You’re going to want your walker height adjusted to the level of the bend in your wrists when you’re standing up straight. Having your walker adjusted to this height will make sure that you’re able to use your arms to get enough leverage to keep weight off your sore hip when you’re walking.
If the walker is too high or low, you’re not going to maximize this benefit and may end up being more sore than necessary because you’re putting too much weight on your operated side. The next thing you should be aware of coordinating moving the walker with your steps in order to, again, keep too much weight off your repaired hip.
When you do it this way, your arms are able to take a lot of the weight off your surgical leg so that the irritation is at a minimum. When I want to start walking, I advance the walker first, then bring my sore leg forward first and plant it flat on the floor.
As a Physical Therapist, I work with people right after a knee replacement or hip replacement to help them return to walking. The cane should be solid, not collapsible The foot (base) needs to be stable, not flexible If you’ve seen it on TV, avoid it.
In my Physical Therapy clinic, I recommend these 3 canes to my patients because they’re solid, safe, and affordable. I recommend this cane when someone has poor balance and needs more support than the average person.
The structure is just like the offset handle cane I share above, but the four points at the bottom gives the user a significant boost in stability. It simply does not meet the standards or criteria I’ve set for choosing the right cane after a joint replacement.
The cane should be solid, not collapsible The foot (base) needs to be stable, not flexible If you’ve seen it on TV, avoid it. After a knee replacement, you’ll start walking with a walker within a day or two following your surgery.
Place the cane in the hand opposite of your replaced knee or hip. Place the cane in front of you about 8 inches as you step with the opposite leg.
Avoid leaning on the cane or putting excessive pressure through your wrist. As you get more comfortable, you’ll be able to move the walker as you step.
Move your feet and your walker as close to the curb as possible. Put your weight on both legs, and then lift the walker onto the curb.
Using the walker to support your weight, bring up your operated leg. Move your feet and the walker as close to the curb as possible.
Lower the walker onto the ground, keeping its back legs against the curb. Using the walker to support your weight, lower your operated leg.
You may need to use some special equipment to ensure a safe recovery after your surgery. You must use a front-wheel walker, crutches or a cane (assistive walking device) and most likely a raised toilet seat after your surgery.
Installing grab bars around your toilet, bathtub or shower will increase your safety during transfers. A tub chair lets you sit while taking a shower or bath.
Elastic laces let you slip in and out of your shoes easily while keeping them tied. Some may see having to use a mobility device as loss of independence, while others may feel more secure because their chances of falling are reduced.
If you travel outside your home frequently and participate in various activities, you may need to consider how the walker or collator can be folded for easy storage and transport. A walker allows a slower pace while a collator, with three or four wheels, features hand-operated brakes and may have a seat to use when resting.
If a person cannot bear weight on one or both legs as the result of a surgery or hip replacement, but is mobile enough not to require a wheelchair, a walker is generally the right choice. Some therapists state that if a person has difficulty walking from the bedroom to the bathroom, they are not ideal candidates for a collator and should use a walker for extra support.
A collator, because of its wheels and maneuverability, is best for people who are able to walk, but need a little help with balance and stability. A collator can conserve the user’s energy because it does not have to be lifted for movement like a non-wheeled walker, allows a faster walking speed, and helps with a normal gait.
It is also important to understand the patient’s comfort level with their strength, area awareness, and agility when choosing between a walker and a collator. Most therapists consider a standard walker the most stable solution for those needing a little extra help.
Two-wheel walkers, which provider easier mobility, are also available for use by a person who doesn’t need quite as much support but is not stable enough to use a four-wheel collator. Collators offer the greatest range of mobility and have front swivel wheels that help with turning.
Most collators also feature a padded seat and backrest to use when resting as well as a basket or pouch for carrying personal items. For those who just need a little extra support when walking, a three-wheel collator is usually narrower and can be easier to maneuver in tight spaces.
This combination device is ideal for someone who wants to walk part of the time but may get tired and need a rest when they can be pushed by a caregiver or loved one. The Lumen Hybrid is designed to help users walk independently by giving them the support of a four-wheel collator, but can easily transform into a lightweight transport chair with flexible backrest and comfortable footrests.
The Graham-Field family of brands includes Basic American Medical Products, Everest & Jennings, Graphic, Haunted, John Burn, Lab tron, Lumen and Periscope. The below information is for patients who are within the first 6-8 weeks after surgery, before attending their first follow-up appointment.
When sitting or standing from a chair, bed or toilet you must extend your operated leg out in front of you. It is important that you continue to do this until you have come for your follow-up appointment (6-8 weeks after surgery).
Wheeled walkers are great for walking outside and if you have a seat then you could sit and rest as needed. I had a BKR; my progression was from a walker w/o wheels to two crutches---then I used the crutches like canes, and then I went to a cane. During my father's last recovery from a TAR, he had a walker with wheels.
My progression from 2 TAR two days apart was from a walker with wheels for 3 weeks to just walking on my own. But I do not have steps to worry about--I have a ramp to the house which is just one story, and I trusted by balance.
The advantage in the wheeled walker is that you can just push it along in front of you mostly for stability--with the wheeled, you have to pick it up to advance. I could never figure the walker out--ended up carrying it around a lot since it did not fit through the hallways of my house very well.
A two wheeled on was what I was given. There are several YouTube videos with a couple of different techniques for using a walker on the steps. I kept that in the car and used a no wheeled Walker for house.
The two wheeled walker will not “run away” with you as you have to lift the back a little to get it to move smoothly. I have not had either of my knees replaced yet, but with both hips the hospital PT told me to use the 2 wheeled model until I was not in need of as MUCH pain meds, so that I was more fully aware of what I was doing, thus minimizing the “running away” problems. I have the 4 wheeled walker it has a seat and a basket I like because of the hand brakes.
2 wheel walkers was good for me when I couldn't put much weight on my right knee and 4 wheel walkers was good for work because I could put lunch on the seat or sit down when I got tired. Right now I use a wheelchair because I can't put 'any' weight on the right leg.
They want you to 'learn' to walk with it, so they want it to glide smoothly, not pick it up and plop it like I did early on. :secretary: I went from the walker to walking without any aides at all @ 5-6 weeks out.
In fact, just pulled my walker out...lending it to a friend. I used a 2-wheeled walker in the hospital for a day, then was given the short crutches.