Putting the crutch on your uninjured side allows you to lean away from your injured side and put less weight on it. However, in order to walk with one crutch, you’ll have to put some weight on the injured side with each step. Depending on your injury, your doctor may decide that putting weight on your injured side is not a good idea, so you may have to stick with two crutches or use a wheelchair. You should always listen to recommendations set forth by physician to ensure best rehabilitation outcome. Adjust the length of the crutch so at least three fingers can fit between your armpit and the padding at the top of the crutch when you are standing straight. Adjust the hand grip so that it’s at wrist level while your arm is hanging straight.
There should be padding on both the hand grip and armpit support of your crutch. Padding provides better grip and shock absorption. Avoid wearing bulky shirts or jackets while walking with a single crutch as it can lead to reduced movement and stability. If your foot or leg is in a cast or walking boot, consider wearing a thicker-heeled shoe on your healthy foot so that there’s not such a height difference between your two legs. Equal leg lengths provide greater stability and reduce the risk of hip or low back pain.
Remember to balance yourself by keeping most of your weight on the crutch when stepping with your injured leg. Be cautious and take it slow when walking with a single crutch. Make sure you have firm footing and there is nothing in your path to trip you up — make sure the environment is clear of clutter and area rugs are rolled up. Allow for extra time in getting from one place to another. Refrain from supporting your weight with your armpit in order to prevent soreness, nerve damage and/or some sort of shoulder injury.
If there is no stair rail, then either use both crutches, take the elevator, or get assistance from someone. If there is a railing, you can grab it with one hand and carry one (or both) crutches in the other as you climb up the stairs — it might be easier and/or quicker without any crutches.
If possible, practice this skill with a physical therapist first. If there is no railing, no elevator and no one around to help you and you absolutely must climb the stairs, then try to use the wall beside the stairs for support in a similar manner that you’d use the railing. Allot more time for steep stairways and narrow steps, especially if you have large feet or are wearing a walking boot.
Remember the pattern for walking down the stairs is opposite to that of walking up stairs. Take note of any objects lying on the stairs that might get in your way. It’s always best to have someone help you down the stair if at all possible or convenient.
