How to Size a Walking Cane: The Complete Guide
A cane that's the wrong height can be worse than no cane at all. Too tall, and you'll hike your shoulder up with every step. Too short, and you'll lean forward, straining your back and throwing off your gait. Getting the sizing right takes about 60 seconds — here's exactly how to do it.
The Wrist-Height Method (Most Accurate)
The gold standard for cane sizing is the wrist-height method:
1. Stand up straight in the shoes you normally wear (heel height matters).
2. Let your arms hang naturally at your sides.
3. Have someone measure the distance from the floor to the crease of your wrist (the bone that sticks out on the side of your wrist).
4. That measurement is your ideal cane length.
When you hold the properly sized cane at your side, your elbow should have a slight natural bend — typically around 15–20 degrees. This is the position that lets your arm absorb shock most efficiently and protects your shoulder and wrist from repetitive strain.
Quick Sizing Reference Chart
|
Height |
Recommended Cane Length |
|
Under 5'3" |
37 inches |
|
5'3" – 5'10" |
37 inches |
|
5'11" and taller |
40 inches |
Our standard cane length is 37 inches, which fits the vast majority of adults. For taller users (generally 5'11" and above), we offer 40-inch canes. Note that if your wrist-height measurement falls close to the boundary, the wrist-height method should take priority over the chart.
Which Hand Should You Hold the Cane In?
This surprises many first-time cane users: if you're using a cane to take weight off an injured or weaker leg, hold it in the opposite hand — not the same side as the problem. This mimics your natural walking gait, where your opposite arm swings forward with each step. Holding the cane on the opposite side provides the most effective support and keeps your posture aligned correctly.
If you're using a cane purely for balance rather than to offload a specific leg, either hand is fine — use whichever feels more natural.
Cane Handle Styles and Their Impact on Fit
The handle style you choose also affects comfort and fit — especially for everyday users who grip the cane for hours at a time:
• Traditional (hook) handle: The classic curved handle. Easy to grip and the standard choice for most users.
• Derby handle: An ergonomic flat-top design that distributes weight across a broader surface area. Popular with users who experience wrist or palm fatigue.
• Root handle: A more rustic, organic shape carved from the natural root structure of the wood. Beautiful and unique.
Browse all of our handcrafted wooden walking canes — available in hickory, oak, walnut, sassafras, and more, with multiple handle styles. Every cane ships for $10 flat-rate.
Cane vs. Walking Stick: Which Do You Need?
Quick clarification since there's often confusion here: a walking cane is shorter (typically 37–40 inches) and is designed for everyday mobility support and medical use. A walking stick is longer (typically 48–58 inches) and is designed primarily for hiking, balance on trails, and outdoor use.
If you're not sure which is right for you, our full sizing guide walks through both in detail.
When to Consult a Professional
For everyday balance, the wrist-height method gives you an excellent fit. But if you're recovering from surgery, managing a neurological condition, or have specific gait challenges, consult your physician or a physical therapist. They may have specific recommendations that go beyond standard sizing, including adjustments for your particular walking pattern or mobility goals.