DeviceProsConsSelected indications for useApproximate cost*
Canes
StandardImproves balance, most are adjustableShould not be used for more than minimal weight-bearing; curved handle may be difficult to grasp and may cause carpal tunnel syndrome; may be uncomfortable to use for patients with hand abnormalities; weight-bearing line is behind the cane shaft, which can make it less supportiveMild ataxia (sensory, vestibular, or visual), mild lower limb arthritis$10 to $20
OffsetMore supportive than a standard cane, appropriate for intermittent weight-bearing, handgrip is more comfortable than a standard cane and puts less pressure on the hand and wrist, most are adjustableOften used incorrectly (backward)Moderate lower limb arthritis$15 to $40
QuadripodLarger base of support than other canes, can bear more weight, stands on its own, most are adjustableSlightly heavier than other canes; awkward to use with all four legs on the ground simultaneously; some types may not fit on stairsHemiparesis$15 to $40
Crutches
AxillaryAble to off-load 80% to 100% of weight from a lower limb, inexpensiveDifficult to learn how to use, requires substantial energy expenditure and upper body strength, risk of axillary nerve or artery compression, patient unable to use hands while operatingLower limb fracture or injury$16 to $30
PlatformIncludes a forearm pad that can be used to bear weight rather than the handDifficult to learn how to useWrist fracture, rheumatoid arthritis$75 to $100
Forearm (Lofstrand)Forearm cuff and handpiece used for weight-bearing; frees hands without having to drop crutch; less cumbersome to use, particularly on stairsPermits only occasional weight-bearingCerebral palsy, paraparesis$40 to $100
Walkers
Standard walker (no wheels)Most stable walker, folds easilyNeeds to be lifted up with each step; slower, less natural gaitSevere myopathy or neuropathy, cerebellar ataxia, lower limb fractures$20 to $60
Two-wheel rolling walkerMaintains normal gait pattern, does not need to be lifted up with each stepLarge turning arc, less stable than standard walkerLower limb arthritis, pain, or injury; poor balance; severe myopathy or neuropathy; paraparesis; parkinsonism$35 to $60
Four-wheel rolling walker (rollator)Easy to propel; highly maneuverable, with small turning arc; typically has a seat for resting and a basketShould not be used for weight-bearing, less stable than two-wheel walker, does not fold easilyGeneralized decreased endurance, spinal stenosis, moderate lower limb arthritis, lung disease, congestive heart failure$50 to $100
ManualImproved long-distance mobility, complete off-loading of both lower limbsRequires substantial energy expenditure and upper body strength, may cause injury to bony prominences and skin breakdown due to seat pressureEnd-stage disease, severe lower limb arthritis, frailty, paraplegia$100 to $200
PowerImproved mobility and activities of daily living for those with severe disabilityPowered by battery that needs to be charged, manual wheelchair needed for use during power outages or emergenciesEnd-stage disease, amyotrophic lateral sclerosis, multiple sclerosis, frailty, quadriplegia$1,000 to > $2,500