What is the correct way to use a cane?

• A. Place cane on the weaker side and advance it first
• B. Keep the cane on the stronger side, place it forward 6 to 10 inches, and divide weight between the cane and the stronger leg
• C. Move the cane after stepping with the cane foot
• D. Use the cane only for balance, not weight bearing

Answer: (B)

Using a cane correctly focuses on offloading weight from the weaker leg onto the cane and the stronger leg, with the cane held in the hand opposite the weakness. Start with the cane tip on the floor about 6 to 10 inches in front of you, and keep the elbow lightly bent. Begin by moving the cane forward first, then step the weaker leg forward to meet the cane, followed by bringing the stronger leg forward. In this pattern, you bear weight through both the cane and the stronger leg, while the weaker leg steps to the cane without bearing much weight until it can.

This approach stabilizes your gait and reduces fall risk by providing a steady support that shares your body weight, rather than relying solely on the weaker leg. Placing the cane on the weaker side, moving it after the leg, or using the cane only for balance without weight bearing all fail to provide the needed distribution of weight and timing that keeps you steady and reduces strain on the weaker limb.