Using a Cane with Your Prosthesis

Learning to walk with your prosthesis takes practice. To prevent falls, you may need a cane for balance and support. Work with your physical therapist and prosthetist (an expert who makes and fits your prosthesis). They'll teach you how to use the cane properly. Follow all instructions from the physical therapist and prosthetist closely.

Walking with a Cane

Hold the cane on the side of your intact limb (unless told otherwise by your healthcare team).
Put your weight on your intact limb and find your balance.
Move the cane and the prosthetic limb forward at the same time.
Support your weight on both the cane and your prosthesis.
Step through with your intact limb.
Put your weight on your intact limb and take the next step, using the cane and your prosthesis.

When climbing stairs, always lead with your intact limb.

Using Steps

If there is a railing, hold on to it with your free hand.
Step up with your intact limb first.
Then move the cane and prosthetic limb together to the same step as your intact limb.
To walk down steps, hold the railing with your free hand.
Step down with your prosthetic limb and the cane first.
Then follow with your intact limb to the same step.

Note: Consult with your physical therapist and prosthetist to learn how to handle steps without railings.

Using Crutches After Lower Limb Amputation

As you become mobile again after amputation surgery, you'll need to use a walking aid to get around. Walking aids help prevent falls, which can seriously damage your wound. At first, you'll likely use a wheelchair. Once your wound heals, you may begin using crutches. A physical therapist will teach you how to use crutches safely. Follow all instructions from the physical therapist closely.

Walking with Crutches

There are two types of crutches: forearm and underarm. You and your physical therapist will decide which type will work best for you.

Caption: For safety, hold the handgrips securely when using forearm crutches.

As you're standing, start with the crutches aboutÃ‚Â 12 inches in front of your body.
Press down on the handgrips. Support your weight on your hands, no matter which type of crutches you're using.
If using underarm crutches, position the pads of crutches against the sides of your chest. (Don't press the pads into your underarms.)
Lift your intact limb and gently swing your foot forward.
Land your foot in between the crutches, keeping your knee slightly bent.
Transfer your weight back to your foot.
Reach forward with the crutches to take the next step.

Moving Through Doorways

To push a door open, stand sideways. Push the door open with your body. Plant the tip of the nearest crutch inside the doorway to act as a doorstop. Keep the crutch in place to hold the door open as you pass through.
To pull a door open, stand to the side. Get your balance and pull the door fully open with one hand. Plant the tip of the nearest crutch inside the door to act as a doorstop. Keep the crutch close to the door to hold it open as you pass through.

Note: Avoid revolving doors while using crutches.

Sitting Down

Position yourself in front of the chair, keeping your residual limb slightly forward.
Hold both crutches in one hand, on the side of your residual limb.
Grasp the armrest or side of the chair with your free hand.
Lower yourself onto the front of the chair, then slide back.
To get up, reverse the steps above.

Note: Look for sturdy chairs with solid arms. If you use a chair that swivels or has wheels, back it against something stable before sitting.

Crutches and Steps

Climbing and descending steps or stairs with crutches after leg amputation requires special care. Consult your physical therapist for instructions and safety tips.