Please note: This information was current at the time of publication. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit, the AAFP patient education website.

Information from Your Family Doctor

How to Use Canes and Walkers


Am Fam Physician. 2021 Jun 15;103(12):online.

  See related article on mobility assistive device use in older adults

How do I know if I would benefit from using a cane or walker?

If you have one leg that is painful or weak and makes it hard to walk or keep your balance, a cane might help. If you have poor balance or feel unsteady on your feet, a walker might be better. The type of cane or walker that is best for you depends on your strength, fitness level, and balance. Ask your doctor for help choosing the best one for you.

How can I tell if my cane or walker is the right height?

The top of your cane or walker should be at the level of your wrist when you are standing with your arms relaxed at your side. If it is higher or lower than this, ask your doctor to adjust the height, if possible, or recommend a new size.

How do I use the cane or walker correctly?

When using a cane, your elbow should be slightly bent. Hold the cane in the hand opposite the leg that is painful or weak. Move the cane forward at the same time as that leg. When you are walking up stairs, your good leg should go up first, followed by the weak leg and cane. When you are walking down stairs, the weak leg and cane should go first, followed by your good leg. One way to remember this is the phrase, “Up with the good, down with the bad.”

When using a walker, both feet should stay between the walker's back legs. Take your time when turning. Do not lift the walker off the ground while turning.

Ask your doctor to watch you walk with your cane or walker to make sure you are using it correctly. With both a cane and a walker, you should try to stand up straight without leaning forward or to one side.

What if I still don't feel steady on my feet?

Physical therapy may help if you need to work on your muscle strength, walking, or balance. A physical therapist can help your doctor choose the right cane or walker for you and show you how to use it correctly. Your doctor can refer you for physical therapy at an office or sometimes in your home.

Resources to help prevent falls are available at

This handout is provided to you by your family doctor and the American Academy of Family Physicians. Other health-related information is available from the AAFP online at

This information provides a general overview and may not apply to everyone. Talk to your family doctor to find out if this information applies to you and to get more information on this subject.


Copyright © 2021 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact for copyright questions and/or permission requests.

Want to use this article elsewhere? Get Permissions

More in AFP

Editor's Collections


Jan 2022

Access the latest issue of American Family Physician

Read the Issue

Email Alerts

Don't miss a single issue. Sign up for the free AFP email table of contents.

Sign Up Now

Navigate this Article