H1 How to Find the Right Crutches: A Comprehensive Guide to Mobility and Recovery
Losing your mobility, even temporarily, can be incredibly frustrating. Whether due to a sports injury, surgery, or an accident, needing crutches introduces a new set of challenges to your daily routine. But fear not! This comprehensive guide will walk you through everything you need to know about finding the right crutches, ensuring a smoother, safer, and more comfortable recovery journey. We’ll cover different types of crutches, how to choose the right one for your needs, where to find them (both online and offline), how to properly fit and use them, and even offer tips for making your crutch experience more manageable.
Understanding Your Needs: The First Step
Before diving into the world of crutches, it’s crucial to understand your specific needs and limitations. Consider the following factors:
* Type of Injury: What part of your body is injured? Is it a lower leg fracture, ankle sprain, knee injury, or something else? The type of injury will significantly impact the type of crutches that are suitable.
* Weight-Bearing Restrictions: Your doctor or physical therapist will provide you with weight-bearing instructions. These instructions dictate how much weight you’re allowed to put on the injured leg. Common terms include:
* Non-Weight Bearing (NWB): You cannot put any weight on the injured leg.
* Touch-Down Weight Bearing (TDWB): You can only touch your toes to the ground for balance, but not put any weight on the leg.
* Partial Weight Bearing (PWB): You can put a limited amount of weight on the leg (e.g., 25%, 50%, or 75% of your body weight).
* Weight Bearing As Tolerated (WBAT): You can put as much weight on the leg as you can comfortably handle.
* Full Weight Bearing (FWB): You can put your full weight on the injured leg.
* Duration of Use: How long will you need to use crutches? A short-term injury might only require a few weeks of crutch use, while a more severe injury could necessitate months.
* Physical Condition: Your overall fitness level, strength, and balance are important factors. If you have weak upper body strength, using standard underarm crutches might be challenging.
* Lifestyle: Consider your daily activities and environment. Do you need to navigate stairs, walk long distances, or use public transportation? These factors will influence the type and features of crutches that are best suited for you.
* Personal Preferences: Some people find certain types of crutches more comfortable or easier to use than others. Try to get a chance to try out different types if possible.
Types of Crutches: A Detailed Overview
Once you understand your needs, you can explore the different types of crutches available. Here’s a breakdown of the most common types:
* Underarm Crutches (Axillary Crutches):
These are the most traditional and commonly used type of crutches. They consist of two long crutches that fit under your armpits and extend down to the floor. You grip padded handholds to support your weight and propel yourself forward.
* Pros:
Relatively inexpensive and readily available.
Provide good stability and support.
Suitable for a wide range of injuries.
* Cons:
Can cause nerve damage in the armpit area if not properly fitted and used.
Require significant upper body strength.
Can be cumbersome to maneuver in tight spaces.
Not ideal for long-term use due to potential discomfort.
* Ideal For: Short to medium-term use for injuries that require non-weight-bearing or partial weight-bearing.
* Forearm Crutches (Lofstrand Crutches or Elbow Crutches):
Forearm crutches, also known as Lofstrand crutches or elbow crutches, feature a cuff that wraps around your forearm and a handgrip. The cuff provides additional support and stability.
* Pros:
More comfortable than underarm crutches, especially for long-term use.
Reduce pressure on the armpits, minimizing the risk of nerve damage.
Allow for greater freedom of movement.
Improve balance and coordination.
* Cons:
More expensive than underarm crutches.
Require good upper body strength and coordination.
May not be suitable for individuals with significant balance problems.
* Ideal For: Long-term use, individuals with conditions like cerebral palsy or multiple sclerosis, and those who need more freedom of movement.
* Platform Crutches (Trough Crutches):
Platform crutches are designed for individuals who have difficulty gripping or putting weight on their wrists or hands. They feature a horizontal platform where the forearm rests, secured with straps. The hand holds the person to the crutch.
* Pros:
Ideal for individuals with arthritis, carpal tunnel syndrome, or other hand and wrist conditions.
Distribute weight more evenly across the forearm.
Reduce strain on the wrists and hands.
* Cons:
Bulky and less maneuverable than other types of crutches.
Can be more expensive.
* Ideal For: Individuals with hand or wrist injuries or conditions that make it difficult to use traditional crutches.
* Knee Scooters (Knee Walkers):
While not technically crutches, knee scooters provide an alternative mobility solution for individuals with lower leg injuries. You rest your injured knee on a padded platform and propel yourself forward with your good leg.
* Pros:
More comfortable than crutches, especially for long-term use.
Allow for greater mobility and independence.
Reduce strain on the upper body.
* Cons:
Can be expensive.
Not suitable for all types of injuries or terrains.
Require good balance and coordination.
Can be difficult to maneuver in tight spaces.
* Ideal For: Individuals with foot or ankle injuries who need to be non-weight-bearing and want a more comfortable and convenient mobility solution.
Where to Find Crutches: A Shopping Guide
Once you’ve determined the type of crutches you need, it’s time to find them. Here are some common places to purchase or rent crutches:
* Medical Supply Stores:
Medical supply stores are the most obvious place to start your search. They typically carry a wide variety of crutches, including underarm, forearm, and platform crutches. They also offer other medical equipment and supplies that you might need during your recovery.
* Pros:
Knowledgeable staff who can help you choose the right crutches and ensure a proper fit.
Wide selection of crutches and accessories.
Ability to try out different types of crutches before purchasing.
* Cons:
Can be more expensive than other options.
May not be conveniently located.
* Pharmacies:
Many pharmacies, especially larger chain pharmacies, carry basic underarm crutches. While their selection may be limited, pharmacies can be a convenient option for immediate needs.
* Pros:
Conveniently located.
Often offer competitive prices.
* Cons:
Limited selection of crutches.
May not have knowledgeable staff to assist with fitting and selection.
* Online Retailers:
Online retailers like Amazon, Walmart, and medical supply websites offer a vast selection of crutches at competitive prices. This is a great option for comparing prices and reading reviews.
* Pros:
Wide selection of crutches.
Competitive prices.
Convenient shopping from home.
Ability to read customer reviews.
* Cons:
Cannot try out the crutches before purchasing.
Need to be careful about sizing and fitting.
Shipping costs and delivery times.
* Hospital or Clinic:
If you sustained your injury at a hospital or clinic, they may provide you with crutches upon discharge. This is often the most convenient option, as the crutches will be properly fitted by a healthcare professional.
* Pros:
Convenient.
Crutches are properly fitted by a healthcare professional.
May be covered by insurance.
* Cons:
May not have a wide selection of crutches.
* Rental Programs:
If you only need crutches for a short period, consider renting them. Many medical supply stores and some hospitals offer crutch rental programs. This can be a more cost-effective option than purchasing them.
* Pros:
Cost-effective for short-term use.
Avoids the need to store crutches after recovery.
* Cons:
Limited selection of crutches available for rent.
May not be available in all areas.
* Thrift Stores and Charity Shops:
You can sometimes find used crutches at thrift stores or charity shops. This is the most economical option, but be sure to carefully inspect the crutches for any damage or wear and tear before purchasing them. Ensure that they are still in good working order and safe to use.
* Pros:
Very inexpensive.
Environmentally friendly (reusing existing equipment).
* Cons:
Availability is unpredictable.
May not be in good condition.
Difficult to ensure a proper fit.
Proper Fitting and Adjustment: Ensuring Comfort and Safety
Once you have your crutches, it’s crucial to ensure they are properly fitted and adjusted to your height and body type. Improperly fitted crutches can lead to discomfort, pain, and even further injury. Here’s how to fit and adjust underarm and forearm crutches:
* Underarm Crutches:
1. Stand up straight with your shoes on.
2. Place the crutch tips about 4-6 inches to the side and slightly in front of your feet.
3. The top of the crutch should be 1-2 inches (2-3 finger widths) below your armpit when standing straight. This prevents pressure on the nerves in your armpit.
4. Adjust the handgrips so that your wrists are slightly bent (about 20-30 degrees) when you hold them. Your elbows should be slightly bent as well.
5. If the crutches are too long, you’ll feel pressure in your armpits and your shoulders will be hunched. If they’re too short, you’ll have to lean forward, which can cause back pain.
* Forearm Crutches:
1. Stand up straight with your shoes on.
2. Place the crutch tips about 4-6 inches to the side and slightly in front of your feet.
3. Adjust the height of the crutches so that the handgrips are at the level of your wrists when your arms are hanging relaxed at your sides.
4. The forearm cuffs should be positioned about 1-1.5 inches below your elbow. This allows for comfortable movement and prevents the cuff from rubbing against your elbow.
5. Ensure the cuffs are snug but not too tight. You should be able to easily slip a finger between the cuff and your arm.
* General Tips for Fitting:
* Have someone help you with the fitting, especially if you have difficulty standing or balancing.
* Wear the shoes you’ll typically be wearing when using the crutches.
* Make small adjustments at a time until you find the most comfortable and supportive fit.
* Consult with a physical therapist or healthcare professional to ensure proper fitting and technique.
Using Crutches Correctly: Mastering the Technique
Proper crutch technique is essential for safe and effective mobility. Here’s how to use underarm and forearm crutches correctly:
* General Crutch Walking Technique:
1. Stand tall and maintain good posture.
2. Look ahead, not down at your feet.
3. Grip the handgrips firmly but not too tightly.
4. Keep your elbows slightly bent.
5. Move the crutches forward together, keeping them about 12 inches in front of you.
6. Lean forward slightly and transfer your weight to your hands on the handgrips.
7. Swing your body forward, allowing your good leg to step forward.
8. Repeat the process.
* Specific Techniques Based on Weight-Bearing Status:
* Non-Weight Bearing (NWB): Do not put any weight on your injured leg. Swing your body forward, lifting your injured leg off the ground.
* Touch-Down Weight Bearing (TDWB): Touch your toes to the ground for balance only, but do not put any weight on the leg. Swing your body forward, lightly touching your toes to the ground.
* Partial Weight Bearing (PWB): Put only the amount of weight on your injured leg that your doctor or physical therapist has prescribed. Swing your body forward, putting the specified amount of weight on the injured leg.
* Weight Bearing As Tolerated (WBAT): Put as much weight on your injured leg as you can comfortably handle. Swing your body forward, gradually increasing the amount of weight you put on the injured leg as tolerated.
* Full Weight Bearing (FWB): Put your full weight on your injured leg. Walk normally, using the crutches for balance and support.
* Going Up and Down Stairs:
Stairs can be particularly challenging when using crutches. Here’s how to navigate them safely:
* Going Up:
1. Hold the handrail with one hand (if available).
2. Place both crutches on the step below.
3. Bring your good leg up to the step you’re standing on.
4. Bring the crutches up to the same step.
5. Repeat the process.
* Going Down:
1. Hold the handrail with one hand (if available).
2. Place both crutches on the step below.
3. Carefully lower your good leg down to the step below.
4. Bring the crutches down to the same step.
5. Repeat the process.
* If there is no handrail, use one crutch for support and the other for balance.
Tips for a More Comfortable Crutch Experience
Using crutches can be tiring and uncomfortable, especially at first. Here are some tips to make your crutch experience more manageable:
* Padding: Add padding to the handgrips and underarm supports (for underarm crutches) to reduce friction and pressure. You can use commercially available crutch pads or wrap the grips with soft cloth or foam.
* Gloves: Wear gloves to protect your hands from blisters and calluses.
* Posture: Maintain good posture to prevent back pain and fatigue.
* Breaks: Take frequent breaks to rest and stretch.
* Footwear: Wear supportive shoes with good traction to prevent falls.
* Clear Pathways: Keep your pathways clear of obstacles to reduce the risk of tripping.
* Backpack: Use a backpack to carry your belongings, rather than trying to carry them in your hands.
* Physical Therapy: Attend physical therapy sessions to learn proper crutch technique and strengthen your muscles.
* Assistive Devices: Consider using assistive devices like reachers or sock aids to help with daily tasks.
* Home Modifications: Make modifications to your home to make it more accessible, such as installing grab bars in the bathroom or removing tripping hazards.
* Stay Hydrated: Drink plenty of water to stay hydrated and prevent muscle cramps.
* Listen to Your Body: Pay attention to your body and rest when you need to. Don’t push yourself too hard.
Potential Problems and Solutions
Even with proper fitting and technique, you may encounter some problems while using crutches. Here are some common issues and their solutions:
* Armpit Pain: Ensure the top of the crutch is 1-2 inches below your armpit. Add padding to the underarm supports. Avoid leaning on the crutches with your armpits; use your hands to support your weight.
* Hand Pain: Adjust the handgrips so that your wrists are slightly bent. Wear gloves to protect your hands. Take frequent breaks.
* Shoulder Pain: Maintain good posture. Avoid hunching your shoulders. Strengthen your shoulder muscles with exercises prescribed by a physical therapist.
* Back Pain: Maintain good posture. Avoid leaning forward. Take frequent breaks. Strengthen your back muscles with exercises prescribed by a physical therapist.
* Blisters: Wear gloves. Use moleskin or blister pads to protect your hands and feet.
* Fatigue: Take frequent breaks. Pace yourself. Use assistive devices to reduce the amount of energy you expend.
When to Seek Professional Help
If you experience any of the following problems, seek professional help from a doctor or physical therapist:
* Severe pain that doesn’t improve with rest or medication.
* Numbness or tingling in your arms or hands.
* Weakness in your arms or legs.
* Difficulty balancing or walking with crutches.
* Skin breakdown or infection.
* Any other concerns about your health or well-being.
Conclusion: Regaining Your Independence
Finding the right crutches and learning how to use them properly is essential for a safe and comfortable recovery. By understanding your needs, exploring the different types of crutches, ensuring a proper fit, mastering the correct technique, and following the tips in this guide, you can regain your independence and navigate your recovery journey with confidence. Remember to consult with your doctor or physical therapist for personalized guidance and support. With patience, perseverance, and the right tools, you’ll be back on your feet in no time!