Why Do Older Adults Fall More Often—and What You Can Do About It
Why Do Older Adults Fall More Often—and What You Can Do About It
August 5, 2025
Picture this: a brisk Saturday morning walk on the GR trail. You’re walking along the river, hands in those cozy mittens, when suddenly—your foot slips on a patch of damp wood. Heart skips a beat, you catch yourself, and think: “Whoa, that could’ve been a quick trip to Mary Free Bed!”
If you’re over 65, that little slip isn’t just a “moment”—it’s a signal. Falls are not only common—they’re the leading cause of both fatal and nonfatal injuries in older adults. That’s based on reliable CDC data: over 14 million adults aged 65+ fall every year—1 in 4, to be exact, and nine million of those result in injuries that disrupt life for at least one day. Wikipedia
So why are we so much more likely to fall as we age? And more importantly—what can we do about it? Grab your favorite hot apple cider (seriously, have you tried HopCat’s fall spicy lavender cider?), and let’s talk about it.
1. What’s really happening inside?
As we age, so do our bodies—and not always for the better. Here’s the skinny:
Neuromuscular slowdowns. Aging slows down how well our brains coordinate movement, balance, and sensory input (like vision and hearing). Things just don’t respond as quickly. NCBIWikipedia
Muscle loss & strength decline. Since our 50s, muscle mass (especially in the legs and core) tends to decline about 2% annually—a phenomenon known as sarcopenia. Petersen Physical Therapy
Multiple medical conditions and medications. More meds often mean drowsiness, dizziness, blood pressure drops—each one raising fall risk. Johns Hopkins Medicine
Senses fade. Cataracts, macular degeneration, hearing loss—they all reduce your ability to detect hazards and adapt to them quickly. Verywell Health
Combine these contributors, and it’s no wonder that frailty, slower reactions, poor balance, and cognitive loading can tip us over—literally.
2. Let the leaves fall this fall….not you!
But here’s the thing: these falls aren’t fate. The smart neighbor across the street is on the Otago Exercise Program, and those OEP folks have reduced fall rates by 35–40% in older adults who follow the protocol. BioMed Central
Even better—people over 80 see 30% fewer falls in a year, plus 28% fewer serious injuries.UNC School of Medicine
The Otago program is smart: 17 balance and strength exercises and a walking plan, usually three times a week, delivered by a PT in your home. You get progressive coaching for about 8–12 weeks, then continue on your own. Johns Hopkins Medicine
Why do we love it? It’s evidence-based. It works. And you get to keep your independence.
3. Local Grand Rapids examples (real life, real good)
Take Helen. She nearly fell on her stairs last winter. A Vitality in-home PT came, performed a quick fall risk check, walked her through Otago and some safety tweaks—grab bars, better lighting. Now Helen’s confidently walking to Foxtail coffee again each morning—no cane, no fear.
Or Jerry, retired engineer in Eastown. He began missing steps on his way to ArtPrize last year. After our PT visit, strength and balance exercises, and medication review, he’s back to leading the walking group downtown. No fall in sight.
4. The bigger numbers (let’s get serious for a second)
Recent trends are worrying: fall-related death rates for those over 65 have surged by over 70% between 2003 and 2023, with over 40,000 deaths in 2023 alone. UNC School of Medicine That doesn’t even touch the emotional and financial fallout—fear, medical bills, hospital stays. Yikes.
Thankfully, the U.S. Preventive Services Task Force now recommends doctors discuss fall prevention with all patients 65+ and encourage structured exercises like tai chi, dance, or PT-led balance programs. Multifactored strategies also—like reviewing medications and home safety checks—are now standard. Verywell Health
5. Enjoy Peace of Mind Before You Go
Schedule an in-home fall risk assessment with Vitality PT. We’ll test your strength, balance, history, home hazards, your “Timed Up & Go” time, and build a plan.
Try a version of Otago (home-based + coach) or join group classes locally—especially Grand Rapids Senior Center or YMCA’s SilverSneakers courses.
Modify your space. Install simple changes—grab bars, brighter bulbs, non-slip rugs, shoe hooks near entrance. These small tweaks cut injury risk by up to 26%.The Guardian
Review meds annually with your doctor or pharmacist. Especially check for those that lower blood pressure or cause drowsiness.
Keep active socially. Being out and about (getting your coffee downtown, walking the Museum steps) keeps both body and balance primed. The Guardian
6. Quick home check-in
Are there bright night-lights in your hallway? Enough contrast between carpet and stairs? Seated step-overs over icy grooves on your porch? How’s your balance when stepping off your boat at the marina?
Let’s make your Grand Rapids life the best it can be—because staying upright means staying independent, social, and absolutely kicking butt into your golden years.
Let’s wrap it all up
Falls in older adults are common—but not inevitable. With the right mix of balance training, strength exercises, home safety tweaks, medication checks, and a bit of local flair thrown in, we can reduce the risk—by a lot.
Think of fall prevention as adding future-proofing to your life. And if you ever want to hop on a bike again without worry, a quick PT visit might be your best ride guard.
Ready to take the next step? Let’s chat about setting up your in-home fall risk assessment or Otago-style plan. You bring the cider; I’ll bring the balance board.
Stay steady, Grand Rapids—Vitality At Home has got your back.
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