Some falls can break a hip – while some broken hips can cause a fall

IN my first call-out of the year, last week I went to check on a patient who was on the road to recovery.

This elderly lady had tripped at home last year and broken her hip, an increasingly common problem among our ageing population.

Although it was her fall that caused the fracture, in some cases hips break without warning and actually cause a fall.

That’s due to osteoporosis, a thinning of the bones which is quite common in older people, especially women.

The day after surgery to join the fractured bone together and hold it in place, my patient had started physiotherapy.

Rehab can take a long time after a fractured hip – but it’s important to get back to the best level of function possible.

Apart from physiotherapy, an occupational therapist can assist with any adaptations needed in the home. Many people make a full recovery but, as with everything, prevention is better than cure.

Given the lack of sunlight, most people should be taking vitamin D in the winter but it’s especially important for older people at risk of osteoporosis, who also need an adequate intake of calcium.

Regular weight-bearing exercise, such as walking, both reduces osteoporosis risk and the possibility of falls.

In some areas the NHS provides a falls service, which involves someone checking for any tripping risks in homes such as loose rugs, furniture or wires.

A falls clinic can also advise on exercises to improve balance and strengthen the patient’s leg muscles.

It also makes sense if you’re a wee bit unsteady to avoid going out on an icy day.