If you've recently had surgery, suffered an injury, or are managing a long-term condition that affects your mobility, chances are someone handed you a pair of crutches and sent you on your way. But here's what most people don't realize: not all crutches are created equal. The type you use can make a significant difference in your comfort, recovery, and long-term health.
The two most common types are forearm crutches and underarm crutches. In this guide, we'll break down how each one works, who they're best suited for, and how to decide which is right for your situation.
What Are Underarm Crutches?
Underarm crutches, also called axillary crutches, are the traditional style most people picture when they think of crutches. They extend up into the armpit area and include a hand grip lower down the shaft.
Best for:
- Short-term recovery (weeks, not months)
- Post-surgical patients who only need crutches temporarily
- Situations where crutches will be used infrequently
Drawbacks:
- Prolonged use can cause nerve damage in the underarm area (a condition called crutch palsy)
- Most of the body's weight is transferred through the armpits, which leads to soreness and fatigue quickly
- Less natural gait, many users develop an awkward swinging motion
- Bulky and difficult to use on stairs or in tight spaces
What Are Forearm Crutches?
Forearm crutches, also called Lofstrand crutches or elbow crutches, feature a cuff that wraps around the forearm and a hand grip below it. Weight is distributed through the hands and forearms rather than the armpits.
Best for:
- Long-term or permanent mobility support
- People managing chronic conditions like MS, EDS, cerebral palsy, or arthritis
- Active users who need more freedom of movement
- Anyone who values a more natural walking gait
Advantages:
- No underarm pressure, which eliminates the risk of nerve damage
- More efficient energy transfer. You move more naturally and tire less quickly
- Greater maneuverability in tight spaces, on stairs, and outdoors
- Easier to release hands-free (the forearm cuff holds the crutch in place)
Side-by-Side Comparison
| Feature |
Underarm Crutches |
Forearm Crutches |
| Weight distribution |
Armpits & hands |
Forearms & hands |
| Best use case |
Short-term recovery |
Long-term or chronic use |
| Risk of nerve damage |
Yes, with prolonged use |
Minimal |
| Maneuverability |
Moderate |
High |
| Natural gait |
No |
Yes |
| Hands-free capability |
No |
Yes |
| Learning curve |
Low |
Moderate |
So Which Should You Choose?
Choose underarm crutches if you're recovering from a minor injury or surgery and expect to be off crutches within a few weeks. They're widely available, easy to use right away, and fine for short-term situations.
Choose forearm crutches if you're looking at weeks or months of recovery, managing a chronic condition, or simply want a more comfortable and functional experience. The slightly higher learning curve pays off quickly in reduced pain and better mobility.
One thing worth considering: many people start with underarm crutches simply because that's what they were given at the hospital, not because it was the best option for them. If you've been struggling with soreness, fatigue, or discomfort on traditional crutches, switching to forearm crutches can be a gamechanger.
What Makes Millennial Medical Forearm Crutches Different?
Not all forearm crutches are built the same. At Millennial Medical, our crutches are engineered with spring-assist technology (a design backed by 34 medical studies) that absorbs impact with each step and returns energy to your stride. The result is less joint strain, less fatigue, and a more natural walking motion than any standard forearm crutch on the market.
Whether you're recovering from surgery or managing a long-term condition, our crutches are built to support you the way traditional designs simply can't.
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Final Thoughts
The right crutch depends on your situation, your timeline, and how much you value comfort and mobility during recovery. Underarm crutches are a fine short-term solution. But if you want something that works with your body rather than against it, especially for extended use, forearm crutches are the clear choice.
Have questions about which crutch is right for your specific condition or recovery?
Contact Us We're happy to help you find the best fit.
Shop Easy Adjustable Crutches Direct from our website
We offer both forearm and underarm crutches, new and refurbished, designed for ergonomic comfort and easy sizing. Buy from directly from us and you will receive the best customer service in the world and experience durability, comfort and style when using our crutches! We will support you wherever your adventures take you!
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