Hi poochie,

I have never used 4 arm crutches, sorry When I need something for mobility I like using Trekking Poles. They are helpful for balance and walking is natural. If you have never used them before it will take practice to get the hang of them.

Shoes <sigh> I like Saucony brand, they have wide sizes. I have come to the conclusion uncomfortable shoes isn't about the shoes but about my feet. In general, it doesn't matter what brand/style I wear my feet bother me