Falls: preventing them and staying steady
Reviewed by Dr Namrata Bagaria, MBBS, MPH (Harvard)Last reviewed
A gentle, practical plan to help you stay steady and confident on your feet, one small step at a time.
Step by step
Step 1: Make your home safer
Start with your surroundings, since it is the quickest win. Clear the floors and stairs of loose rugs and clutter, brighten dim spots on your walking routes, and add a grab rail and non-slip mat in the bathroom.
Learn more: Home safety checklistStep 2: Build your balance
Spend ten easy minutes on most days doing seated and chair-supported balance moves, marching, heel-to-toe steps, and standing on one foot. Steadier balance and stronger legs are what keep you upright.
Learn more: Balance exercises for seniorsStep 3: Choose the right footwear
Finish with your feet. Wear shoes with a firm non-slip sole and a back that holds the heel, indoors as well as out, and retire worn-out slippers. If you use a stick or frame, set it to the correct height.
Learn more: Footwear & mobilityStep 4: Build leg strength, and the speed to catch yourself
Balance keeps you upright; strength is what saves you when balance goes. Rising from a chair without using your hands is the single most useful exercise here. Work on producing force quickly as well as slowly, because a stumble gives you a fraction of a second, not time to think.
Learn more: Muscle strength and ageingStep 5: Keep the bone underneath strong
A fracture needs two things: a fall, and a bone fragile enough to break. The first four steps deal with the fall. This one deals with the bone, through weight-bearing movement, enough protein and calcium-rich food. Worth doing both, because it is the combination that keeps you independent.
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Sources
The guidance on this page draws on the following.
World Health Organization · 2021
Supports: That falls are a leading cause of injury in older adults and are largely preventable.
Falls and fractures in older adults: causes and prevention(opens in a new tab)
National Institute on Aging · 2022
Supports: The home, footwear, strength and balance measures set out in these steps.
