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Bone and Joint

Understanding Falls Prevention: A Plain-English Explainer

Falls Prevention: what it is, why it matters, and what published guidance actually asks of you.

Dr Amara Nwosu, PhD, RD Editor-in-chief and registered dietitian 3 min read 1 views
Understanding Falls Prevention: A Plain-English Explainer

A hip fracture is a life-changing event, and most falls have several contributing causes that are individually treatable.

Key takeaways

  • Strongest intervention: strength and balance training
  • Frequency: balance activities on 2 or more days a week
  • Most useful single change: Do strength and balance exercise at least twice a week.
  • Commonest mistake: Loose rugs, trailing cables and poor stair lighting.
  • See a doctor if any of the signs under "When to speak to a doctor" below apply to you.

The short answer

Reducing the risk of falling, particularly in adults over 65.

Where it fits

This is part of Bone And Joint. The rest of this page works through the figures and then the practical side.

The numbers, in one place

Published figures for Falls Prevention
MeasureFigure
Strongest interventionstrength and balance training
Frequencybalance activities on 2 or more days a week
Medication reviewsedatives and some blood pressure medicines raise risk
Visionannual eye tests; bifocals raise risk on stairs
Any fallpredicts further falls and warrants assessment

What that means in practice

The practical version:

  • Do strength and balance exercise at least twice a week
  • Ask for a medication review focused on falls risk
  • Have your eyes and feet checked, and wear well-fitting shoes
  • Report every fall, even without injury

What gets people into trouble

What to watch out for:

  • Loose rugs, trailing cables and poor stair lighting
  • Walking in socks or loose slippers
  • Assuming falls are an inevitable part of ageing

Where to go next

When to speak to a doctor

See a GP after any fall, even without injury. Call 999 for a fall with head injury, particularly if you take anticoagulants, for loss of consciousness, or for an obviously deformed limb or inability to weight-bear. Seek urgent assessment for new confusion after a fall, or for dizziness on standing.

Where this comes from

  • NICE — Falls in older people: assessing risk and prevention
  • NHS — Falls

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

Spotted something wrong? Report an error on this page. We correct on the page and say what changed.

Dr Amara Nwosu

Editor-in-chief and a registered dietitian of fourteen years. Spent six of them in NHS outpatient clinics, which is where she learned that the advice people actually follow beats the advice that is technically optimal.

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