Forearm Crutches Vs Underarm Crutches

Forearm Crutches vs. Underarm Crutches: Choosing the Right Support for Your Needs

Choosing the right crutches can significantly impact your comfort, mobility, and recovery process. Two main types dominate the market: forearm crutches (also known as forearm crutches or lofstrand crutches) and underarm crutches (also called axillary crutches). Understanding the key differences between these two types is crucial for making an informed decision that best suits your individual needs and physical condition. This comprehensive guide will explore the advantages and disadvantages of each, helping you choose the best crutch for your situation.

Understanding the Differences: A Head-to-Head Comparison

Both forearm and underarm crutches serve the same primary purpose: providing support and stability while walking. However, their design and the way they distribute weight differ significantly, leading to distinct advantages and disadvantages for various users.

Forearm Crutches: These crutches feature hand grips and forearm cuffs that cradle your forearms, transferring weight to your arms and hands. The weight is distributed across a larger surface area, reducing pressure on any single point.

Underarm Crutches: These crutches have a padded underarm support and handgrips. The weight is primarily borne by the armpits and hands. The underarm support plays a crucial role in providing stability, but it can also become a source of discomfort if used improperly.

Forearm Crutches: A Detailed Look

Forearm crutches offer several distinct advantages that make them a popular choice for many individuals:

Advantages:

• Improved Weight Distribution: The weight is distributed across the forearms and hands, reducing pressure points and the risk of nerve damage often associated with underarm crutches. This is especially beneficial for individuals with sensitive armpits or pre-existing conditions.
• Enhanced Upper Body Strength: Using forearm crutches encourages the development and strengthening of the arm and shoulder muscles, which is advantageous during the rehabilitation process.
• Greater Mobility and Dexterity: Forearm crutches generally provide better mobility and maneuverability compared to underarm crutches. They allow for more natural arm movement and less restriction while walking.
• Reduced Risk of Nerve Damage: The absence of pressure on the armpits significantly lowers the risk of radial nerve palsy, a serious complication associated with improper use of underarm crutches.
• Better Balance and Stability: Some users find forearm crutches to provide better balance and stability, especially when navigating uneven surfaces. The absence of the underarm support allows for more natural body movement and posture adjustments.
• Increased Independence: The improved mobility and dexterity often lead to increased independence in performing daily tasks.

Disadvantages:

• Steeper Learning Curve: Mastering the proper technique of using forearm crutches may require some practice and adjustment. It might take some time to get accustomed to the different weight distribution and arm movements.
• Potential for Wrist Pain: Some users may experience wrist pain or discomfort, especially during prolonged use or if the handgrips are not properly adjusted.
• Not Suitable for All Conditions: Forearm crutches may not be suitable for individuals with certain pre-existing conditions, such as weak arm strength, arthritis, or carpal tunnel syndrome.

Underarm Crutches: A Closer Examination

Underarm crutches have been a common choice for decades but carry some inherent risks that need consideration.

Advantages:

• Easier to Learn: The technique for using underarm crutches is generally easier to learn and master compared to forearm crutches. The underarm support provides additional stability and reduces the need for significant upper body strength.
• More Stable (with Proper Use): When used correctly, underarm crutches can offer good stability, especially for individuals with balance issues.
• Widely Available and Affordable: Underarm crutches are readily available and often more affordable than forearm crutches.

Disadvantages:

• Risk of Nerve Damage: The most significant drawback of underarm crutches is the potential for radial nerve palsy. Improper use, particularly leaning heavily on the armpits, can compress the radial nerve, leading to pain, numbness, and weakness in the arm and hand.
• Armpit Discomfort and Irritation: Prolonged use can cause significant armpit pain, irritation, and skin breakdown.
• Limited Mobility and Dexterity: The underarm support can restrict arm movement and reduce overall mobility and dexterity compared to forearm crutches.
• Less Efficient Energy Expenditure: Using underarm crutches may require more energy and exertion due to the reliance on armpit support, leading to fatigue.
• Potential for Poor Posture: Over-reliance on the underarm support can contribute to poor posture and back pain.

Choosing the Right Crutches: Factors to Consider

The best type of crutches depends on individual needs and circumstances. Several factors should be considered:

• Upper Body Strength: Individuals with weak arm or shoulder muscles may find underarm crutches easier to use initially, while forearm crutches require more upper body strength.
• Pre-existing Conditions: Conditions such as arthritis, carpal tunnel syndrome, or nerve damage may influence the choice. Forearm crutches may be unsuitable for some conditions.
• Length of Use: For short-term use, underarm crutches might suffice, but for prolonged use, forearm crutches are generally preferable to minimize discomfort and prevent complications.
• Mobility and Dexterity Requirements: Individuals requiring high mobility and dexterity will likely benefit from forearm crutches.
• Level of Support Needed: Those requiring maximum support and stability might initially find underarm crutches more comfortable, though forearm crutches can also provide substantial support with practice.
• Professional Guidance: Consult with a doctor, physical therapist, or other healthcare professional for personalized recommendations based on your specific needs and condition. They can conduct a proper assessment and guide you towards the most suitable option.

Proper Crutch Fitting and Use: Essential Tips

Regardless of the type of crutches chosen, proper fitting and usage are crucial for comfort, safety, and preventing injuries. Here are some essential tips:

• Professional Fitting: Always have your crutches professionally fitted by a healthcare professional to ensure the correct height and adjustment. Improperly fitted crutches can lead to discomfort and injury.
• Correct Posture: Maintain good posture while using crutches. Avoid hunching or leaning heavily on the crutches.
• Proper Weight Distribution: Learn how to distribute your weight correctly. For underarm crutches, avoid putting your weight on your armpits. For forearm crutches, distribute weight evenly across your forearms and hands.
• Gait Training: If necessary, seek gait training from a physical therapist to learn the proper walking technique with crutches.
• Regular Breaks: Take frequent breaks to rest your arms and shoulders, especially during prolonged use.
• Regular Inspections: Regularly inspect your crutches for any damage or wear and tear. Replace them if necessary.

Frequently Asked Questions (FAQ)

Q: Can I switch from underarm crutches to forearm crutches?

A: Yes, but it might require some time to adjust to the different weight distribution and walking technique. Consider professional guidance to ensure a smooth transition.

Q: Are forearm crutches more expensive than underarm crutches?

A: Generally, yes, forearm crutches tend to be more expensive due to their more complex design and materials.

Q: How long does it take to get used to forearm crutches?

A: The learning curve varies from person to person. Some individuals may adapt quickly, while others may take several days or weeks to feel comfortable.

Q: What if I experience pain while using crutches?

A: Stop using the crutches and consult with your healthcare provider. Pain can indicate improper fitting, technique, or an underlying condition.

Q: Can I use crutches on stairs?

A: It's generally more challenging to use crutches on stairs. Learn proper stair climbing techniques with crutches from a physical therapist. Using a stair lift or seeking assistance might be necessary.

Conclusion: Making the Right Choice

Choosing between forearm and underarm crutches is a crucial decision that directly impacts your comfort, mobility, and recovery. Weighing the advantages and disadvantages of each type, considering your individual needs, and seeking professional guidance are essential steps in selecting the optimal support for your specific circumstances. Remember, proper fitting and usage are paramount for preventing injuries and ensuring a successful recovery. By carefully evaluating your needs and understanding the differences, you can make an informed choice and regain your mobility with confidence and comfort. Prioritizing safety and seeking professional advice when necessary is crucial for a positive outcome.