Tips for choosing and using canes
A cane can improve balance or help with mobility after an injury or disability. There are many options to choose from. Learn more about your choices and how to choose a rod that’s right for you. Also talk to your doctor, physical therapist, or another member of your healthcare team for suggestions. And before you start using a cane, make sure you know how to move around with it safely.
Use a cane
Most people do well with a single-ended cane. A quadruple cane, with four tips, provides a wider base of support. But this type of cane can be heavier and more cumbersome to use. Quad canes can help reduce the risk of falls in people recovering from a stroke.
Choose a socket
Choose a handle that suits you. Foam grips or handles designed to fit the user’s hand are popular choices. If you have trouble gripping with your fingers, a wider grip might be a better option.
Choosing a good cane grip reduces stress on joints and can help prevent further joint problems. Numbness or pain in your hand or fingers may be a sign that a cane handle does not fit your hand. Ask your physical therapist or another member of your healthcare team to help you choose the best grip for you.
Checking the fit
Many canes can be adjusted, but some are not. To make sure your cane fits you well:
- Check your elbow. With the cane in hand, your elbow should bend at a comfortable angle, about 15 to 20 degrees. You may bend your elbow slightly if you use the cane primarily for balance.
- Check your wrist height. With your arm hanging at your side, the top of your cane should be aligned with the crease of your wrist.
If your cane is too long, you will have to work harder to pick it up and move it. If your cane is too short, you might lean to one side. This can disrupt your balance.
Walking with a cane
Hold your cane in the hand opposite your weak or injured leg. Move the cane with this leg, so every time you walk, you also move the cane. This supports you while you walk. When you step forward with the other leg, do not move the cane.
Use a cane on the steps
As you climb the steps, use your free hand to hold on to the railing if there is one. Step up with your stronger leg first. Then step up with your other leg while moving the cane at the same time. To go down the steps, hold on to the handrail. Move the cane at the same time as you move your weaker leg toward walking. Then go down with your other leg.
Tip Verification
The rubber tip on the end of a cane grips the ground much like the tread of car tires grips the road. The tip of a cane can help provide traction on most surfaces. Check the tip from time to time. If the tread appears worn or the tip has become stiff, replace it. Replacement cane tips are usually available at pharmacies and medical supply stores.
May 26, 2023
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