Buying guide

Choosing the right crutches

Compare types, materials, and costs to find the best fit for your budget and recovery.

In this buying guide I walk you through how to choose crutches for your body, your injury, and your budget, including types, materials, and what insurance usually covers.

Evidence-based, updated November 2025

Researched from clinical guidelines, professional organizations, and comparative studies.

Three silhouettes comparing underarm, forearm, and hands-free crutches
Underarm vs. forearm vs. hands-free crutches at a glance.

Smart shopping: Use the Cost Comparison Calculator to find the best value based on insurance and duration.

Complete crutch comparison

Comparison of common crutch types by cost, capacity, and difficulty.
Type Best for Price range Weight capacity Learning curve Pros Cons
Axillary (underarm) Short-term (6–8 weeks), beginners $20–$50 250–300 lbs Easy Affordable, widely available, easy to learn Underarm discomfort, nerve risk, bulky
Forearm (Lofstrand) Long-term, active users $50–$150 250–350 lbs Moderate Maneuverable, less tiring, brief hands-free moments Needs strength, higher learning curve
Platform Arthritis, weak grip, hand injuries $100–$300 250–400 lbs Easy–Moderate No hand/wrist strain, comfortable Bulky, pricey, less common
Hands-free (iWALK/knee) Below-knee injuries, active users $150–$400 275–400 lbs Moderate–Hard Hands free, upright posture, less fatigue Balance required, not for all terrain, expensive

Sizing and fit basics

Sizing diagram showing underarm clearance, handgrip at wrist crease, and a 15–30 degree elbow bend
Leave 1–2 inches under the arm, set the handgrip at wrist crease, and keep a slight elbow bend.

Measurements

  • Stand tall in shoes; shoulders relaxed.
  • Top: 1–2 inches below the armpit (no contact).
  • Handgrip: level with your wrist crease when arms hang at sides.

Fit checks

  • Elbows bend ~15–30° when holding grips.
  • Tips sit 2–3 inches ahead and 4–6 inches to the side.
  • Both grips at equal height; pads and tips snug.

Safety

  • Replace worn tips; tighten hardware weekly.
  • Avoid underarm pressure-hands take the weight.
  • Use indoors first, then uneven ground once confident.

Material comparisons

Aluminum

Most popular choice

  • Weight: 1–2 lbs each
  • Durability: good, won’t rust
  • Cost: $20–$80
  • Best for: most users

Recommended

Best balance of weight, cost, and durability.

Steel

Heavy-duty

  • Weight: 3–4 lbs each
  • Durability: excellent
  • Cost: $30–$70
  • Best for: heavier users (300+ lbs)

Carbon fiber

Premium

  • Weight: 0.5–1 lb each
  • Durability: excellent
  • Cost: $150–$400
  • Best for: long-term use, athletes

Wood

Traditional

  • Weight: 2–3 lbs
  • Durability: moderate
  • Cost: $40–$120
  • Best for: style-minded permanent users

Weight capacity guide

Consider your weight, what you carry, and add a 50+ lb safety margin.

Typical weight capacity ranges by crutch material.
Standard aluminum 250–300 lbs
Heavy-duty aluminum 350–400 lbs
Bariatric steel 500–700 lbs
Carbon fiber 250–350 lbs

Use the tool: Try the Weight Capacity Checker for personalized recs.

Budget guide

Budget: $20–$50

  • Basic aluminum axillary crutches
  • Standard tips, minimal padding
  • Adjustable height

Best for: under 8 weeks

Mid-range: $50–$150

  • Forearm crutches
  • Better padding, ergonomic grips
  • More durable materials

Best for: 2–6 months

Premium: $150–$400

  • Carbon fiber or hands-free devices
  • Custom ergonomics
  • Long-term durability

Best for: long-term/permanent use

Money-saving tip: Rent for recoveries under 8 weeks (often $20–$40/month). Break-even is around 2–3 months.

Insurance coverage

Medicare (2025)

  • Prescription required; medically necessary at home.
  • Supplier must be Medicare-approved.
  • 20% coinsurance after deductible.

Example: $100 crutches = ~$20 out-of-pocket after deductible.

Private insurance

  • Copays commonly $10–$40.
  • May need pre-authorization and in-network DME suppliers.

Call first: Verify coverage and pre-auth before you buy.

HSA/FSA eligible

Crutches and accessories qualify-use pre-tax dollars to save.

Insurance details and amounts vary by plan and year-always confirm with your insurer before you buy.

Financial assistance programs

National organizations

  • Salvation Army: medical equipment assistance.
  • Lions Clubs: loan programs.
  • Modest Needs: emergency grants.
  • Freecycle Network: community exchange.

State programs

Check Medicaid, vocational rehab, independent living centers, and community health centers.

Find help: Use the directory

Where to buy

Retail pharmacies

CVS, Walgreens, Rite Aid

  • Immediate availability
  • Basic selection, may process insurance

Price: $30–$80

Medical supply stores

Local DME suppliers

  • Expert fitting, rentals, insurance billing

Price: $25–$200

Find suppliers →

Online retailers

Amazon, Vitality Medical, Allegro Medical

  • Best prices and selection; reviews help
  • No fitting help; shipping wait

Price: $20–$500

Frequently asked questions

What's the difference between standard and bariatric crutches?

Standard: 250–300 lbs. Bariatric: up to 500 lbs, wider grips/pads, stronger build; typically $80–$150.

Are carbon fiber crutches worth it?

They’re ~40% lighter than aluminum and great for long-term or active users. For short-term use, aluminum is fine.

Buy online or in-store?

Online: price and selection; no fitting. In-store: fitting help, insurance billing, immediate pickup.

What accessories should I buy?

Essentials: gel grips, armpit pads, replacement tips. Helpful: crutch bag, ice grips, reflective tape. Budget $30–$120.

Your next steps

This guide is educational and does not replace advice from your doctor or physical therapist about what type of mobility aid is safest for you.

Path to decide: check your budget and coverage, choose a type and material, learn fit and safe usage, then use the tools and downloads.