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Neurology: Falls  Previous Next


by: Dr. A. R. Scopelliti

A simple thing like tripping on a carpet or slipping on a wet floor can change your life in a heartbeat. Like the thousands of people who fall each year, you may suffer a broken bone. Broken bones are no picnic, and for older people, a broken bone can be the start of more serious health problems.

Sometimes falls are truly accidental. Much more often however, falls can be attributable to deteriorating eyesight and hearing, weakened muscles, reflexes not being as sharp as they used to be, and in particular, increased visual reliance, a phenomena associated with aging. Most drugs will cause a reduced reaction time. In fact meclizine, (aka Antivert), is notorious for this, and, it is the most frequently prescribed drug therapy for dizziness! Many other disorders can play a role, such as diabetes, heart disease, etc.

Now let’s consider osteoporosis, an aspect of aging which makes bones weak and more likely to break easily. Women tend to suffer from this more than men. Having osteoporosis can mean that even a minor fall might cause considerable damage.

By all means, my motive here is not to have a fear of falling prevent you from being active. In fact, quite contrary, having an active lifestyle is one of the most important things we can do for ourselves as we age. There are simple ways you can prevent falls. Most of the time, falls and accidents don’t “just happen.” Here are a few hints that will help you avoid falls and broken bones:

· Get checked regularly for osteoporosis. Ask your doctor about a bone density test, which shows if your bones are weak.

· Stay physically active. Plan an exercise program that is right for you. Regular exercise makes you stronger and improves muscle strength as well as joint integrity.

· Have your eyes and hearing tested frequently. Deterioration in sight and hearing increases risk of fall. Wear your glasses when you are supposed to, and keep them clean. Dirty glasses cause illusions which can cause sudden balance loss.

· Ask your pharmacist about the side effects of any medicine that you take. The #1 side affect of most drugs, even those prescribed for dizziness, is dizziness.

· Get enough sleep. If you are sleepy, you are more likely to fall. Don’t perform high risk activities if you are overtired.

· Limit the amount of alcohol you drink. Even a small amount can affect your reaction time and cause a fall. Keep this in mind if you are drinking alcohol of any type, and do not perform high risk activities.

· If you feel faint on standing up, tell your doctor. You may be hypotense, or, overmedicated for high blood pressure. If you take meds for your pressure, you should be monitoring your pressure yourself with a home unit daily, and at the same time. Keep a log to show your doctor.

· Perhaps the best thing you can do is getting screened for risk of fall regularly. My office offers this service free of charge as a community service.

Dr. Scopelliti is NJCCN president. Focusing on treatment for vertigo, dizziness, imbalance, presyncope, dystonia, coma, and other neurologic disorders, Dr. Scopelliti has Lectured and Authored Software for Vestibular Rehabilitation. Find a wealth of information at Jersey Shore Regional Center For Vertigo, Dizziness, Dystonia and ADD ADHD. Visit Dr. Scopelliti’s Guestbook to see what patients say.

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