Crutches or Walker: Which One Should You Actually Be Using?

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So you’ve had an injury or surgery, and now you’re stuck with the big question: crutches or a walker?

Both can help, but the “right” choice depends on your body, balance, and needs. I’m Dr. Shawn, Your PT Guy, and I’m here to help you make sense of it — with some humor sprinkled in so this doesn’t feel like a boring medical lecture.

Walkers: The Stability Kings

Walkers have four points of contact, which makes them stable — like a four-legged chair that never wobbles.

  • Rollators (4-wheeled walkers): Great for endurance and balance, plus they’ve got built-in seats. Just don’t use them if your doctor says “no weight” on one leg — they roll too easily.
  • Two-wheeled walkers: Better for strict weight restrictions. Steadier, safer, less “slippy-slidey.” It stays put.

Perfect if: you want maximum safety and balance. Make sure you watch the video if you need help using the two-wheeled walker correctly (with extra tips on the "flamingo" stance).

Crutches: The Quick Movers

Crutches are faster once you get the hang of them. They’re great if you’re younger, stronger, and have balance to spare.

But beware:

  • Misuse can hurt your armpits and nerves.
  • They’re awkward for sitting and standing.
  • Using them incorrectly is a fall hazard (they're not meant to be held out like wings!).
  • Less stable than walkers.

Perfect if: you’re mobile, coordinated, and don’t mind looking like you’re training for a three-legged race with yourself.

How to Decide

  • Need strict weight off one leg? → Walker.
  • Strong arms and good balance? → Crutches.
  • Want the safest option overall? → Walker.

 Still unsure? In my Fall Proof Webinar I give you safety tips for life and you may learn about what's right for you. Sign up free here.

FAQs

Q: Can I switch from a walker to crutches?
Yes! Many patients start with a walker, then progress to crutches as they get stronger.

Q: Are rollators safe after surgery?
Only if you don’t have strict weight-bearing restrictions. Otherwise, stick to two wheels.

Q: Which is easier for stairs?
Crutches — but only if your surgeon says it’s safe and you’re shown how to do it properly.

Q: How else can I reduce fall risk at home?
A: Excellent question. My book, Don't Fall, reveals 101 ways to reduce your fall risk at home and includes other helpful mobility tips.

Equipment I recommend:

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