If someone has weak upper body strength, underarm crutches might not be the best choice. These crutches require significant arm and shoulder strength to use properly. For example, if you have conditions like severe arthritis in your shoulders or arms, using underarm crutches could lead to increased pain and potential falls.
If you have damage to the axillary nerve or conditions affecting the underarm area, these crutches are not recommended. The pressure from the crutch top against the axilla (armpit) could worsen your condition or cause additional nerve damage. For instance, if you've had previous injury to this area or have sensitive skin in your underarms, you should consider alternative mobility aids.
Using underarm crutches requires strong and reliable grip strength to hold onto the hand grips securely. If you have conditions that affect your grip, such as arthritis in your hands or neurological conditions affecting hand strength, you might find underarm crutches difficult to use safely. In these cases, other mobility aids might be more suitable.
If you have significant balance or coordination problems, underarm crutches might increase your risk of falling. These crutches require coordination between your upper and lower body to use effectively. For example, if you have conditions like vertigo, multiple sclerosis with coordination issues, or other neurological conditions affecting balance, underarm crutches could potentially be dangerous.
Elderly individuals with general frailty might struggle with underarm crutches. These crutches require a certain level of physical strength and coordination that might be challenging for some older adults. The risk of falls and the energy expenditure required might make other mobility aids more appropriate for this population.
If you have cognitive impairments that affect your ability to remember and follow instructions, underarm crutches might pose safety risks. Using these crutches safely requires remembering proper technique and being mindful of positioning. For those with dementia, significant memory issues, or other cognitive challenges, simpler mobility aids might be safer options.
Using underarm crutches requires more energy and can be physically demanding. If you have severe respiratory issues like COPD or serious cardiovascular conditions, the extra exertion might be problematic. In these cases, devices that require less energy expenditure might be more appropriate for your health needs.
If you do decide that underarm crutches are appropriate for you, here are some important safety tips:
Proper Sizing is Crucial. Ensure your crutches are properly sized for your height. The top pad should be about 2-3 fingers' width below your armpit when standing upright.
Never Lean on the Axillary Pad. The weight should be supported through your hands on the handgrips, not by leaning on the underarm pads, which can cause nerve damage.
Maintain Good Posture. Keep your elbows slightly bent when holding the handgrips and maintain an upright posture while walking.
Check for Wear and Tear. Regularly inspect your crutches for worn rubber tips, loose screws, or any damage that could compromise safety.
Learn Proper Technique. Work with a physiotherapist to learn the correct walking technique, including how to manage stairs and uneven surfaces safely.
If underarm crutches aren't right for you, consider these alternatives:
Forearm Crutches. These provide support through the forearm and wrist rather than the underarm, making them suitable for those with good upper body strength but concerns about axillary pressure.
Walking Frames or Walkers. These provide more stability and are ideal for those with balance issues or those who need more support than crutches offer.
Rollator Walkers. For those who need less support but benefit from having a seat available, rollators can be an excellent option.
Knee Scooters. If you're recovering from a foot or ankle injury and cannot bear weight on one leg, a knee scooter might be more comfortable and efficient than crutches.
Wheelchairs. For those with significant mobility limitations, a wheelchair might be the most appropriate and safest option.
Choosing the right mobility aid is crucial for your safety, comfort, and recovery. If you're unsure whether underarm crutches are appropriate for your condition, it's always best to consult with healthcare professionals like doctors, physiotherapists, or occupational therapists. They can assess your specific needs and recommend the most suitable mobility solution.
Remember, the goal of any mobility aid is to enhance your independence while keeping you safe. Don't hesitate to ask for professional advice to find what works best for you!
Have you ever used underarm crutches or helped someone who uses them? What has your experience been like? I'd love to hear your thoughts and questions in the comments below!
