ADA (Americans with Disabilities Act)

Federal law protecting people with disabilities from discrimination. Temporary crutch users have rights to workplace accommodations, accessible parking, and building access.

Ambulation

Medical term for walking or moving from place to place. Your doctor may order "ambulation training" to learn proper crutch technique.

Axillary Crutch (Underarm Crutch)

Most common crutch type that fits under your armpit. Has top pad for underarm, handgrip, and adjustable height. Best for short-term use (6-8 weeks).

Bariatric Crutches

Heavy-duty crutches designed for users over 300 lbs. Typically steel construction with 500-700 lb weight capacity. Wider stance for stability.

Crutch Palsy

Nerve damage caused by resting weight on armpits instead of hands. Symptoms include numbness, tingling, or weakness in arm/hand. PREVENT by proper weight distribution!

Cuff (Forearm Crutch)

The circular band that wraps around your forearm on Lofstrand crutches. Should fit 1-1.5 inches below elbow.

DME (Durable Medical Equipment)

Medical equipment insurance category including crutches, walkers, wheelchairs. Most insurance covers DME with doctor's prescription.

DVT (Deep Vein Thrombosis)

Blood clot risk when immobile. If using crutches due to surgery/injury, follow doctor's orders about movement and blood thinner medications.

Ferrule (Rubber Tip)

The rubber cap on bottom of crutch that provides traction. CRITICAL to check weekly - worn tips cause falls. Replace when tread is smooth ($5-15).

Forearm Crutch (Lofstrand/Canadian)

Crutch with forearm cuff and handgrip. More maneuverable than axillary crutches. Preferred for long-term use and active lifestyles.

Four-Point Gait

Walking pattern: right crutch, left foot, left crutch, right foot. Most stable (3 points always on ground) but slowest. Best for balance issues.

Gait Pattern

The specific sequence of crutch and foot movements when walking. Determined by weight-bearing status. See: Three-point, Four-point, Swing-through.

Handgrip

The handle you hold on crutches. Should align with wrist crease when arms hang naturally. Ergonomic grips reduce hand/wrist pain.

iWALK (Hands-Free Crutch)

Modern hands-free mobility device. Strap injured leg into platform and walk on good leg. Hands completely free. Best for below-knee injuries.

Knee Scooter (Knee Walker)

Alternative to crutches - kneel on padded platform and push with good leg. Easier on upper body but bulkier. Good for longer distances.

Lofstrand Crutch

Another name for forearm crutches. Named after inventor A.R. Lofstrand Jr. See: Forearm Crutch.

Medicare Part B

Medicare coverage for outpatient services and DME including crutches. Covers 80% after deductible ($240 in 2025). You pay 20% coinsurance.

NWB (Non-Weight Bearing)

Doctor's order meaning ZERO weight on injured leg. Most restrictive status. Use three-point gait. Usually ordered after fractures/surgery.

Orthopaedic (Orthopedic)

Branch of medicine dealing with bones, joints, muscles. Orthopaedic surgeons typically prescribe crutches after injuries/surgery.

PWB (Partial Weight Bearing)

Doctor allows 25-75% of body weight on injured leg. Crutches support remaining weight. Common during healing transition.

Platform Crutch

Specialized crutch with forearm platform and vertical handgrip. For users who can't bear weight on hands/wrists (arthritis, hand injuries).

PT (Physical Therapy/Physical Therapist)

Rehabilitation profession helping you regain strength and mobility. PT teaches proper crutch technique and exercises. Highly recommended!

Swing-Through Gait

Advanced walking pattern - swing both legs PAST crutches in one motion. Fastest method but requires strength and balance. Not for beginners.

Swing-To Gait

Walking pattern - move crutches forward, swing both feet TO crutches (not past). More stable than swing-through.

TDWB (Touch-Down Weight Bearing)

Doctor allows foot to touch ground for balance only - no actual weight. Very light contact. Use three-point gait.

Three-Point Gait

Most common walking pattern for NWB. Move both crutches forward together, keep injured leg raised, swing good leg through. Your arms do all work.

Tip Cover (Ice Grip)

Attachable spike or tread cover for crutch tips. Essential for winter/ice. Retractable versions for indoor/outdoor switching ($15-30).

WBAT (Weight Bearing As Tolerated)

Doctor allows as much weight as you can tolerate without significant pain. Most permissive status. Adjust crutch use based on comfort.

Weight-Bearing Status

Doctor's order specifying how much weight you can put on injured leg. Determines gait pattern. Categories: NWB, TDWB, PWB, WBAT, FWB.

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