Recently several people have asked me about buying a walking cane as a gift for someone's birthday or special day (Mother's, Father's, Grandparents') and just what the pros and cons of the different kinds might be. So here's a quick nutshell summary on the whole walking cane "thing." When in doubt, it's always a good idea to consult with a physical therapist about cane choices. What's good for one user may be not so good for another.

What we most commonly think of when someone says "cane" is the C-shaped or "Tourist" crook. Think "candy-cane shape." This cane is easy to find in most pharmacies and drug stores as well as from medical equipment suppliers. Many have height-adjustable metal shafts.

The C-handle cane is most often appropriate for those with a small walking impairment or a temporary injury. They may not be as comfortable or offer as much balance assistance for heavy or long-term use as these below:

Canes with "Derby" or "Fritz" handles are more supportive and comfortable for heavy use. These straighter handles accommodate more of the user's palm, and so do not require as firm a grip as the C-handle canes. This can be a blessing for anyone with arthritis. Many people think these flatter-handle canes are "classier looking" than the standard C-handle, as well. Fritz and Derby handle canes are often available with adjustable shafts, and many decorative colors and patterns are available for dressy occasions or just for fun.

"Anatomically correct" canes have funny looking handles that are designed to specifically fit either the left or the right hand, rather like a glove for the palm of the hand. While they may be "funny looking," anatomically correct canes are by far the most comfortable and stable canes for most people. The shafts of these canes may be just as polished and decorative as with Fritz and Derby canes.

Quad Canes are designed to give maximum support with a rectangular base and four cane feet. The wide base gives more stability to a walker who might have trouble balancing on the single tip of a traditional cane. Quad canes are usually fairly utilitarian, with flat rubberized handles and adjustable metal shafts.

Decorative or dress canes are designed less for support than for the statement they may make. Round tops, animal heads, and exotic materials are often featured on dress canes. These handles can be very uncomfortable for heavy or long-term use, but they are fun for special occasions. Most dress canes are not adjustable, which means that they must be cut to size.

Before purchasing a new style of cane for someone it is always a good idea to consult with a physical therapist about the suitability and size of this kind of walking aid for your particular senior.