How to Transition to a Different Mobility Aid

In this episode of The MSing Link podcast,  let's explore the essential topics for individuals using mobility aids. Today's blog is particularly significant for those looking to transition from their current mobility aid to a lesser one or even eliminate the need for one altogether.

Let’s explore how this transition can be safely achieved, and debunk common misconceptions along the way.

👉Understanding the Stigma

Before we dive into the strategies to make the transition, it's crucial to address the stigma and misconceptions associated with mobility aids. Many people are hesitant to use mobility aids because they fear that it signifies the progression of their disease. They believe it's a sign that their condition is deteriorating. I want to emphasize that using a mobility aid does not necessarily mean your disease is getting worse. It's essential to separate the idea of disease progression from using mobility aids.

Another common fear is the worry of becoming overly dependent on mobility aids. There's a misconception that starting with a cane will lead to a walker, which will ultimately result in a wheelchair. However, I want to assure you that this is not the case. Many individuals successfully transition from using a wheelchair to a rollator, then to trekking poles, a cane, and even nothing at all. This transition is entirely possible with the right strategies and mindset.

👉Normalizing the Use of Multiple Mobility Aids

I also want to highlight the importance of normalizing the use of multiple mobility aids. It's perfectly acceptable and even encouraged to use different aids depending on your daily needs. In conditions like multiple sclerosis, your symptoms can vary from day to day. One day you might require a rollator for added stability, and the next day, you might feel confident using trekking poles or even no aid at all. It's crucial to listen to your body and adapt your aid accordingly.

Don't hesitate to use more than one mobility aid when needed. The goal is not to eliminate aids altogether as quickly as possible but to ensure your safety and independence.

👉Recognizing the Need for a Mobility Aid

How do you know if you need a mobility aid in the first place? Sometimes it's not as evident as falling or tripping. Many people experience what we call "near falls." These are situations where you almost fall but manage to catch yourself, perhaps by grabbing onto a wall or furniture. These near falls are just as indicative of future falls as actual falls, and it's essential to pay attention to them.

Moreover, controlled falls, where you slowly and intentionally land on the floor without injuring yourself, should also be considered as falls. It's a critical point to keep in mind. Reflect on how many times you've had near falls or even controlled falls when assessing whether you need a mobility aid.

👉Transitioning from One Mobility Aid to Another

Now, let's explore the strategies for transitioning from one mobility aid to a lesser one or none at all. Let’s start with the example of transitioning from a rollator to a cane or trekking poles. The key to this transition is to put less weight through your hands and upper body. By reducing the weight on your upper body, you'll reduce the risk of injuries and build strength and balance in your legs and core.

Imagine two miniature body weight scales underneath your hands, one for each side if you're using a mobility aid with two handles. Your goal is to decrease the percentage of body weight registered on these scales while standing and walking. Gradually shift your weight towards your legs and core to encourage your body to adapt to the new way of walking.

If you find this exercise too challenging, consider working on balance, posture, or leg strength exercises first. This transition process should be gradual, and you should never rush into reducing your reliance on your mobility aid. Safety is paramount, and it's essential to work on these changes at your own pace.

👉Embracing Mobility Aids

Finally, it's important to reiterate that mobility aids are valuable tools to maintain independence and safety. Don't be afraid to use them. Whether you aim to transition to a lesser mobility aid or none at all, the process is achievable with the right approach. By using mobility aids strategically and focusing on strengthening and balance, you can continue to lead an active and independent life.

Remember that mobility aids are there to support you on your journey, and using them appropriately can be a positive step towards maintaining and even improving your quality of life. So, let's not stigmatize mobility aids but embrace them as valuable tools in our pursuit of a fulfilling and independent life.

Listen to the full podcast episode here: 

https://www.doctorgretchenhawley.com/podcasts/the-msing-link/episodes/2148141498

Additional Resources: https://www.doctorgretchenhawley.com/insider

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