After Hip Replacement: Using Your Crutches or Cane
Getting around at home
When you’re ready, you may progress from a walker to crutches or a cane. Before you stop using your walker or any other walking aid, be sure to check with your surgeon or physical therapist that it is safe to do so.
With crutches in place, lean on your hands, not your armpits. The top of the crutches should be 1 to 2 inches below, not in, the armpit to avoid damage to blood vessels and nerves.
You may also have forearm type crutches recommended.
Move your operated leg and crutches forward at the same time. Keep the operated leg lined up with the crutches.
Look straight ahead, and step through the crutches with your good leg.
To turn, take small steps. Don’t twist.
Walking up stairs
Hold the rail with one hand and both crutches in the other. Support your weight evenly between the rail and the crutches.
With the crutches and operated leg on the lower step, step up with your un-operated leg.
Keeping a grip on the rail, bring your operated leg and crutches up to the same step.
Walking down stairs
Hold the rail with one hand and both crutches in the other.
With your weight on your good leg, step down with your operated leg and crutches.
Using the crutches and rail for balance, slowly bring your good leg down to the same step.
Using a cane
Your physical therapist will help you choose the right cane: standard (straight or C) cane, offset cane, quad cane (with 4 prongs), or functional grip cane.
Hold the cane in the hand opposite the hip replacement unless told otherwise.
Put all your weight on your good leg. Find your balance. Move the cane and your operated leg forward.
Support your weight on both the cane and operated leg. Then step through with your good leg, putting all your weight on your foot. Then start the next step.
Walk up and down stairs using the same technique as using crutches in one hand as explained above.
Easing into activity
As you get stronger, slowly increase the amount of activity you do around your home. Start by getting your own glass of water and doing household chores like dusting. Soon you’ll be able to move on to advanced activities, such as using the stairs.
May 22, 2018
Joseph, Thomas, N., MD,Sather, Rita, RN