How to use crutches: A Comprehensive Guide to Safely Using Medical Crutches
Understanding Different Types of Crutches
Before diving into safe usage, it’s essential to know the types of crutches available:
1. Axillary Crutches (Underarm Crutches): These are the most common type, designed to rest under the armpits and are generally adjustable in height.
2. Forearm Crutches (Elbow Crutches): These crutches have a cuff that supports the forearm, allowing for more mobility and less pressure on the armpits.
3. Platform Crutches: These are used for individuals who cannot grip the handles and require forearm support.
4. Knee Scooters: While not traditional crutches, these devices allow for weight-bearing on the knee instead of the foot, offering an alternative for certain injuries.
Selecting the right type of crutch for your needs is the first step toward safe mobility. Consult with a healthcare professional to determine what works best for your condition.
Proper Fit and Adjustment
1. Height Adjustment
Crutches should be adjusted to your height to prevent discomfort and ensure proper use. A general guideline is:
- When standing straight with the crutches in place, the top of the crutch should be about 1-2 inches below your armpits.
- Your elbows should be slightly bent (around 20-30 degrees) when gripping the handles.
2.Grip Position
The handgrips should align with your wrist when your arms are relaxed at your sides. This positioning helps distribute weight evenly and reduces strain
Techniques for Safe Use
1.Getting Started
- Practice: Before you start moving around, practice standing and balancing with crutches in a safe environment. Familiarize yourself with how they feel and how to maneuver them.
2. Walking with Crutches
- Weight Distribution: Place weight on your hands and arms, not your armpits. Keep the crutches about 6 inches in front of you.
- Move Crutches First: Move your crutches forward, then step with your injured leg (if possible) or swing your uninjured leg forward.
- Maintain a Tripod Position: Keep your crutches positioned in a tripod stance (two crutches and one foot on the ground) for greater stability.
3. Navigating Stairs
- Going Up: Step up with your uninjured leg first, then bring your crutches up.
- Going Down: Place your crutches down first, then step down with your injured leg, followed by your uninjured leg.
4. Turning Corners
- Pivot on your uninjured leg and move your crutches to maintain balance.
Safety Tips
1. Avoid Slippery Surfaces: Be cautious on wet or uneven surfaces. If possible, use rubber tips or grips on crutches to improve traction.
2. Clear Your Path: Remove obstacles like rugs, cords, and furniture to prevent tripping.
3. Ask for Help When Needed: Don’t hesitate to ask for assistance from friends or family, especially in crowded or unfamiliar environments.
4. Practice Falling: While it’s not a pleasant thought, practicing how to fall safely can help reduce injury if you lose your balance. Aim to fall sideways and roll to minimize impact. Check with your OT, physio nurse or Doctor if this applies to your unique circumstance.
5. Regularly Check Your Crutches: Ensure that the rubber tips are intact, the height adjustments are secure, and there are no loose parts. Replace tips frequently.
Conclusion








3 Comments
White Lewis
February 16, 2020 at 1:38 amVestibulum ante ipsum primis aucibus orci luctustrices posuere cubilia Curae Suspendisse viverra ed viverra. Mauris ullarper euismod vehicula. Phasellus quam nisi, congue id nulla.
White Lewis
February 16, 2020 at 1:38 amVestibulum ante ipsum primis aucibus orci luctustrices posuere cubilia Curae Sus pen disse viverra ed viverra. Mauris ullarper euismod vehicula.
White Lewis
February 16, 2020 at 1:38 amVestibulum ante ipsum primis aucibus orci luctustrices posuere cubilia Curae Suspendisse viverra ed viverra. Mauris ullarper euismod vehicula. Phasellus quam nisi, congue id nulla.