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I have never seen a thumb stick here in the U.S. That's not to say no one uses them, but I suspect they are not too common a walking aid here, at least in the Midwest. Since I started stick making as a hobby a few years ago I observe the walking aids I see folks using and have yet to see one. I see way too many ugly metal canes and very few people using a walking stick either. I suppose you can't walk and carry a stylish stick when your hands are too busy poking at a smart phone!
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