Using a stick, also known as a cane, can help reduce pain and provide support. I see the benefits with my patients all the time. However, it is important to choose the right stick and adjust it to the correct height to ensure maximum benefit. In this blog, we will discuss what to consider when buying a stick, how to use it and how to set it to the correct height.
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.
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.
How to walk with the stick – correct sequence.
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.
Tips for Using the Stick:
- Keep the stick close to your body to maintain balance and stability.
- Always check the ferrule/tip of the stick for wear and tear and replace it if necessary.
- Practice using the stick in a safe and stable environment before using it in public.
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Conclusion
Using a stick can help reduce pain and provide support when walking with arthritis. It is important to choose the right type of stick and adjust it to the correct height to ensure maximum benefit. Follow the 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. Hopefully, you will be back tearing up the pavement in no time.
Take care, Helen
Helen Manders BSc (Hons) MCSP HCPC
Physiotherapist Since 2001