Dr. Murtuza Rangwala

Preventing falls in the elderly



Falls among the elderly can lead to serious injuries and a significant decline in their quality of life. As a physiotherapist with two decades of experience in Mumbai, India, I have witnessed the impact of falls on the elderly firsthand. However, I have also seen how preventive measures and proactive care can make a substantial difference. In this article, I will share valuable tips to prevent falls in the elderly, drawing from my extensive experience in this vibrant city.

1) Regular Physiotherapy Assessments

One of the most effective ways to prevent falls in the elderly is through regular physiotherapy assessments. These assessments can identify balance and strength issues that may increase the risk of falling. In Mumbai, where many elderly individuals lead active lifestyles, it’s essential to tailor these assessments to the specific needs of each patient.

2) Balance and Strength Training

Balance and strength are crucial factors in preventing falls. Engaging in exercises that focus on these aspects can significantly reduce the risk of falls.

3) Medication Management

Many elderly individuals in Mumbai are on multiple medications. It’s essential to review and manage these medications regularly, as certain drugs can lead to dizziness or impaired balance. Consulting with a healthcare professional is essential to ensure medication safety. Avoid self medication.

4) Home Safety Modifications

Elderly individuals often spend a significant amount of time at home, so ensuring a safe environment is paramount. From securing rugs and removing clutter to installing handrails and grab bars in bathrooms, simple modifications can prevent accidents.

5) Regular Eye and Ear Check-ups

Good vision and hearing are essential for maintaining balance. Regular eye and ear check-ups can detect problems early and allow for timely interventions.

6) Proper Footwear

Wearing appropriate footwear is often overlooked but plays a significant role in preventing falls. It’s important to choose footwear that provides good traction and support. I recommend sports shoes with Velcro straps.

7) Stay Hydrated and Eat Well

Dehydration can lead to dizziness and falls. Encouraging elderly individuals to drink enough water and maintain a balanced diet rich in essential nutrients is crucial. 

8) Stay Active and Social

Engaging in social activities and staying active not only improves physical health but also boosts mental well-being. In a bustling city like Mumbai, seniors can find numerous social clubs, hobby groups, and senior centers to stay active and connected.

9) Regular Bone Health Check-ups

Osteoporosis is common among the elderly and can increase the risk of fractures. Regular bone density scans and appropriate treatments can help manage this condition effectively.

10) Educate Caregivers and Family

Lastly, educating caregivers and family members about the importance of fall prevention is crucial. In Mumbai, where families often live close-knit lives, involving loved ones in the care plan can provide additional support.


Preventing falls in the elderly requires a comprehensive approach that combines regular assessments, exercise, safety modifications, and a healthy lifestyle. As a physiotherapist in Mumbai for the past 20 years, I have seen the positive impact of these measures on the lives of my elderly patients. By taking proactive steps, we can help our senior citizens continue to enjoy the vibrant and dynamic city of Mumbai safely and independently.