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  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...