
Canes: How to Choose and Use
What are the types of canes?
A cane helps you walk when you have a problem with your leg or foot or with your balance.
Canes are usually made out of wood or metal. They come in different styles. Choose a cane that best suits your condition and the amount of support you need.
- Crook cane: This is the most common type of cane. It might also be called a single-point cane because it has only a single tip in contact with the ground. It is the least expensive and is often used for temporary problems, like fractures or sprains. Many people prefer this type of cane because you can use its crook to hang it over your arm when you don’t need the cane for support.
- Center balance cane: This cane is best if you need firm support and help getting up and down from a chair. It has a bigger, flatter handle that provides a comfortable and secure grip. Straps allow you to carry it or hang it when you are not using it. This cane also has only 1 tip in contact with the ground. It is a popular cane for people who have had a stroke or who have arthritis, hip problems, back problems, multiple sclerosis, or Parkinson’s disease.
- Quad Cane: The quad cane has 4 tips in touch with the ground. This cane helps if you need a lot of support. It may be the best choice for you if you are changing from a walker to using a cane.
Most health insurance plans cover the cost of a cane if you have a written prescription from your healthcare provider.
If you need to use a cane, ask your healthcare provider if you can get a disabled parking permit so you can park in handicap zones.
How should a cane fit?
When you are standing up straight, with your elbow bent a little (about 30 degrees), the top of the cane should meet your wrist joint.
How do I use a cane?
- Walking:
- Hold the cane in the hand opposite the side that is injured or weak. For example, hold the cane in your right hand if your left leg is injured. Keep your elbow close to your body and your hand near your hip.
- When you step forward with your weaker leg, swing the cane the same distance in front of you. The tip of the cane should be even with your forward foot. Practice until the cane and your injured leg touch the ground at the same time. Take some of the pressure off your weaker leg by leaning on the cane when you step forward.
- Going up and down stairs:
- When you go up stairs, step up first with the uninjured leg (“up with the good”). Then bring the injured leg and cane up to the same step.
- When you go down stairs, step down first with the cane and the injured leg (“down with the bad”).
- Getting up from a chair:
- Hold your cane in the hand opposite your injured leg.
- Slide the foot of your injured leg forward a little and use the hand on the weak or injured side to push out of the chair.
- Stand with your weight on the uninjured leg. Use the cane to support your weight over the injured leg.
What will help me use the cane safely?
- Wear sturdy, low-heeled shoes with nonskid soles to help prevent falls.
- Avoid wet floors and sidewalks that are slippery.
- Remove throw rugs from your path and watch for cords and wires that may cause falls.
- Keep your free hand on the railing when you go up or down stairs.
- Avoid revolving doors and escalators where a cane can get stuck.
- Slow down and take extra time to stay safe.
- Check the rubber tip at the end of your cane from time to time to make sure it has not worn out. Replace the tip if it is worn.
Canes: How to Choose and Use: References
Minor SD and Minor MA. Patient Care Skills, 7th ed. Prentice Hall, 2013.
Frontera: Essentials of Physical Medicine and Rehabilitation, 2nd ed.