Stephen J. Schueler, M.D.

Overview Incidence Symptoms Evaluation Treatment questions for doctor specialist Home Care pain in adults pain in children taking control using a cane using a walker using crutches warning signs Underlying Cause Anatomy

Hip Necrosis Using a Walker

Some people with avascular necrosis of the hip may require more support than a cane or crutches can offer. Walkers with four solid feet on the bottom give you the most stability. A walker is much more stable than crutches or a cane. A walker allows you to keep weight off one leg while you walk. It is also lends support if both of your legs are unstable or painful.

The handles of your walker should reach the crease in your wrist when you stand upright and the walker is placed on the floor. Moving slowly is important when you use a walker.

Using a Walker

  • Place your walker one stride ahead of you. Make sure that all 4 legs of your walker are on the ground.
  • Grasp the handles on the walker with both hands. Lean forward and support your weight on your arms.
  • Step forward with your good leg. Place your foot in the center of the square that is made by the walker feet.
  • Step forward with the other leg.

Walker Rules
  • Take small steps when you turn.
  • In order to sit in a chair, back up until your legs touch the chair. Reach behind you in order to feel the seat and then sit down.
  • In order to get up from a chair, push yourself up with your arms and then grasp the handles on the walker.
  • Make sure that the rubber tips on the legs of the walker are tightly fastened. Replace the rubber tips if they become worn.
  • Do not use your walker to climb stairs.
  • Do not use your walker on an escalator.

General Safety Tips
  • Remove small area rugs, electrical cords, spilled liquids or other items that may cause you to slip.
  • In the bathroom, install non-slip bath mats, toilet grab bars, a raised toilet seat, shower grab bars, and a shower tub seat.
  • Keep needed household items in close reach. Store less used items out of the way.
  • Use a backpack, fanny pack, apron or briefcase in order to carry items.

Continue to Hip Necrosis Using Crutches

Last Updated: Sep 10, 2010 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Hip Necrosis References
  1. Balakrishnan A, Schemitsch EH, Pearce D, McKee MD. Distinguishing transient osteoporosis of the hip from avascular necrosis. Can J Surg. 2003 Jun;46(3):187-92. [12812240]
  2. Desai MM, Sonone S, Bhasme V. Efficacy of alendronate in the treatment of avascular necrosis of the hip. Rheumatology (Oxford). 2005 Jun 21. [15972347]
  3. Watson RM, Roach NA, Dalinka MK. Avascular necrosis and bone marrow edema syndrome. Radiol Clin North Am. 2004 Jan;42(1):207-19. [15049532]
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