Imbalance in the Elderly

Background

Falling in the elderly can occur from a number of causes and warrants a good medical evaluation. Common illnesses or medications that increase falling risk include:

• Blood pressure pills
• Heart medicines
• Diuretics (water pills)
• Muscle relaxants
• Sleeping pills

Vitamin D deficiency (from lack of sunshine) has also been shown to significantly increase the risk of falling.

Treatments

Treatment depends on the medical evaluation. Generally helpful tips include:

• Take a multivitamin powder that includes 1,000units of vitamin D (and get sunshine), vitamin B12 (250-500 mcg), and vitamin B6 (at least 45 mg).
• Keeping one’s eyes open when going down steps helps (OK to blink;-), as the body depends more on sight for balance over time, especially if there is nerve dysfunction. 
• Walk on grass when sidewalks are slick.
• Wear rubber soled shoes.
• Be sure stairs are well lit and have rails on both sides.
• Put grab bars on bathroom walls near tub, shower and toilet.
• Use a nonskid bath mat in the shower or tub.