Getting Started with Crutches

1. Axillary Crutches (Underarm Crutches)

Most Common Type - These are the traditional crutches that fit under your armpits.

• Best for: Short-term use (6-8 weeks), temporary injuries, post-surgery recovery
• Pros: Easy to learn, widely available, affordable ($20-$50)
• Cons: Can cause underarm discomfort, risk of nerve damage if used incorrectly
• Weight capacity: Typically 250-300 lbs

2. Forearm Crutches (Lofstrand/Canadian Crutches)

Professional Choice - These crutches have a cuff that goes around your forearm with a handgrip below.

• Best for: Long-term use, permanent mobility needs, active lifestyles
• Pros: More maneuverable, better for stairs, allows hand freedom, less tiring
• Cons: Steeper learning curve, requires more upper body strength ($50-$150)
• Weight capacity: 250-350 lbs depending on model

3. Platform Crutches

Specialized Support - Your forearm rests on a platform with a vertical handgrip.

• Best for: Weak grip, arthritis, hand/wrist injuries, neurological conditions
• Pros: No weight on hands/wrists, comfortable for extended use
• Cons: Bulkier, more expensive ($100-$300), less common
• Weight capacity: 250-400 lbs

4. Hands-Free Crutches (Knee Scooters/iWALK)

Modern Alternative - Strap your leg in and walk using your good leg.

• Best for: Below-knee injuries, active individuals, those unable to use hands
• Pros: Hands completely free, less tiring, maintains upright posture
• Cons: Not suitable for all terrains, requires good balance ($150-$400)
• Weight capacity: 275-400 lbs

Axillary Crutch Sizing

Method 1: Standing Measurement (Most Accurate)

1. Stand upright in comfortable shoes
2. Position crutches 6 inches forward and 6 inches to the side of your toes
3. Top pad should be 1-2 inches (2-3 finger widths) below your armpit
4. Handgrip should align with your wrist crease when arms hang naturally
5. Elbows should bend at 15-30 degrees when gripping handles

Method 2: Lying Down Measurement

1. Lie flat on your back
2. Measure from 6 inches out from your heel to your armpit
3. This measurement = crutch length from bottom to top pad

Method 3: Height Estimation (Less Accurate)

• 5'0" - 5'3": Child/short adult crutches (48-50")
• 5'4" - 5'7": Medium adult crutches (52-54")
• 5'8" - 6'2": Tall adult crutches (56-58")
• 6'3"+: Extra tall crutches (60-62")

Forearm Crutch Sizing

1. Handgrip height = same as wrist crease when standing with arms down
2. Forearm cuff should be 1-1.5 inches below elbow (about 2-3 finger widths)
3. Cuff should fit snugly but not restrict circulation
4. Elbow should bend at 15-30 degrees when gripping handle

Adjusting Axillary Crutches

1. Adjust overall length:
   • Press the spring-loaded buttons on the sides
   • Slide inner tube up or down
   • Release when holes align with proper height
   • Ensure buttons click fully into place
2. Adjust handgrip height:
   • Loosen wing nut or press button on handgrip
   • Move grip up or down
   • Tighten securely - test before use
3. Test the fit:
   • Stand with crutches - check 2 finger gap below armpit
   • Grip handles - elbows should bend slightly (15-30°)
   • Walk a few steps - adjust if discomfort occurs

Adjusting Forearm Crutches

1. Adjust the shaft length by loosening clamps/buttons
2. Set handgrip at wrist level when standing
3. Adjust forearm cuff 1-1.5 inches below elbow
4. Tighten all adjustment points securely
5. Test walk and readjust as needed

1. Resting Weight on Armpits

The Problem: This is the #1 mistake beginners make. It can cause "crutch palsy" - nerve damage in the armpit area leading to numbness, tingling, or even temporary paralysis in the arm.

The Fix: Keep 2-3 finger widths of space between armpit and pad. Your hands should bear your weight, not your armpits.

2. Incorrect Sizing

The Problem: Too tall = shoulder/neck strain; too short = hunched posture and back pain.

The Fix: Follow the sizing guide above or use our calculator. Re-check fit after first use.

3. Looking Down While Walking

The Problem: Looking at your feet throws off balance and posture, increasing fall risk.

The Fix: Keep your head up, eyes forward. Trust your crutch placement.

4. Worn Rubber Tips

The Problem: Slippery tips are a major fall hazard, especially on smooth or wet surfaces.

The Fix: Inspect tips weekly. Replace when tread wears smooth or rubber cracks. Tips cost $5-$15/pair.

5. Going Too Fast Too Soon

The Problem: Rushing before you're comfortable leads to falls and re-injury.

The Fix: Practice at home first. Master the basics before tackling stairs, uneven terrain, or long distances.

Use Crutches When:

• You can bear partial or no weight on one leg
• Recovery time is expected to be 6-12 weeks
• You have good upper body strength and balance
• You need to navigate stairs regularly
• Your injury is below the knee

Consider a Walker or Wheelchair When:

• You have balance problems or are at high fall risk
• You lack upper body strength
• You have injuries to both legs
• Recovery period is very long (3+ months)
• You're elderly or have other medical conditions

Consider a Cane When:

• You can bear most weight on your injured leg
• You only need light support for balance
• You're transitioning away from crutches
• Your mobility is mostly restored