How to Use Crutches Correctly - Ask Doctor Jo

Introduction

This tutorial will guide you through the correct use of crutches, ensuring that you can walk safely and effectively during your recovery. Proper technique and adjustment of crutches are crucial to avoid hindering your healing process.

Step 1: Adjust Crutch Height

To ensure maximum comfort and safety, follow these steps to adjust your crutches:

1. Stand Up Straight: Wear your shoes, as height adjustments can change based on footwear.

Position the Crutches

• The top of the crutches should be about 2 inches below your armpits.
• Keep a slight bend in your elbows when holding the crutches.
2. Ensure Stability: Position the crutches slightly out to the side rather than directly under your feet.

Practical Tip

Make sure the crutches are adjusted correctly before using them to avoid any discomfort or nerve pressure in your armpits.

Step 2: Understand Weight-Bearing Levels

Know how much weight you can place on your injured leg. Common classifications include:

1. Non-Weight Bearing:

   • Shift all weight to your good leg.
   • Move both crutches forward.
   • Swing your good leg forward, keeping the crutches where your injured leg would go.

2. Toe Touch Weight Bearing:

   • Place about 20% of your body weight on your injured leg (imagine stepping on eggshells).
   • Move both crutches and your injured leg forward while stepping through with your good leg.

3. Partial Weight Bearing:

   • You may start using one crutch.
   • Hold the crutch on the opposite side of your injured leg.
   • Move the crutch and your injured leg forward, stepping through with the good leg.

Common Pitfall

Avoid leaning heavily on the crutch; it should serve primarily as a support to keep you stable rather than bear your full weight.

Step 3: Practice Walking Techniques

Using the correct techniques will help you walk effectively with crutches:

1. For Non-Weight Bearing:

   • Move the crutches forward, then swing your good leg.
   • Repeat this motion to maintain a smooth walking rhythm.

2. For Toe Touch and Partial Weight Bearing:

   • Always step with your good leg after moving the crutches forward.
   • Focus on maintaining balance and stability.

Practical Tip

Practice in a safe environment, free from obstacles, until you feel comfortable.

Conclusion

Using crutches correctly can significantly impact your recovery process. Remember to adjust their height for comfort, understand your weight-bearing limits, and practice walking techniques consistently. If you experience any pain or discomfort, consult a healthcare professional. With these steps, you’ll be on your way to a safe and effective recovery.