Do You Need a Cane?

Don’t be embarrassed if so—it will help you get moving!

Who says a cane isn’t stylish?

Kitty King, 59, of Allentown only needs her cane occasionally to relieve symptoms of multiple sclerosis. As for Mr. Peanut, he’s never without it!

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• J handle—the most common, and handy for hooking over your arm
• T handle— often more comfortable for arthritic hands
• Derby handle—another good choice for arthritis sufferers
• Offset handle—the most stable, since weight is directly over the base

The walking stick, once a dapper accessory, has fallen on hard times. “Canes used to be a sign of character,” says family medicine physician Sam Bub, M.D., of Lehigh Valley Hospital and Health Network. “But many people are now embarrassed to use them.”

Older people and those with arthritis, leg or foot injuries, balance problems, strokes and degenerative diseases like multiple sclerosis can benefit greatly from the balance and support of a cane or walker. Sadly, fear of losing independence or appearing disabled prevents many from using them. “They prefer holding onto furniture or their spouse to get around,” says Giselle Monosa-Hefele, a physical therapist at the hospital. “But these are actually signs that you need a walking aid.”

A trial period is enough to convince most people they’re more independent with a cane or walker—and safer. “I can’t stress how important it is to use one if needed,” Bub says. “A fall or broken bone can really impact your quality of life. Walking aids also alert others to be patient and careful around you, and they help you not to get stuck at home.”

Determining which type is best for you depends on whether you have a balance or weight-bearing problem and how severe it is. Talk to your doctor or physical therapist, who can refer you to a medical supply store for fitting and instructions. Most walking aids are covered by Medicare and other insurers if prescribed by a doctor.

Canes can support about 25 percent of your weight, walkers about 50 percent. Here are some of the products you can choose from:

Single point canes are the least restrictive and work best for people with minor injuries or balance problems who can support most of their own weight. Many styles are available, including collapsible models; the most important feature is a handle that fits comfortably.

Quad canes have four “feet” (either narrow-base or wide-base) and offer greater stability to those with more serious balance issues but no major weight-bearing problems.

Standard walkers are lightweight frame devices with handles and four rubber-tipped feet. They’re ideal if you can’t support any or only minimal weight.

Roller walkers are similar to standard walkers, but have wheels in place of some or all of the feet. They’re best for those who can bear weight but need more help with balance than a cane provides.

What about crutches? They can help with weight-bearing and offer more independence than walkers, Monosa-Hefele says, but you need good balance and coordination.

Want to Know More about fitting yourself for a cane or walker and how to use one safely? Click above.

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