few pointers to help you make the best choice.
But first, let's set the stage with a quick rundown of our key players:
Single-legged cane – suits people with mild balance concerns, minor weight-bearing issues, or those recovering from minor foot or leg ailments.
Three- to four-legged cane – offers a sturdier base and can bear more weight for those with pain on one side. Some multi-legged canes, a.k.a "sit-to-stand" canes, can double as a ramp for getting up or sitting down.
-helps with balance-adjustable
Standard walker – features four rubber-tipped legs and requires lifting with each step, providing the utmost stability for those affected by muscular or neurological issues or fractures.
-for minimal weight bearing only-some have a curved handle that some may find difficult to grasp and cause pain, especially for people with joint or muscle conditions
Two- to four-wheeled walker – offers more maneuverability and convenience, with features such as brakes, a seat, and baskets, although it may be less stable and harder to handle.
-mild balance issues-mild to moderate arthritis of the lower limbs
So, when does a cane reign victorious, and when does a walker take the throne? Let's find out.
$10-$40
Canes vs. Walkers: What's the Difference?
Canes are great for helping folks navigate minor balance or stability issues, those experiencing weakness in their legs or trunk, or those battling conditions like arthritis. Most canes come with a single, hook-shaped, or flat handle, made of wood or aluminum, and a rubber tip.
-offers greater help with balance than a standard cane-can bear more weight-adjustable
A person typically grips a cane with one hand. However, canes with three or four legs provide additional stability for users with pain on one side. Some multi-legged canes even offer an extra grip for extra help with getting up or sitting down.
-heavier-more cumbersome-may be harder to use on stairs
If you've undergone a total knee or hip replacement surgery or have more significant balance and mobility issues, a walker might be the way to go. This three- to four-legged device comes with features like wrists or arm supports, and depending on your needs, a host of accessories like wheels or brakes.
-one-sided muscle weakness (hemiparesis) or more significant issues with balance
Types of Canes and Walkers
$15-$40
Now that we've got a handle on when to use canes and walkers let's explore their various forms.
Standard canes
-stable-foldable
Typically made of wood or aluminum, these classic canes feature a rubber tip and a hook-shaped or flat handle, best suited for those needing minimal assistance.
-no wheels-needs lifting with each step
Multi-legged canes
-for conditions that affect the function of muscles or nerves or for fractures
Canes with three or four legs can stand independently, offering extra support for users on one side. Some multi-legged canes, known as "sit-to-stand" canes, can double as a ramp for getting up or sitting down.
$20-$60
Standard walkers
These four-legged walkers provide the greatest stability, though they require lifting with each step. They're perfect for those battling issues affecting the function of muscles or nerves or dealing with fractures.
-easier to move-may have a seat and basket for comfort
Two- to four-wheeled walkers (Rollators)
-less stable than standard-not foldable
These walkers have wheels on the front and backsliders, making them easier to maneuver. Although they're less stable than standard walkers, they offer increased comfort with features like brakes, seats, and baskets.
-issues affecting the spinal cord, conditions that slow down mobility like heart or lung diseases
Canes or Walkers: Which one is the right fit?
$35-$100
Using a cane effectively requires a solid foundation of strength to walk consistently while maintaining balance. While canes can assist with minor balance issues, success hinges on the user's ability to steady themselves if they start to slip and coordinate the cane with their arm movements.
Walkers, however, come into play when a user has a more significant balance impairment. Walkers' four legs enable the user to shift their weight away from their lower body while moving, making hefty tasks like grocery shopping and house cleaning less daunting. Plus, walkers offer users the chance to use their arms to support their body, which can help alleviate fatigue and boost users' endurance over time.
Whether you're team cane or team walker, the choice ultimately depends on your unique needs and abilities.
Where to procure your mobility aid
Several options are available when it comes to acquiring your new pal for tackling daily tasks. You can purchase your preferred mobility aid directly from a vendor, clinic, hospital, your insurance company, or a non-profit organization for seniors or people with disabilities.
Pricing
Prices for mobility aids vary, with canes costing anywhere from $10 to $40. Walkers might be slightly pricier, ranging from $20 to $100.
Durable Medical Equipment (DME) and Medicare
Did you know that Medicare regards walkers and canes as Durable Medical Equipment (DME)? If medically necessary and intended for use at home, you can rent or purchase these tools through Medicare Part B.
However, a doctor accepting Medicare must pen a prescription, and you must purchase the item from a Medicare-approved supplier.
Safety Tips
Regardless of whether you choose a cane or a walker, safety should always be top priority. Ensure the handle is at wrist level with relaxed arms, and keep your arms slightly bent while using your mobility aid, maintaining an upright posture.
Cane Safety
Whenever standing, securely hold the cane with the hand opposite the injured or painful side. While walking, position the cane ahead, step forward with the painful or injured leg, and follow with the other. Proceed with caution when tackling stairs: when ascending, use the stronger leg first while holding on to the handrail. Descending, place the cane down first, then the weaker leg, followed by the stronger one.
Walker Safety
When using a walker, position the walker one step ahead, move the injured or painful leg to the middle, and then bring the stronger leg to meet it, taking small, slow steps. Taking a seat might seem tempting, but it's best to use a chair for this endeavor: always back up to the chair, feel for the seat, and lower yourself slowly down. To stand, employ your mighty arm strength and grasp the walker's handgrips. Avoid using the walker to help stand up, as it may give way.
The Bottom Line
Age-related chronic conditions like osteoarthritis can make walking a challenge for many. However, by using assistive devices like canes and walkers, we can combat this issue and help maintain independence for older adults and those with disabilities.
Ultimately, the decision between using a cane or a walker depends on the user's specific mobility needs, their unique condition, and the lifestyle they wish to maintain. A healthcare professional can guide you through the process, ensuring you make the right choice for your wellbeing.
- For those with minor balance concerns, minimal weight-bearing issues, or recovering from minor foot or leg ailments, single-legged canes are suitable.
- Three- to four-legged canes cater to individuals with pain on one side, offering a sturdier base and doubling as a ramp for getting up or sitting down.
- Standard walkers, featuring four rubber-tipped legs and requiring lifting with each step, provide the utmost stability for those affected by muscular or neurological issues or fractures.
- Two- to four-wheeled walkers (Rollators) offer more maneuverability and convenience but may be less stable and harder to handle for those with mild balance issues and mild to moderate arthritis of the lower limbs.
- When battling issues affecting the function of muscles or nerves or dealing with fractures, users should consider a walker, particularly if they have more significant balance and mobility issues.
