Using a stick 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 stick correctly when walking and using stairs as well as a whole host of other considerations. Let’s get started.
What is the correct way to walk with a stick?
If using 1 stick you will gain the most support by holding it in the hand on your good side, this feels counterintuitive but will give your bad leg more support.
Now move your stick forward about 30cm. Next, step with your bad leg, then follow with your good leg. If this is too easy you can move the stick and bad leg together at the same time, this challenges your balance more but is a more normal way to walk.
If using 2 sticks you can either move them forward together, then bad leg and good leg, this is referred to as “3 point gait” Or a more advanced walking pattern “reciprocal gait” where you move opposite stick and opposite leg together at the same time. It looks similar to marching.
Which leg goes first when using a stick?
Leading with the bad leg gives the most relief. It also offloads the leg the most. It also allows for you to walk more normally which means you are less likely to develop long-term compensations. However, I’ve been a Physio since 2001 and in this time I have met many people that just do not get on with this sequence. It might be that you find it better the other way so listen to your body. Give the way I’ve described a good try – it might not be easy at first it takes time to learn something new.
Do you walk with a stick on your good leg or bad leg?
Good leg, see above for why this is.
Why do you use a stick on the opposite side of the injury?
It gives better support and offloads the leg most if use use the correct walking sequence above.
Should your arm be straight when using a stick?
You should have a very slight bend. Too much bend makes it harder to offload through the stick. Straight can put strain on your elbow and shoulder.
How do you know when you need a stick?
The key is that if you walk better with a stick than without then it is of benefit. Try asking yourself these 3 questions;
Do I limp less with a cane? Am I in less pain? Can I get through the day with greater ease?
This will help you to work it out.
What can be used instead of a stick?
There are many different walking aids, if you need a bit more support crutches might be an alternative. Have a look at this blog to help you decide. Would a stick or crutch be better?
When should you stop using a stick?
When you no longer need it. If you walk better with it then it’s probably better to use it especially when out and about and walking lots.
A few signs that you no longer need your stick is that you find yourself carrying rather than using it. The other classic is that you regularly forget about it and leave it behind. So if you find yourself in these situations ask yourself if you need to use it.
It often depends on what you are doing often people will stop using their stick in the house and maybe even for story distances but if they are going further or maybe over uneven surfaces they would choose to use it.
How do you go upstairs with a stick?
If you have a handrail always use it in 1 hand and the stick in the other. The handrail is essential for balance and the stick offloads the bad leg.
Going up – Good leg, Then push through your stick to lift up the bad leg then bring the stick to the same step. Repeat.
Coming down – Put your stick down first to take some weight, then your bad leg and finally the good leg. Repeat.
Coming down feels very counterintuitive but trust this is easier as the good leg is left behind doing the hard work of lowering you down. Practise on the bottom step to build confidence.
How to Set the Stick to the Correct Height
- Stand up straight with your arms relaxed at your sides.
- Place the stick next to your side with the tip of the stick on the ground.
- Adjust the stick so that the handle is level with the crease of your wrist.
Top Tips for Using the Stick
- Keep the stick close to your body to maintain balance and stability.
- Always check the ferrule/tip of the cane for wear and tear and replace it if necessary.
- Practice using the stick in a safe and stable environment before using it in public.
What to Consider When Buying a Stick
- Type of Stick: There are different types of sticks available, including foldable sticks, quad sticks, and offset sticks. Each type has its own benefits and drawbacks, so it is important to choose the type that suits your needs.
- Material: Sticks can be made from different materials such as wood, metal, and carbon fibre. The material can affect the weight and durability of the stick, so it is important to consider your preferences and budget.
- Handle: Sticks come with different types of handles, such as crook handles, T-handles, and ergonomic handles. The handle should be comfortable to grip and easy to hold for extended periods.
- Ferrule/tip: The ferrule is the tip that covers the stick and connects with the ground. This should be made of a non-slip material, such as rubber or silicone, to provide a secure grip on the ground.
Struggling with leg pain and injury? – Do something about it!
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Videos for further support.
If you are a visual person like me then you might find these sorts of things difficult to read and picture. If so take a look at my video lessons on my YouTube channel – https://youtu.be/TlBhlQwJPQM
Conclusion
Using a stick can help reduce pain and provide support when walking. However, it is important to do it correctly to gain the support offered and ensure maximum benefit. Follow these tips for using the stick and always consult with a healthcare provider or physical therapist for guidance on the best walking aid for your needs. You should now be a proficient stick user after this masterclass, so go out there and enjoy your newfound freedom.
Take care, Helen
Helen Manders BSc (Hons) MCSP HCPC
Physiotherapist Since 2001
