Afraid of falling

Fear of falling can affect how you move and what you still feel confident doing.

You may, for example, notice that:

• you walk more carefully than before;
• you find yourself leaning against walls or furniture more often;
• if you’d rather avoid the stairs;
• you go out less often;
• if you are afraid of slippery or uneven surfaces;
• if you feel dizzy or unsteady when standing up;
• you don’t like walking on your own;
• you cancel your activities due to uncertainty;
• you have less confidence following a fall.

You may not have fallen yet, but you do feel that the risk of falling is increasing. That, too, is a good time to take action.

Fear of falling can develop following a fall or a near-fall. However, it can also be caused by reduced strength, balance problems, pain, dizziness, poor eyesight or fatigue.

The surroundings also play a part. Loose rugs, thresholds, poor lighting, slippery floors or unsuitable footwear can increase the risk. Outdoors, pavements, crowds, leaves, rain or ice can make conditions even more hazardous.

In addition, anxiety can affect the way you move. If you are afraid of falling, you often tend to move more stiffly and cautiously. As a result, walking may actually become less fluid.

There is a lot you can do yourself to reduce the risk of falling. It starts with being mindful of your body and your surroundings.

For example, you could:

• clear walking routes in the house;
• ensure good lighting;
• wear sturdy shoes;
• getting up gently from bed or a chair;
• use the banister;
• avoid slippery patches or deal with them immediately;
• keep moving within your capabilities;
• use aids where necessary;
• discuss which situations you find stressful.

Try not to avoid exercise altogether. Continuing to exercise safely helps you maintain strength and confidence.

It is wise to seek help if you have fallen, nearly fallen or are afraid of falling. It is also a good idea to seek advice if you are becoming less active due to a lack of confidence.

Be sure to seek help if you feel dizzy, stumble frequently, feel weaker or have difficulty getting up from a chair. These signs may indicate an increased risk of falling.

Together, we’ll look at what’s making you feel unsteady and what’s needed to help you move more safely. This might involve your balance, strength, home environment, shoes or assistive devices.

A occupational therapist can assess home safety and practical adaptations. A podiatrist can help if foot problems, your gait or your shoes affect your stability. A physiotherapist can help with balance, strength and confidence in movement.

We are looking for steps that suit your situation. The aim is for you to feel safer and to continue moving with greater confidence.