Falls are a leading cause of injury-related morbidity and mortality in the elderly population, often resulting in fractures, traumatic brain injuries, and functional decline. At MGM Malar Hospital, under the expert guidance of Dr. Manicka Saravanan, Senior Consultant in Department of Geriatrics, MGM Healthcare Malar, Adyar, we prioritize evidence-based strategies to prevent falls and mitigate their impact on overall health.

The Medical Significance of Falls in the Elderly

Falls are not merely accidents; they are clinical events with multifactorial origins, including:

• Age-Related Physiological Changes: Decline in proprioception, muscle mass, and reflex response.
• Chronic Medical Conditions: Osteoporosis, arthritis, Parkinson’s disease, and peripheral neuropathy increase susceptibility.
• Polypharmacy: Use of multiple medications, particularly sedatives or antihypertensive, heightens the risk of dizziness and balance impairment.
• Cognitive Impairments: Dementia and mild cognitive decline often exacerbate environmental hazards.

Medical Framework for Fall Prevention

With extensive experience in geriatrics, we emphasize a comprehensive, patient-centric approach to fall prevention. Our methodology includes:

• Detailed Risk Assessments
  • Functional assessments to evaluate balance, gait, and muscle strength.
  • Identifying extrinsic and intrinsic risk factors through thorough history-taking and physical examinations.
• Multidisciplinary Interventions
  • Collaborating with physiotherapists, occupational therapists, and nutritionists to address modifiable risk factors.
  • Coordination with caregivers to implement home safety and lifestyle adjustments.
• Medication Optimization
  • Reviewing and adjusting medication regimens to minimize adverse effects, such as orthostatic hypotension or sedation.
• Preventive Health Measures
  • Encouraging osteoporosis screening and bone health optimization through calcium and vitamin D supplementation.

Evidence-Based Strategies for Fall Prevention

At MGM Healthcare Malar, Adyar, fall prevention involves targeted medical interventions, including:

• Environmental Modifications
  • Installing assistive devices like grab rails, non-slip mats, and adequate lighting.
  • Eliminating clutter to reduce tripping hazards in the living environment.
• Gait and Balance Training
  • Incorporating therapeutic exercises that improve lower-limb strength and coordination.
  • Recommending tailored physical therapy programs, including postural training.
• Health Screenings
  • Conducting regular evaluations for visual and auditory impairments.
  • Identifying underlying cardiovascular or neurological issues contributing to instability.
• Advanced Diagnostics
  • Utilizing tools like dual-energy X-ray absorptiometry (DEXA) scans to assess fracture risk.
  • Employing vestibular function tests for patients with unexplained dizziness.

Consult with a Specialist

Falls are not normal part of ageing, if you fall down get a Geriatric consultation and assessment. Schedule a consultation with Dr. Manicka Saravanan at MGM Healthcare Malar, Adyar. With expert care and preventive strategies, we can help you or your loved ones maintain independence and safety.