Choosing the Right Walking Aid: Why Guidance Matters
Have you been thinking about buying a cane at the pharmacy—or maybe eyeing those walkers with built-in seats? Knowledge is power. Making assumptions about what you need can sometimes do more harm than good, especially when it comes to balance and safety.
Let’s explore some of the most common walking aids people consider as they age or experience changes in mobility:
Most common options
Rollator (four wheels with seat)
Front-wheeled walker (two wheels only)
Less common options
Crutches
Quad cane (a cane with four points in a rectangular base)
Standard walker (no wheels)
I often find myself educating clients and patients on the benefits of each and, more importantly, the difference. Like any vehicle you test drive, it’s best to get professional insight before assuming one option will work for you.
A Closer Look at Common Walking Aids
Single-point cane
A cane is often a starting point for those noticing balance changes, joint or back pain, or general insecurity while walking. However, using one safely still requires good balance and strength. Its lightweight design makes it convenient but provides less support if you stumble. For many, it’s the first step toward assistance when considering aid.
Rollator
A rollator is appealing for those who tire quickly or experience shortness of breath while walking. It offers a seat for rest breaks, four wheels for easy turning, and hand brakes for safety. Sounds amazing, right?
But there are trade-offs. Because it turns easily, it provides less stability if you lose balance. It also requires grip strength and coordination to use the brakes effectively. If there are any issues with arthritis or injury to the hands, this may make it difficult. With larger wheels, the rollator can handle uneven surfaces—but watch out on hills, as it may pick up speed.
Front-wheeled walker
This is the classic two-wheeled walker that provides a high level of stability without the need for brakes. It’s especially helpful for those who want security and steady pacing. On the downside, it can be harder to maneuver around tight spaces, furniture, or uneven surfaces.
The silver walker has become a stereotype of aging, but the truth is, no single device is “best.” The right choice depends entirely on the individual’s needs and lifestyle.
Why Professional Guidance Matters
Here’s an example: imagine someone with right knee pain buys a cane at the pharmacy. They instinctively use it in their right hand, only to develop a limp, hip pain, and back pain. The issue? The cane isn’t set to the right height, and it’s being used in the wrong hand. One small correction could have prevented all of that.
Now imagine the same person visits a physical therapist first. After learning about their daily routine, home setup, and medical history, the therapist might recommend a rollator instead—providing more support, fewer limitations, and greater independence.
That’s the difference expertise can make.
Maintenance of THE device
There are a few items to keep in mind with equipment. Rollators have brakes and wheels that need to be monitored much like a car. These do wear out and a replacement may be warranted if many miles are put on the device. Similarly, canes and front-wheeled walkers have caps or skis that wear away with use. When walking, if the device begins to feel increased friction, makes an odd noise, or starts to feel less smooth or shaky, it’s likely time to replace!
The Bottom Line
When it comes to walking aids, one size does not fit all. Factors like height, weight, and posture matter, but comfort and usability are equally important. As a general guideline, if you’re standing upright with arms relaxed at your sides, the handle should line up with the crease of your wrist. Still, that doesn’t guarantee the best fit—which is why professional input is the best option.
Think of it like finding the right partner in life: a physical therapist acts as the matchmaker. Their goal is to make sure you end up with the perfect partner that keeps you moving without any awkward breakups or falling outs! Don’t forget, you can visit our products page to find the items featured in this article.
Written by Kayla Fluder, DPT
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