As the title says, I had my first O&M lesson today. It was my first time using a cane. I thought I’d love it, but honestly…I’m not sure. Doing everything felt awkward, and my wrist is kinda sore even though we only walked a short way in the neighborhood. To be fair, it was a rolling marshmallow and the sidewalks are crap, so I had to use 2 point touch the whole time (standard folding cane, not a slimline), so it was kinda heavy. How long does it take to feel like you kinda know what you’re doing?
For background, I have a lot of usable vision and don’t really need the cane to get around, but it was suggested to me since I get a ton of eye strain and end up having to either go home sooner than I want or close my eyes and use sighted guide to avoid getting migraines. So my use would probably involve carrying the cane around and pulling it out as needed to navigate with eyes closed once I hit my limit. But at the moment it’s easier to just navigate visually…until the migraine of course. Hmm, anyone else kinda torn on using a cane at the beginning? is this normal?
zomgperry3 points1y ago
I started carrying a cane when I still had a lot of usable vision. The short answer is, the more you use it the easier it gets. The cane skills came on handy for me when I lost more vision, but even before that its good to have to let people know you have vision problems.
CuriousCoracle3 points1y ago
As a rehabilitation officer for V.I myself, who delivers O&M skills. Best thing uou can do is feed these concerns back to your rehabilitation specialist, if they are competent then they will discuss and try a different approach initially or maybe altogether. 2 point touch is tough to learn and often I don't start with this method, but often build up to it as it's the most elite way to travel in every aspect. 2 point touch should be used with a pencil tip not a marshmallow one, this is why you're likely finding it heavy. I sometimes start people off with a jumbo roller and build up to 2 point touch. The key is to help empower you and get you moving safely and independently. Once achieved then move on to the advanced stuff. Hang in there, the wrist movement is like learning an instrument, it will take a while to build muscle memory. It'll be worth it in the end. Many people I've helped train will testify to this. Good luck!
yoyo2718 [OP]1 points1y ago
Thank you!
JKmelda3 points1y ago
I have visual processing difficulties because of autism and I’m an occasional cane user. I’m self taught. It took me a couple months or so before I got the rhythm down and the cane started to feel like an extension of me and not like this unwieldy metal stick waving around. It took a lot of practice but it really just clicked for me one day.
I’ve only ever used a folding graphite cane from ambutech. I got it before the slim ones came out. I do find it a little heavy to do two point touch with a rolling marshmallow tip, but I’ve also wondered how much it’s an issue of my arm needing to gain strength. I prefer constant contact anyway because it helps orient me in space and I like the texture feedback. Over the summer I tried out a rolling ball tip and I was amazed at the difference over the rolling marshmallow with how it dealt with cracks and uneven terrain. I’ve also heard good things about this new tip called the omni sense for dealing with sidewalk cracks and such.
I was also really conflicted about using a cane, and I still struggle with that. But there are times when it’s really given me a lot of freedom and independence and helped prevent sensory overload meltdowns and getting stuck in public from visual overload. What helped me to finally buy a cane was when my mom was doing sighted guide for me yet again and I thought about my needing to continue receiving her help into the future. I wanted independence.
I was also torn because I’m an unusual case, though I’m not unique. I’m technically sighted, have 20/20 vision on an eye chart, and can drive short distances. But using my vision functionality when walking around is the issue. And going into visual overload causes me to not process my vision correctly and I get lost, walk into things, and my brain starts to shut down. I knew that the cane was a tool that I needed, but it was hard for me to use it before I’m not a usual cane user. It helped for me to get a blue cane instead of white but the biggest help was when my ophthalmologist agreed that a cane was a good idea for when my processing gets bad. But it’s still a struggle I’m working on. You’re really not alone in that struggle.
I hope you stay with it! The hard work is really worth it in my opinion!
yoyo2718 [OP]1 points1y ago
Thanks so much for this. My vision challenges are neurological/processing related, so I’m a bit of an atypical cane user as well. I was also considering a different color for the bottom of the cane, but I live in an urban area, and wonder if I’ll get run over if it isn’t red. Drivers here are…interesting lol. My medical team thinks the cane will benefit me, and i agree, but yeah…definitely feels odd at this stage. I guess I’ll have to stick with it a while.
namenerd4003 points1y ago
I am in a similar situation where I have a lot of usable vision but still use a cane. Mine is more because of depth perception than anything though. I haven't been doing O&M for very long myself (Only about two months) so I am still getting used to using a cane but I do have a bit of advice.
As you use it more you will get used to it. I would talk to your instructor about possibly using a lighter tip that does better on sidewalks of that's where most of your travel is. Lastly, there are sunglasses that are meant for people with visual impairments. Maybe that will help with the migraines so your eyes aren't hit with so much light? As I said I am new to this myself but this is the best advice I have :).
yoyo2718 [OP]1 points1y ago
Thanks! The instructor suggested a rolling ball tip, but I think those are heavier…not sure if that would work better here or if I’ll generally need 2 point touch, guess I’ll just have to try it. I will be using indoors a lot, but also on rough sidewalks. I was also wondering if I should look into a slimline cane, since I won’t be using full time, but I didn’t think to ask.
Are the sunglasses you mentioned different from standard sunglasses? Like, are they darker? I’m definitely sensitive to light.
Best wishes.
ThisBlindChickReads2 points1y ago
I walk about 3-5 miles a day and am a petite woman.
I also love in a place with awful sidewalks. I started with an aluminum folding cane and marshmallow and hated it. I switched to the rollerball and it was so much better... But the rollerball became more of a cone very quickly. I recently invested in the graphite folding cane and a high mileage rollerball tip from ambutec and am very happy with it.
Yeah, the toilet ball is heavier, but it severely cuts down on the amount of times I get jabbed. While I was waiting for my new cane and tip I went back to the marshmallow and I swear it sounded like I had tourette's walking down the street I was cussing every 5 steps while getting jabbed. Also, the pain I got in my wrist and elbow from the jabbing is so much worse than the short-term fatigue from the heavier rollerball.
I think I may try the disk next, but honestly I don't see me changing from my trusty rollerball anytime soon. It just works so well for so many different circumstances.
Good luck!
yoyo2718 [OP]2 points1y ago
Thanks! Yeah, I may have to give the rollerball a try. We have uneven brick sidewalks and I can totally relate to the swearing with the marshmallow tip! Lol
snimminycricket2 points1y ago
Regarding sunglasses: There are lots of differences in tint (both in terms of darkness and in terms of color tone). I'm not sure what different tint styles are best for different types of vision impairment, I just know that before my low vision specialist retired his office had an entire wall of different types of sunglasses that varied in their color tone and darkness levels. So I don't know what would be best for your needs, but there are lots of different options out there if you can figure out what you need! I'd suggest asking your O&M instructor or another vision specialist if you have access to one, and see if they can help you narrow down what kind of sunglasses you should get.
yoyo2718 [OP]2 points1y ago
Good call, thank you.
namenerd4002 points1y ago
I think a rolling ball tip may be heavier as well. The only reason my instructor had me to two-point touch was to get the rhythm down of the cane. I caught onto that pretty quickly and then just started using it normally and keeping it on the ground at all times. I think your wrist will get used to lifting it up and down and moving it as you use it.
​
As for the sunglasses I am not 100% sure. I have only tried a couple on and then she ordered a pair for me and I haven't gotten them yet.
yoyo2718 [OP]1 points1y ago
Thank you!
TechnicalPragmatist2 points1y ago
Get a lighter cane. Carbon fiber or fiberglass.
People have said I should use a heavier cane. I am very rough on my canes and travel very often, and I am totally blind so must use a cane, no if ors or buts. I’ve not done badly with slimline or carbon fiber or fiberglass canes. My favorite is dcanes or the iowa commander tech cane and they are really feather light.
PriorVacation72 points1y ago
I would suggest switching to a straight fiberglass cane with a metal tip. You can get them for free by googling nfb free white cane program. Unlike the cane you're using, it is designed to to go up to either just below your nose. This allows you to extend the cane fully without bending over. out You You use what is called the open palm technique, in which the grip of the cane rests in your upturned open palm. The opening and closing of your hand allows it to arc back and forth, and relieves strain on your wrist.
yoyo2718 [OP]1 points1y ago
I will look into it, thanks!
Mamamagpie2 points1y ago
I sought out a cane after I broke an ankle. My central and left peripheral vision is fine. I have no vision to my right.
I started with a straight fiberglass cane with a metal glide tip, and my wrist was sore fire a little bit. I jury rigged a rolling ball onto it. My wrist was sore for a little bit. I had my first O&M on 2/6/22. My instructor gave me an Ambutech Premium Graphite Mobility Cane - Standard Handle (56”) with standard rolling ball. Once again wrist was sore for a bit. On 1/28/22 I had my 2nd O&M and she was shocked at the cone shape of my ball. On 2/2/22 I got a high mileage ball.
You will get used to the weight.
DHamlinMusic2 points1y ago
Yeah I got a new six section graphite with the high mileage ball just a few weeks ago and have noticed it is noticeably lighter than the standard 5 section with the standard ball that I was given by my states commission.
yoyo2718 [OP]1 points1y ago
Thank you! I’m interested in trying the metal glide and roller ball. My instructor also said the ceramic tips are popular. I may have to just get a few and try them all.
Mamamagpie2 points1y ago
My instructor after walking around my neighborhood agreed that the ball was best. We have cement, flagstone, brick, pavers, and cobblestones for sidewalks and streets, even the ball gets caught in some of the worse cracks.
QuentinJamesP892 points1y ago
Yeah, I used the metal glide tip for a while and was constantly getting impaled in the ribs. It's horrible for constant contact and on uneven ground. I'm back to the marshmallow tip and it's much better.
Mamamagpie2 points1y ago
They call it a glide tip, but it does not glide, it is two touch.
SoapyRiley1 points1y ago
I’ve tried almost every cane tip while learning to use my cane and because I’m an intermittent user, my main tip is the ceramic because it can be used for 2 point touch (with a graphite cane) and constant contact. When I go anywhere I know there will be grass or very poor sidewalks, I use the high mileage rollerball for constant contact. 2 point touch really is only good with flat surfaces anyway if you can’t see the ground. More likely to twist an ankle on an unexpected uneven surface. For outdoorsy stuff, I use the Rover wheel on my aluminum cane. It’s kind of my designated rough terrain cane setup because if I bend it, I can bend it back. The wheel is also quiet so I don’t scare off any critters or disturb the campground. Also, I had a slimline cane and one step from my dog broke off the part you screw the tip onto. I recommend those only for shorter ID canes that will be more vertical in front of you. Also, know that you will build forearm strength over time. The first few ventures with my cane had my arm aching too and when I got home I could still feel the vibrations in my hand! Now my cane is an extension of my right arm. What I have come to love about being a cane user with quite a bit of usable vision is that I can save my sight for looking at fun, interesting things and not use it to navigate. The theater, the items I need from the store, art, memes, photos from friends. Travel becomes something I can accomplish in any visual condition and that’s really reassuring.
Our mission is to provide everyone with access to large- scale community websites for the good of humanity. Without ads, without tracking, without greed.