Can I use one cane instead of two?
Can I use one cane instead of two?
The use of crutches after an injury or surgery helps to take the weight off the leg or foot. Often, a doctor will prescribe a pair of crutches and give notice to use both. However, some people may wonder if it is possible to use only one crutch. There are advantages and disadvantages to using one crutch versus using two.
The main advantage of using one cane is that it allows you to keep one hand and arm free. This makes it easier to carry items, open doors, and perform other daily tasks. It also helps with balance because you can use your free hand to stabilise yourself against railings, walls, etc. The use of one crutch takes the pressure off the armpit tissues as there is only one armpit tissue to bear the weight. Finally, one crutch is more manoeuvrable on stairs.
However, there are disadvantages to using only one crutch. Without two crutches, more weight goes across one side of the wrist, elbow and shoulder, which can lead to overuse pain or injury. Limping on one leg for long periods of time can also lead to back, hip or knee pain. You need sufficient core and leg strength to be able to hop on one leg with one crutch. While it's easier to go up stairs, there can be many challenges on flat, wide areas.
So, is it okay to use only one crutch instead of two? In many situations, using one crutch may be appropriate. This includes people who are very skilled at walking with crutches, who have injuries/surgeries that do not require complete offloading of that leg, and those who have hand injuries but are unable to hold two crutches. As the injury improves and walking endurance improves, it is possible to transition from two crutches to one.
However, two crutches are still the best option for those who are new to crutches, have bilateral injuries that require weight bearing on both legs, or lack strength/balance. This decision depends greatly on your individual injury, strength, walking ability and comfort level.
If considering using only one crutch, consult your doctor, physiotherapist or orthopaedic specialist first. They can evaluate your condition and determine if using a single cane is safe or puts you at risk for other problems.
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