Lofstrand Crutches for Seniors
The Complete Guide to Forearm Crutches for Seniors: Choosing the Right Support for Your Mobility Needs
Emergency Information First
If you experience any of these symptoms while using crutches, contact your doctor immediately:
- Severe pain in your hands, wrists, or arms that doesn’t improve with rest
- Numbness or tingling in your fingers or hands
- Signs of nerve damage (shoulder weakness, inability to lift your arm)
- Skin breakdown, sores, or persistent redness where the crutch touches your body
- Sudden increase in falls or balance problems
- Chest pain or severe shortness of breath during use
Emergency Numbers to Keep Handy:
- Your doctor’s office: ________________
- Physical therapy clinic: ________________
- Medical equipment supplier: ________________
Key Takeaways
✅ Forearm crutches are often better for seniors than underarm crutches for long-term use ✅ Medicare Part B covers 80% of approved crutch costs after you meet your deductible ✅ Weight capacity matters – most standard forearm crutches support 250-300 lbs ✅ Professional fitting is essential – improper adjustment can cause injury ✅ Practice is required – forearm crutches need more learning time than underarm crutches ✅ Quality varies significantly – budget models may lack important safety features
What Are Forearm Crutches and Why Do Seniors Choose Them?
Forearm crutches, also called elbow crutches or Lofstrand crutches, are walking aids that have a cuff around your forearm and a handle you grip with your hand. Unlike the underarm crutches most Americans know, these distribute your weight through your arms and hands instead of your armpits.
For seniors, forearm crutches often provide better comfort and stability than underarm crutches, with improved posture and reduced risk of nerve damage. However, they do require more upper body strength and practice to master.
The Reality Check: Are Forearm Crutches Right for You?
Forearm crutches work best for seniors who:
- Have good upper body strength and grip
- Need crutches for more than a few weeks
- Want to maintain an active lifestyle
- Have balance issues that benefit from better control
- Experience pain with underarm crutches
They may NOT be the best choice if you:
- Have severe arthritis in your hands or wrists
- Lack upper body strength
- Need crutches for only a short recovery period
- Have cognitive issues that make learning new techniques difficult
Forearm vs. Underarm Crutches: The Truth for Seniors
Feature | Forearm Crutches | Underarm Crutches |
---|---|---|
Learning Curve | Harder to learn | Easier to start with |
Upper Body Strength | More required | Less required |
Long-term Comfort | Better posture, less fatigue | Can cause armpit soreness |
Stair Climbing | Better control | More difficult |
Storage/Transport | More compact | Longer, more cumbersome |
Risk of Nerve Damage | Lower risk | Higher risk if used incorrectly |
Cost | Often more expensive | Usually less expensive |
Medicare and Insurance Coverage for Forearm Crutches
Good news for seniors: Medicare Part B covers crutches as durable medical equipment (DME). After you meet your Part B deductible ($240 in 2025), Medicare pays 80% of the approved amount, and you pay 20%.
What You Need for Coverage:
- Doctor’s prescription stating medical necessity
- Medicare-enrolled supplier – verify before purchasing
- Medical documentation supporting your need
Coverage Examples:
- Medicare-approved cost: $100 → You pay $20, Medicare pays $80
- Medicare-approved cost: $200 → You pay $40, Medicare pays $160
Important: Both your healthcare provider and medical equipment supplier must participate in Medicare for coverage to apply. Private insurance often follows similar guidelines.
Our Top 8 Forearm Crutches for Seniors in 2025
1. In-Motion Pro Forearm Crutches – Best Overall for Seniors
Price Range: $200-250
Weight Capacity: 350 lbs
Height Range: 4’2″ to 6’8″
These crutches feature spring-assist technology designed to reduce impact on wrists and hands while preventing carpal tunnel syndrome. The ergonomic handles are latex-free, making them suitable for seniors with allergies.
Where to Buy: Millennial Medical
Best For: Seniors with wrist pain, long-term users, those with carpal tunnel concerns
2. Ergobaum 7G Forearm Crutches – Most Features
Price Range: $300-400
Weight Capacity: 350 lbs
Height Range: 5’0″ to 6’6″
These premium crutches include LED lights, knee-rest platforms, shock absorbers, and even an alert horn. They fold for travel and include reflective tape for nighttime safety.
Where to Buy: Amazon, Senior.com
Best For: Active seniors, those who travel, night walkers, tech-savvy users
3. Drive Medical Bariatric Steel Forearm Crutches – Best for Heavy-Duty Use
Price Range: $150-200
Weight Capacity: 500-650 lbs
Height Range: Adjustable
Built with robust steel construction specifically for individuals requiring higher weight-bearing capacity. Features ergonomic handgrips to reduce hand and wrist strain.
Where to Buy: Rehabmart.com, medical supply stores
Best For: Heavier seniors, those needing extra durability, long-term daily use
4. Guardian Aluminum Forearm Crutches – Best Value
Price Range: $80-120
Weight Capacity: 250 lbs
Height Range: 4’2″ to 6’6″
High-strength aluminum construction with internal bushings and external lock nuts for silent operation. Vinyl-coated, contoured arm cuffs provide comfort. Black components hide wear and scratches.
Where to Buy: Medical supply stores, Amazon
Best For: Budget-conscious seniors, first-time users, shorter-term needs
5. Platform Crutch with Quad Base (TFI Healthcare) – Best for Arthritis
Price Range: $120-160
Weight Capacity: 250 lbs
Height Range: Two adjustable sizes
Designed specifically for seniors with arthritis, cerebral palsy, or hand/wrist impairments who cannot bear weight through their wrists. Features hook-and-loop fastening system and quad base for stability.
Where to Buy: TFI Healthcare
Best For: Seniors with severe arthritis, limited grip strength, hand/wrist problems
6. PEPE Mobility European Forearm Crutches – Best European Style
Price Range: $100-150
Weight Capacity: 250 lbs
Height Range: Adjustable
Made in Europe with aluminum construction and open cuff design. Lightweight yet durable with ergonomic grips.
Where to Buy: Amazon, specialty retailers
Best For: Seniors preferring European design, those wanting lighter weight options
7. Vive Forearm Crutches – Best Ergonomic Design
Price Range: $90-130
Weight Capacity: 300 lbs
Height Range: Adjustable
Features ergonomic arm cuff and comfortable handles with heavy-duty, non-slip tips. Lightweight design with durable construction.
Where to Buy: Amazon, Vive Health
Best For: Seniors wanting ergonomic features, those with comfort concerns
8. KMINA PRO Carbon Fiber Folding Crutches – Best for Travel
Price Range: $180-230
Weight Capacity: 250 lbs
Height Range: Adjustable
Premium carbon fiber construction makes these extremely lightweight yet strong. Folds for easy transport and storage.
Where to Buy: Amazon, specialty mobility retailers
Best For: Traveling seniors, those wanting the lightest option, active lifestyles
Comparison Table: Top Features for Seniors
Model | Weight (each) | Foldable | Shock Absorption | Special Features | Senior-Friendly Rating |
---|---|---|---|---|---|
In-Motion Pro | 2.5 lbs | No | Yes | Spring-assist, carpal tunnel protection | ⭐⭐⭐⭐⭐ |
Ergobaum 7G | 3.2 lbs | Yes | Yes | LED lights, knee rest, horn | ⭐⭐⭐⭐⭐ |
Drive Bariatric | 4.1 lbs | No | No | High weight capacity, steel construction | ⭐⭐⭐⭐ |
Guardian Aluminum | 2.8 lbs | No | No | Silent operation, budget-friendly | ⭐⭐⭐⭐ |
Platform Quad | 3.5 lbs | No | No | Arthritis-friendly, quad base | ⭐⭐⭐⭐⭐ |
PEPE Mobility | 2.2 lbs | No | No | European design, lightweight | ⭐⭐⭐ |
Vive | 2.7 lbs | No | No | Ergonomic design, good value | ⭐⭐⭐⭐ |
KMINA Carbon | 1.8 lbs | Yes | No | Ultra-lightweight, travel-friendly | ⭐⭐⭐⭐ |
How to Choose the Right Forearm Crutches: A Senior’s Guide
Step 1: Assess Your Needs
Ask yourself:
- How long will I need crutches? (Short-term vs. long-term affects your choice)
- What’s my upper body strength like? (Be honest – weak grip means you need special features)
- Do I have arthritis or other hand/wrist problems?
- What’s my budget? (Remember Medicare covers 80%)
- Will I travel with them?
Step 2: Consider Your Physical Limitations
Limitation | Recommended Features |
---|---|
Arthritis in hands/wrists | Platform crutches, padded grips, ergonomic handles |
Limited grip strength | Platform style, hook-and-loop fasteners |
Balance issues | Quad base, shock absorption, wider cuff |
Back problems | Proper height adjustment, ergonomic design |
Weight over 250 lbs | Bariatric models, steel construction |
Step 3: Professional Fitting is Essential
Never skip this step. Improper crutch fitting can lead to nerve damage, falls, and other injuries. Your physical therapist or medical equipment professional should:
- Measure you while wearing your regular shoes
- Adjust height so your elbow bends about 30 degrees
- Position cuff 1-2 inches below your elbow
- Ensure both crutches are the same height
- Check that all adjustments are properly locked
Safety Tips Every Senior Should Know
Before You Start Using Your Crutches:
- Practice at home first – Don’t attempt stairs or long distances initially
- Clear pathways – Remove throw rugs, electrical cords, and clutter
- Wear proper shoes – Non-slip soles, good support, low heel
- Have someone nearby – Especially during your first few days
Daily Safety Reminders:
- Check tips regularly – Replace when worn down
- Keep three points of contact – Two crutches and one foot, or one crutch and two feet
- Take your time – Rushing leads to falls
- Use handrails when available – Combine with crutch techniques your therapist taught you
Red Flags – Stop and Call Your Doctor:
- Severe pain that doesn’t improve
- Numbness in hands or fingers
- Frequent falls or near-falls
- Skin breakdown where crutches contact your body
The Learning Curve: What to Expect
Reality check: Forearm crutches require more practice than underarm crutches, but most seniors master them within 1-2 weeks with proper instruction.
Week 1: Getting Started
- Expect fatigue – Your arms and shoulders will tire quickly
- Start slow – Short distances around your home
- Focus on basic walking – Don’t attempt stairs yet
- Build strength gradually – Your muscles need time to adapt
Week 2-3: Building Confidence
- Longer distances become manageable
- Stair techniques can be learned (with supervision)
- Muscle memory develops for proper technique
- Balance improves as you gain experience
Month 1+: Mastery
- Natural movement replaces conscious effort
- Outdoor terrain becomes manageable
- Daily activities integrate smoothly
- Confidence grows for various situations
Cost Breakdown: What Seniors Really Pay
Budget Options ($80-150)
- Basic aluminum models
- Standard features only
- Good for short-term use
- After Medicare: $16-30 out of pocket
Mid-Range Options ($150-250)
- Better materials and construction
- Some ergonomic features
- Good for long-term use
- After Medicare: $30-50 out of pocket
Premium Options ($250-400)
- Advanced features (shock absorption, LED lights)
- Superior materials (carbon fiber, titanium)
- Maximum comfort and durability
- After Medicare: $50-80 out of pocket
Money-saving tips:
- Shop Medicare-approved suppliers
- Ask about rental options for short-term use
- Check if your supplemental insurance covers the 20% copay
- Look for senior discounts (some retailers offer 5-10% off)
Maintenance and Care for Seniors
Daily Care:
- Wipe down handles and cuffs with disinfectant wipes
- Check for loose parts – Tighten if needed
- Inspect tips – Look for wear or damage
- Store properly – Don’t lean against walls where they can fall
Weekly Maintenance:
- Deep clean all surfaces with mild soap and water
- Check all adjustment mechanisms – Ensure they lock properly
- Examine cuffs for cracks or wear
- Test height adjustments – Make sure they hold securely
When to Replace:
- Tips are worn down or uneven
- Cracks appear in the frame
- Adjustment mechanisms fail
- Padding deteriorates significantly
- Any part becomes loose and won’t tighten
Real-World Challenges Seniors Face
Challenge 1: Carrying Things
Problem: Can’t carry a purse, groceries, or other items
Solutions:
- Backpack or crossbody bag
- Crutch bags (attach to the crutch)
- Rolling cart for groceries
- Ask family/friends for help with errands
Challenge 2: Weather Conditions
Problem: Rain, snow, and ice make crutch use dangerous
Solutions:
- Ice tips for winter conditions
- Stay indoors during severe weather
- Use covered walkways when possible
- Consider a knee scooter for icy conditions
Challenge 3: Social Situations
Problem: Feeling self-conscious or awkward in public
Solutions:
- Practice common scenarios at home
- Plan ahead for restaurants, theaters, etc.
- Don’t be afraid to ask for help
- Focus on your recovery, not others’ opinions
Challenge 4: Home Modifications
Problem: Your home isn’t set up for crutch use
Solutions:
- Remove scatter rugs and clutter
- Install grab bars in bathroom and stairs
- Use a shower chair
- Consider a temporary bedroom on the first floor
FAQs: What Seniors Ask Most
Q: How long does it take to learn to use forearm crutches?
A: Most seniors need 1-2 weeks to feel comfortable with basic use, and 3-4 weeks to master stairs and uneven terrain. However, you should always consult with your physical therapist about your specific timeline and capabilities.
Q: Can I use just one forearm crutch?
A: Yes, if your doctor approves. Single crutch use is common for mild injuries or long-term conditions affecting one leg. Always consult your healthcare provider before making this decision.
Q: Are forearm crutches better than a walker for seniors?
A: It depends on your specific needs. Forearm crutches offer more mobility and independence, while walkers provide more stability. Your physical therapist can help you decide which is better for your situation.
Q: What if my hands get sore from the grips?
A: Hand soreness is common initially. Use padded grip covers, take frequent breaks, and build up usage gradually. If pain persists, consult your healthcare provider as you may need different crutches or additional accessories.
Q: Can I drive while using forearm crutches?
A: This depends on which leg is affected and your doctor’s clearance. Generally, if your right leg is injured and you drive an automatic car, you may be able to drive sooner than with other injuries. Always get medical clearance before driving.
Q: How do I know if my crutches are adjusted correctly?
A: When standing upright with your crutches, your elbows should bend about 30 degrees, and the cuff should sit 1-2 inches below your elbow. However, proper fitting should always be done by a healthcare professional.
Q: Will Medicare cover premium crutches with extra features?
A: Medicare typically covers the most basic model that meets your medical needs. Premium features like LED lights or shock absorption may not be covered, but you can pay the difference. Always consult with your healthcare provider about what’s medically necessary.
Q: What should I do if I fall while using crutches?
A: Don’t panic. Assess yourself for injuries before attempting to get up. If you’re hurt or can’t get up safely, call for help immediately. Consider wearing a medical alert device for such situations. Always report falls to your healthcare provider.
Resources for Seniors
Government Resources:
- Medicare.gov – Coverage information
- National Institute on Aging – Mobility and exercise information
- CDC Fall Prevention – Safety resources for seniors
Professional Support:
- Physical Therapists – For proper fitting and training
- Occupational Therapists – For home safety assessments
- Medical Equipment Suppliers – For ongoing support and maintenance
Senior Organizations:
- AARP – Health and mobility resources
- Area Agencies on Aging – Local support services
- Senior Centers – Equipment loan programs (some locations)
Online Communities:
- Senior Forums – Connect with others using mobility aids
- Facebook Groups – Support groups for specific conditions
- Reddit Communities – r/seniors, r/mobility
Final Thoughts: Your Path to Better Mobility
Choosing the right forearm crutches is an important decision that affects your daily life, independence, and recovery. While the learning curve may seem daunting, thousands of seniors successfully use forearm crutches to maintain active, fulfilling lives.
Remember these key points:
- Professional fitting and training are essential
- Medicare helps with costs, but plan for your 20% share
- Quality matters more than price for long-term use
- Practice and patience lead to mastery
- Don’t hesitate to ask for help when needed
Your mobility journey is unique to you. Work closely with your healthcare team, be patient with yourself during the learning process, and focus on the independence and freedom that properly fitted forearm crutches can provide.
Disclaimer
This article provides general information about forearm crutches for educational purposes only and should not replace professional medical advice. Crutch selection, fitting, and training should always be done under the guidance of qualified healthcare professionals such as doctors, physical therapists, or certified medical equipment specialists.
Medicare coverage details, prices, and product specifications can change frequently. Always verify current information with Medicare, your insurance provider, and equipment suppliers before making purchases. The product recommendations in this article are based on publicly available information and user reviews as of 2025, but individual needs vary significantly.
Always consult with your healthcare provider before choosing mobility aids, and report any concerns or complications immediately. Program details and coverage options can change, so readers should always verify information with the relevant agencies and healthcare providers before making decisions.
Last Updated: August 2025
Medical Review: This article has not been reviewed by medical professionals. Always consult your healthcare provider for personalized advice.