When is falls prevention programme recommended for osteoporosis?

Osteoporosis makes bones more vulnerable to fracture, so preventing a fall is a useful part of protection. A physiotherapist may assess walking, transfers, leg strength, balance, footwear and the need for a walking aid. The programme may also include safer movement practice, a home check and advice to reduce trip hazards. It is relevant after a fall, after a fracture, or whenever confidence and steadiness have declined.

Tell your clinician about previous falls, dizziness, fainting, vision changes, pain and medicines that make you sleepy or light-headed. Wear the shoes you normally use and bring information about aids already available at home. Follow exercises at the prescribed level and use support during unfamiliar tasks. Keep walkways clear, improve lighting and place frequently used items within easy reach.

After a fall, seek urgent assessment for severe hip, back or wrist pain, inability to stand or walk, a visibly changed limb, head injury, or new confusion. Contact a clinician promptly even when pain seems mild if you have osteoporosis and cannot use an arm or leg normally, because a fracture can be subtle.

What makes my falls risk higher? Should I be assessed for vision, blood pressure or medicine-related dizziness? Which exercises are suitable for my bone health, and should my home be reviewed? What should I do after another fall?