How to prevent falls - and what to do if you have one, from saga magazine, 2025 10 09

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Colin Howard

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Oct 9, 2025, 6:11:38 AMOct 9
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Greetings,

I don't have any sight nowadays about which I need be concerned, balance and
hearing are totally different matters!

Advice from a brain injury expert on reducing your risk of falls and how to
spot the signs of concussion if you do.
By Natalie Mackenzie | Published - 7 Oct 2025

Taking a tumble at home is surprisingly common, especially as we get older.

In fact, one in three people, aged over 65 will fall at least once a year at
home, with the risk also increasing for women at menopause, which can impact
balance and reduce bone density. Whilst lots of falls are minor, some can
lead to concussion.

With one person admitted to A&E every 90 seconds for a brain injury,
accidents at home can lead to severe consequences.

Our fall risk - and how to slash it

Falls can happen at any time to any of us. Whilst we can't completely remove
the risk, knowing how to reduce it is really important, especially as we get
older.

1. Talk to your GP

A simple thing you can do to prevent falls is to have a chat with your GP.
They can assess you for risk for falling and also review your medicines. If
needed they can refer you onward to the more specialist falls clinic
service.

If you're taking a regular prescription, it's really important to see if any
of these might actually make you dizzy or sleepy.

2. Check your vision

How often are you visiting the optician? It's important to have your eyes
checked at least once a year to make sure you pick up any vision problems
that can contribute to a fall.

We have a complex visual and balance system and as we age this can falter,
leading to issues around our ability to perceive where we are in space, as
well as impacting our ability to manage uneven ground and camber.

3. Stay strong

One of the reasons we fall more often as we age is because of losing our
strength and balance - as well as our bone density.

It's easy to do simple strength and balance exercises to make your legs
stronger and improve your balance, such as practicing standing on one leg
for short periods or practicing getting up easily from sitting to standing.

4. Make your home a haven

Now, let's talk about making your home as safe as possible. Have handrails
on steep stairs and ensure good lighting throughout. These don't need to be
a sign of old age; they're there to help keep you dancing the night away for
longer!

Remember, falls can happen at any age, so if you have the grandchildren come
to visit, make sure their space is safety-proofed too.

Signs of concussion

Taken a fall around the house? How can you know if you need to dash to A+E
or just recover at home? Firstly, let's educate ourselves about the signs of
concussion. Make sure you look out for these after any fall.

You probably know the obvious ones - like sleepiness and vomiting - but
there are lots of others too that might be more subtle. Things like
dizziness, headaches, and sensitivity to light or noise are also concussion
red flags, as well balance issues or even ringing in your ears.

You might also struggle to find the right words or your brain might feel
cloudy or foggy.

Any concussion warrants medical attention, so if you take any fall at home
where the head is affected and you notice any of the signs above, no matter
how minor, you should head to your A&E department right away.

How to recover from concussion

The good news is most of us make a full recovery from falls. If you are
dealing with a concussion, symptoms tend to fade after a few days, but they
can linger for longer.

If you've taken a fall, there's no need to lie in a dark room for 2-3 days;
you can still go about some daily activities (once you've been seen by a
medical professional) although at a slow and gentle pace. You'll need to
take it easy for at least a week or two.

Avoid computers, as this can increase symptoms due to the body's visual
processing systems struggling after a concussion. You might struggle with
fogginess and headache.

Every brain recovers differently, as each one is as unique as a fingerprint.
So keep an eye on any lingering symptoms and go back to your GP if you have
any concerns.

Written by: Natalie Mackenzie

Natalie Mackenzie is a cognitive rehabilitation therapist who has 20 years
of experience in supporting families with brain injuries, such as strokes.
She also supports individuals with fatigue and offers cognitive assessments.


Colin Howard, Southern England.

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