Introduction
Using a cane can help reduce pain and provide support, but only if used correctly. I see the benefits firsthand with my patients, and by the end of this blog, you’ll be an expert. I’ll guide you through proper cane usage when walking, using stairs, and other essential considerations. Let’s get started!
What Is the Correct Way to Walk with a Cane?
- If using one cane – Hold it in the hand on your good side. This may feel counterintuitive but provides better support for your weaker leg.
- Move the cane forward about 30cm, then step with your bad leg, followed by your good leg. If this feels too easy, move the cane and bad leg together to challenge your balance more naturally.
- If using two canes – You can either move both canes forward together (“3-point gait”), followed by your bad leg, then good leg, or try a more advanced “reciprocal gait,” where you move the opposite cane and leg together, similar to marching.
Which Leg Goes First When Using a Cane?
Leading with your bad leg provides the most relief and prevents compensatory movement patterns. However, some people prefer the opposite—listen to your body and give both a try.
Do You Walk with a Cane on Your Good Leg or Bad Leg?
You hold the cane on your good side to maximize support and offload pressure from the injured leg.
Why Use a Cane on the Opposite Side of the Injury?
This method distributes weight more effectively, reducing strain and helping you walk more normally.
Should Your Arm Be Straight When Using a Cane?
Your arm should have a slight bend—too much can make offloading harder, while a fully straight arm may strain your shoulder and elbow.
How Do You Know When You Need a Cane?
If you walk better with a cane than without, it’s likely beneficial. Ask yourself:
- Do I limp less with a cane?
- Am I in less pain?
- Can I move around more easily?
If you answer yes, a cane may be helpful.
What Can Be Used Instead of a Cane?
If you need more support, crutches or a walker may be better options. Check out my other blog posts to help you decide.
When Should You Stop Using a Cane?
When you no longer need it! Signs include carrying rather than using it or frequently forgetting it. You may stop using it indoors first, then for short distances, but still rely on it for longer walks or uneven surfaces.
How to Use a Cane on Stairs
- With a handrail: Use the handrail for balance and hold the cane in the other hand.
- Going up: Step up with your good leg first, push through your cane to lift the bad leg, then bring the cane up.
- Going down: Place the cane down first, then step down with the bad leg, followed by the good leg.
Practice on a low step to gain confidence.
Setting Your Cane to the Correct Height
- Stand up straight with arms relaxed.
- Place the cane tip on the ground beside you.
- Adjust so the handle is level with your wrist crease.
Top Tips for Using a Cane
- Keep the cane close to your body for better balance.
- Regularly check the tip (ferrule) for wear and replace if needed.
- Practice in a safe area before venturing out.
What to Consider When Buying a Cane
- Type: Choose from standard, foldable, quad, or offset canes.
- Material: Options like wood, metal, and carbon fiber affect weight and durability.
- Handle: Crook, T-handle, or ergonomic grips provide different comfort levels.
- Tip: A non-slip rubber or silicone tip ensures better traction.
Struggling with Leg Pain or Injury? Take Action!
I offer online treatment programs from just £59, designed to help you recover from Arthritic Knees, Back Pain, Achilles Tendinopathy, Plantar Fascia Pain and more. Get expert exercises, advice, and techniques to move out of pain from the comfort of your home. Find out how I can help you here.
Need Visual Guidance?
Check out my video lessons on YouTube for step-by-step cane-walking demonstrations: Watch Here
Conclusion
Using a cane correctly can significantly reduce pain and improve mobility. Follow these guidelines to maximise its benefits and seek professional advice if needed. Now, go out and enjoy your newfound confidence and freedom!
Using a cane can help reduce pain and provide support. I see the benefits with patients all the time. However, it is important to use it correctly. By the end of this blog, you will be an expert as I share how to use your cane correctly when walking and using stairs as well as a whole host of other considerations. Let’s get started.
Take care, Helen
Helen Manders BSc (Hons) MCSP HCPC
Chartered Physiotherapist Since 2001
