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Crutch pads guide: comfort covers that still need the right crutch fit

By the Life in Good Form editors. Updated 2026-10-15.

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Quick answerCrutch pads are foam or fleece covers that slip over the underarm tops and hand grips of crutches to reduce rubbing and soreness. They help comfort, but they do not fix a poor fit or technique. MedlinePlus says to let your hands carry your weight, not your armpits, and to set the top of the crutch 1 to 1 1/2 inches below your armpit with the handles at hip level. Choose pads that fit your crutch type, check they stay in place, and keep them clean.
Our picks at a glance

Compare the picks and what to watch out for

What crutch pads do, and what they cannot

Pads add cushioning where crutches touch your body. Vive, for example, says its foam underarm pads distribute weight to reduce rubbing and chafing, and its fleece set adds padded covers for the hand grips too. That comfort matters if you use crutches for weeks after an injury or surgery.

A pad is not a reason to lean on the underarm top. MedlinePlus is clear that your hands, not your armpits, should carry your weight. Our forearm crutches guide explains why pressing into the armpit is a problem and when forearm crutches may suit long-term users better.

Types of crutch pads

TypeWhat it coversMaker example (Vive)
Foam underarm padsThe top of standard underarm crutchesHigh-density foam; slides over the rubber top; built-in pouch
Fleece pad setUnderarm tops and hand gripsTwo underarm covers and two grip covers with hook-and-loop straps
Forearm crutch padsForearm cuff and handgripTwo forearm pads and two hand pads with zipper closure

Details are from Vive's product pages. Vive says its underarm pads fit most standard adult and youth crutches; check the fit for your own model. The pouch on its foam pads has one zippered pocket and one open slot for a phone, wallet or keys, which saves carrying a bag while both hands are busy, and Vive says no tools are needed to fit either set.

Get the crutch fit right first

MedlinePlus gives these fit checks for underarm crutches:

After adding thick pads, recheck the gap under your armpit and the handle height. Grip covers can also change how the handle feels, so make sure you can still hold it firmly.

Using crutches safely

Care and replacement

Vive says its foam pads and fleece covers can be hand-washed with mild soap or detergent and air-dried. Check that pads stay put during walking; Vive says its fleece covers use hook-and-loop straps and its foam pads slide over the rubber top for a snug hold. Replace pads that flatten, tear or slip.

Also check your crutch tips. Worn rubber tips can slip; see the replacement tip pick in our forearm crutches guide.

When to call your provider

The FDA classifies a crutch as a Class I device meant to give minimal to moderate weight support while walking, and exempts it from premarket notification, so crutch makers do not have to submit each model to the FDA before selling it. That makes your own fit check and your therapist's advice more important. MedlinePlus says to talk with your provider if you have a lot of pain, weakness or balance problems, because a walker may be a better option. Numbness or tingling in the arm or hand, or soreness that pads do not ease, are also worth raising with your provider or physical therapist, who can check your fit and walking pattern. See our lightweight walker guide if a walker is suggested.

What to look for when you buy

Vive Crutch Pads with Ergonomic Pouch

Best for: Underarm crutch users who want storage

Vive lists high-density foam that slides over the rubber top and a two-compartment pouch.

Watch out: Recheck the gap below your armpit after fitting.

See options on Amazon

Vive Fleece Crutch Pads with Hand Grips

Best for: Sore underarms and palms

Vive includes two underarm covers and two hand grip covers with hook-and-loop straps.

Watch out: Make sure grips stay firm and do not rotate.

See options on Amazon

Vive Standard Forearm Crutch Pads

Best for: Forearm crutch users

Vive lists two forearm pads and two hand pads with a zipper closure.

Watch out: Check they fit your cuff size.

See options on Amazon
When to talk to a doctor: Talk with your provider or physical therapist if you have arm numbness or tingling, a lot of pain, weakness or balance problems while using crutches.

Questions people ask

Do crutch pads stop underarm pain?
They add cushioning, but MedlinePlus says your hands, not your armpits, should carry your weight.
How high should crutches be?
MedlinePlus says the top should be 1 to 1 1/2 inches below your armpit, with handles at hip level.
Do crutch pads fit all crutches?
Vive says its underarm pads fit most standard adult and youth crutches; check your model.
Can I wash crutch pads?
Vive says its pads can be hand-washed with mild soap and air-dried.
Are there pads for forearm crutches?
Yes. Vive sells forearm and hand pads with a zipper closure.

Sources

Sources checked 2026-10-15.