Crutches and Sticks: Determining the Appropriate Time for Each Aid
Navigating life with a little assistance never hurts, especially for the elderly or those grappling with disabilities. The conundrum of choosing between a cane or a walker often arises due to balance and mobility issues, but let's break it down and help you make an informed decision.
As we age, certain chronic conditions can make life tricky, like those pesky falls that the Centers for Disease Control and Prevention (CDC) reports affect a whopping one in four older adults each year, and when you're older, those falls can lead to some pretty serious muscle and bone damage.
Luckily, we've got some nifty assistive devices to aid our mobility and maintain our independence. From zippy wheelchairs for those with limited movement, to supportive canes and sturdy walkers for those with a smidgen of mobility.
This article will explore the differences between canes and walkers, when and how to use each, and how to choose the right one for your needs.
Here's a quick comparison of walkers and canes:
| Device | Pros | Cons | Conditions | Cost || --- | --- | --- | --- | --- || Cane | -Helps with balance-Adjustable height | -Limited weight support-Difficult for prolonged use | -Minor balance issues-Mild arthritis-Recovery from illness or injury | $10-$40 || Quad Cane | -More stability than standard cane-Bigger base-Adjustable height | -Bulkier and heavier | -More significant balance issues or weakness | $15-$40 || Walker | -Stable-Foldable-May have a seat and basket for comfort | -No wheels-Needs lifting with each step | -Heavy or prolonged use-Post surgery-Neurological conditions impacting balance | $20-$60 (Some rollator walkers up to $100) |
-helps with balance-adjustable
Which medical conditions necessitate a cane or a walker?
-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
Cane or walker, both are lifesavers when it comes to maintaining balance and stability during mobility. Canes can help those with minor balance issues, weakness in their legs, or even pain from chronic conditions like arthritis.
-mild balance issues-mild to moderate arthritis of the lower limbs
A cane typically supports a person with one hand. The single-legged cane is good for mild balance support, while canes with three or four legs offer greater stability, especially for those experiencing pain on one side. Multi-legged canes, also known as "sit-to-stand" canes, are an excellent choice for those who may struggle to get up or sit down.
$10-$40
On the other hand, someone who has undergone total knee or hip replacement surgery or grapples with more significant balance and mobility issues might find a walker a better option. This four-legged device requires the use of both hands for greater support and can be fitted with various accessories like wrist and arm supports or wheels.
What types of canes and walkers are available?
-offers greater help with balance than a standard cane-can bear more weight-adjustable
Standard canes are typically made of wood or aluminum, often coming with a rubber tip and a hook-shaped or flat handle. They are best for those who need minimal assistance but fancy a touch of style.
-heavier-more cumbersome-may be harder to use on stairs
For those needing greater support, quad canes or three-legged canes are a great choice. And for a bit more assistance, consider a "sit-to-stand" cane.
-one-sided muscle weakness (hemiparesis) or more significant issues with balance
Now, let's talk walkers. There are three types to cater to your needs:
$15-$40
- The standard walker, with four rubber-tipped legs offering increased stability but requiring lift with each step
- The two-wheeled walker, easier to maneuver but less stable and calling for more cognitive effort
- The four-wheeled walker (aka rollator), allowing a more natural gait and featuring extra comfort perks like brakes, a seat, and a basket
Choose your mobility aid based on your specific needs and abilities.
-stable-foldable
Is it better to use a walker or a cane?
-no wheels-needs lifting with each step
Effective cane usage requires sufficient strength, coordination, and a secure grip to maintain balance. A cane can assist with minor balance problems but requires a person to have the upper body strength to steady themselves if they start to slip.
-for conditions that affect the function of muscles or nerves or for fractures
Walkers, however, offer greater support when a person is dealing with more significant balance impairments. Walkers enable users to shift some or all of their body weight as they move, making them a better choice for greater stability.
$20-$60
When choosing between a cane and a walker, remember that a walker is more suitable when balance is a significant issue, and a cane is best when dealing with minor issues.
When should you switch from a walker to a cane?
-easier to move-may have a seat and basket for comfort
Switching mobility aids is a personal choice based on changes in balance, strength, and mobility. If your balance improves, you may find a cane more suitable for your mobility needs. Conversely, if your balance worsens, crossing over to a walker might be a better option.
-less stable than standard-not foldable
Here are a few questions to consider:
-issues affecting the spinal cord, conditions that slow down mobility like heart or lung diseases
- Has your balance or mobility improved or worsened?
- Has your strength improved or worsened?
- What does your doctor recommend?
- Is your daily routine more suitable for a cane or a walker?
$35-$100
Where can I get a cane or a walker?
You can purchase a mobility aid directly from a supplier or get one from a clinic, hospital, or a non-profit organization. Look out for insurance coverage or discounts for older adults or those with disabilities.
How much do canes and walkers cost?
Remember that Medicare covers canes and walkers as Durable Medical Equipment (DME) if they are medically necessary and required for home use. You can rent or buy a cane or walker through Medicare Part B, but your doctor must provide a prescription, and you must purchase from a Medicare-approved supplier.
How do I use a cane or a walker safely?
Ensure your hands rest at wrist level, arms relaxed, and maintain an upright posture while using a cane or a walker.
- For a cane: Hold it with your strongest hand and place it ahead while walking, using your walking hand to take each step.
- For a walker: Place it one step ahead, move your more affected leg to the middle, and bring your stronger leg to meet it, taking small, slow steps.
Stay safe, and happy navigating!
- For those grappling with mild balance issues, arthritis, or other senior health concerns, canes can help maintain independence and provide necessary support.
- Quad canes and three-legged canes offer greater stability than standard canes, catering to those with more significant balance issues or weakness on one side.
- Walkers are a suitable choice for individuals who have undergone surgery, have neurological conditions affecting balance, or require greater support in maintaining stability during mobility.
- The choice between canes and walkers should be based on specific needs and abilities, considering factors such as balance, strength, and mobility.
- It's crucial to consult with a healthcare professional when making a decision between canes and walkers to ensure the right choice is made for health and wellness, fitness, and exercise, and for proper usage of therapies and treatments, such as nutrition, that can complement mobility aids.
