Aid for mobility: Understanding when to use a walker versus a cane
Navigating mobility issues as we age or live with disabilities can be a challenge, but assistive devices like canes and walkers can provide coveted independence and support. Their choice depends on the level of support required, one's lifestyle, and, of course, the wallet.
As the golden years set in, certain health conditions can impact our ability to move around with ease. According to CDC, falls in older adults annually lead to serious injuries, and it's crucial to have the right tools to prevent and overcome these mishaps.
When it comes to mobility aides, wheelchairs are reserved for those with little to no mobility, while canes and walkers are for individuals who still have some mobility. This article offers insight into the differences between these two devices, various types, and tips on choosing the best option for you.
Here's a quick snapshot of canes and walkers:
| Device | Pros | Cons | Conditions | Cost || --- | --- | --- | --- | --- || 1- legged cane | - Adjustable
-Help with balance | - For minimal weight bearing only
-Some have curved handles that may cause discomfort | - Mild balance issues
-Mild to moderate arthritis of the lower limbs | $10-$40 || 3-4 legged cane | - Greater help with balance
-Can bear more weight
-Adjustable
| - Heavier
-Cumbersome
-May be harder to use on stairs | - One-sided muscle weakness (hemiparesis)
-More significant issues with balance | $15-$40 || Standard walker | - Stable
-Foldable | - No wheels
-Needs lifting with each step | - Conditions affecting muscles or nerves
-Fractures | $20-$60 || 2-4 wheeled walker | - Easier to move
-May have a seat and basket for comfort | - Less stable
-Not foldable | - Issues affecting the spinal cord
-Conditions that slow down mobility like heart or lung diseases | $35-$100 |
Canes or Walkers: The Medical Perspective
-helps with balance-adjustable
Canes and walkers address balance during mobility, and our choice depends on the level of support needed. A cane can help people with balance or stability issues, minor leg or trunk weakness, or conditions like arthritis. Keep in mind that canes are typically used with one hand and provide a varying level of stability depending on the number and size of its legs.
-for minimal weight bearing only-some have a curved handle that some may find difficult to grasp and cause pain, especially for people with joint or muscle conditions
On the other hand, walkers are suitable for those with more significant balance issues or those who have undergone major surgeries like hip or knee replacement. Walkers have multiple legs and require both hands for use, making them more stable.
-mild balance issues-mild to moderate arthritis of the lower limbs
For comfort, users can add wrist or arm supports and various accessories if needed.
$10-$40
Types of Canes and Walkers
Standard canes consist of wood or aluminum with a rubber tip and a hook-shaped or flat handle. They are best for mild support but may not offer ideal assistance for those needing extra support.
-offers greater help with balance than a standard cane-can bear more weight-adjustable
Multi-legged canes, also known as "sit-to-stand" canes, can stand independently, offering greater stability, especially for users with pain on one side.
-heavier-more cumbersome-may be harder to use on stairs
As for walkers, there are three primary types:
-one-sided muscle weakness (hemiparesis) or more significant issues with balance
- The standard walker, with four rubber-tipped legs, is the most stable but requires lifting with each step.
- The two-wheeled walker is easier to maneuver but less stable and requires more cognitive effort.
- The four-wheeled walker (a.k.a rollator) has wheels, brakes, a seat, and a basket for additional comfort but requires better coordination and can be more challenging to maneuver.
$15-$40
Each walker type has benefits and drawbacks depending on the user's unique needs and abilities.
Making the Right Choice: Walker or Cane?
-stable-foldable
With the right cane or walker, you can navigate life with greater confidence. It is crucial to thoroughly consider your needs, lifestyle, and the advice of healthcare professionals.
-no wheels-needs lifting with each step
Purchasing the Right Aid
-for conditions that affect the function of muscles or nerves or for fractures
You can typically find your preferred aid directly from a supplier or through hospitals, insurance companies, or non-profit organizations.
$20-$60
The cost varies significantly. Canes generally range from $10 to $40, while walkers can be somewhat pricier, falling between $20 to $100.
Medicare and Mobility Aids
-easier to move-may have a seat and basket for comfort
Medicare considers walkers and canes as Durable Medical Equipment (DME). You can rent or buy them through Medicare Part B if they are medically necessary and meant for home use, provided your doctor accepts Medicare and you purchase the device from a Medicare-approved supplier.
-less stable than standard-not foldable
Using Your Mobility Aid Safely
-issues affecting the spinal cord, conditions that slow down mobility like heart or lung diseases
Whatever device you choose, safety should always be your priority. Regardless of whether you use a cane or walker, ensure the handle is at your wrist level, your arms are relaxed, and you maintain an upright posture without leaning forward.
$35-$100
When using canes, make sure to hold them with the hand opposite the injured or painful side while walking. On stairs, follow the step-by-step instructions shared earlier.
Using walkers involves adopting a safe method to sit and stand, as well. Remember not to use the walker to stand up, as it might give way, and refrain from using walkers on stairs or escalators.
Final Thoughts
As we age, certain health issues can impact our mobility, but with the right tools, we can maintain our independence, heal from injuries, and reduce the risk of falls. Canes and walkers are suitable for those with some level of mobility. Choosing the best device for you depends on your current health challenges, lifestyle, and financial circumstances. Always consult a healthcare professional for personalized advice.
- Navigating mobility issues during the golden years is crucial for ensuring safety, and the right assistive tools can be invaluable.
- Canes are best for individuals with mild balance issues or minor leg or trunk weakness, offering help with balance and day-to-day mobility.
- Walkers are more suitable for those with more significant balance issues or those who have undergone major surgeries, providing greater stability and support.
- When considering a cane, users can select from standard canes and multi-legged canes, depending on the level of support required.
- Three primary types of walkers include the standard walker, two-wheeled walker, and four-wheeled walker, each with their advantages and potential drawbacks.
- Choosing the right mobility aid involves thoroughly considering personal needs, lifestyle, and obtaining professional medical advice.
- Medicare may cover the cost of mobility aids, such as canes and walkers, under their Durable Medical Equipment program, depending on your eligibility and the terms outlined by your healthcare provider and supplier.
