Forearm Crutches vs Underarm Crutches: Which Is Better for Mobility?

Last Updated Apr 25, 2025

Forearm crutches provide greater maneuverability and better weight distribution, reducing strain on the wrists and allowing for longer use without discomfort. Underarm crutches offer more stability and are easier to use for short-term mobility needs but can cause underarm soreness and nerve pressure with prolonged use. Choosing between forearm and underarm crutches depends on individual mobility requirements, comfort preferences, and the duration of use.

Table of Comparison

Feature Forearm Crutches Underarm Crutches
Support Type Forearm cuff support Underarm pad support
Weight Distribution Wrist and forearm Underarm and hands
Mobility Better for active users Suitable for short-term use
Comfort Less shoulder strain Can cause armpit discomfort
Adjustability Adjustable height and cuff Adjustable height only
Durability Stable, high-quality build Typically less durable
Use Duration Long-term mobility aid Short-term rehabilitation

Introduction to Forearm and Underarm Crutches

Forearm crutches provide enhanced mobility support by distributing weight through the wrist and forearm, promoting better posture and reducing axillary nerve compression. Underarm crutches, also known as axillary crutches, transfer weight through the armpit area and are commonly used for short-term injuries due to ease of use but carry a higher risk of nerve damage with prolonged use. Choosing between forearm and underarm crutches depends on the user's mobility needs, duration of use, and comfort preferences.

Design and Structure Comparison

Forearm crutches feature a cuff that wraps around the forearm and handgrip positioned for ergonomic support, promoting better posture and greater maneuverability, especially on uneven terrain. Underarm crutches have a padded top that fits under the armpit with handgrips lower down, offering more weight distribution through the arms but requiring upper body strength and potentially causing discomfort with prolonged use. The lightweight aluminum or carbon fiber construction of forearm crutches contrasts with the typically bulkier and sturdier design of underarm crutches, influencing user preference based on mobility needs and comfort.

Weight Distribution and Support

Forearm crutches provide improved weight distribution by allowing users to transfer more body weight through their forearms and hands, reducing strain on the armpits and shoulders. Underarm crutches concentrate pressure on the armpits, which can lead to discomfort and nerve damage with prolonged use. Superior support in forearm crutches enhances balance and stability, making them ideal for long-term mobility assistance.

Comfort and User Experience

Forearm crutches provide enhanced comfort by allowing a more natural arm position and reducing axillary pressure, minimizing discomfort during extended use. Users often report improved maneuverability and control with forearm crutches, contributing to a positive overall experience. Underarm crutches may cause shoulder and underarm fatigue due to constant pressure but offer easier initial learning for short-term mobility needs.

Mobility and Maneuverability

Forearm crutches offer enhanced mobility through improved maneuverability in tight spaces, providing better weight distribution and wrist control compared to underarm crutches. Underarm crutches, while offering more stability for extended weight-bearing, can restrict upper body movement and cause discomfort during prolonged use. Choosing forearm crutches optimizes ease of navigation and reduces fatigue, making them ideal for users seeking greater independence and dynamic motion.

Suitability for Short-term vs Long-term Use

Forearm crutches offer enhanced ergonomics and greater mobility, making them suitable for long-term use in individuals requiring sustained support and improved posture. Underarm crutches provide more stability and are easier to use initially, making them ideal for short-term injuries or temporary mobility assistance. The choice depends on the duration of use and the user's need for comfort versus immediate stability.

Impact on Posture and Gait

Forearm crutches promote a more natural, upright posture by encouraging proper weight distribution and reducing reliance on the upper body, which supports improved gait mechanics and balance. Underarm crutches often result in slouched shoulders and altered spinal alignment due to pressure on the axilla, negatively affecting posture and leading to compensatory gait patterns. Studies show forearm crutches enhance long-term musculoskeletal health by minimizing strain and fostering efficient walking dynamics.

Risk of Injuries and Common Issues

Forearm crutches reduce the risk of nerve damage and shoulder strain compared to underarm crutches, which often cause underarm pain, blisters, and potential nerve compression such as crutch palsy. Underarm crutches can lead to improper weight distribution, increasing the likelihood of falls and wrist injuries, whereas forearm designs promote better posture and weight support. Users of underarm crutches commonly report issues like skin irritation and muscle fatigue, while forearm crutches minimize these risks through ergonomic grips and forearm cuffs.

Target Users and Medical Recommendations

Forearm crutches are recommended for individuals with long-term mobility impairments, such as those recovering from stroke or living with neurological conditions, as they promote better posture and arm strength. Underarm crutches are typically suited for short-term use after leg injuries or surgeries, providing upper body support but posing a higher risk of nerve damage if used improperly. Medical professionals advise selecting forearm crutches for improved balance and comfort during extended use, while underarm crutches are favored for temporary mobility assistance.

Choosing the Right Crutch for Your Needs

Forearm crutches offer enhanced mobility and independence by providing better weight distribution and allowing for more natural arm movement compared to underarm crutches, which can cause discomfort and nerve compression due to underarm pressure. Selecting the right crutch depends on factors such as duration of use, patient strength, and lifestyle demands; forearm crutches are ideal for long-term use and active users, whereas underarm crutches may be suitable for short-term or less physically demanding situations. Proper fit and adjustment are critical to prevent injury and maximize mobility benefits regardless of the crutch style chosen.

forearm crutches vs underarm crutches Infographic

Forearm Crutches vs Underarm Crutches: Which Is Better for Mobility?


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The information provided in this document is for general informational purposes only and is not guaranteed to be complete. While we strive to ensure the accuracy of the content, we cannot guarantee that the details mentioned are up-to-date or applicable to all scenarios. Topics about forearm crutches vs underarm crutches are subject to change from time to time.

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