Is hip fracture surgery needed before a falls prevention programme?

A suspected hip fracture is an urgent injury. The immediate plan may include imaging, pain relief, temporary protection of the leg and, when appropriate, surgery to stabilise or replace damaged parts of the hip. A falls prevention programme has a different purpose: it addresses balance, leg strength, transfers, footwear, vision, medicines and hazards at home. It may begin during rehabilitation in a modified form, then progress as the person can safely practise movement.

Do not start unsupervised balance exercises after a new fall with hip pain or inability to stand. Seek medical assessment first. After the fracture plan is set, ask the rehabilitation team when exercises can begin and which activities are allowed. Keep walking aids adjusted correctly, remove trip hazards, improve lighting and make sure the person has support during transfers until the team confirms greater independence.

Call emergency services after a fall that causes severe hip or groin pain, inability to bear weight, a shortened or turned-out leg, or new confusion. During recovery, seek prompt review for worsening pain, a new fall, wound drainage, fever, sudden weakness, chest symptoms or breathlessness.

Has the hip been checked for a fracture? Is surgery needed, and what movement is safe while waiting? When can falls prevention training start, and which home changes would reduce immediate risk?