Falls: more than just mechanical

Serving an ageing population is one of the biggest challenges faced by the NHS. Falls are a common presentation in this cohort where the cause is often multi-factorial and reversible. We as clinicians need to dig deeper in our histories, observe more closely in our examinations and broaden our differentials to ensure we don’t slip up.

By admin On 14 Mar 2018 Last updated 6 Oct 2022

First published February 2018, updated June 2022 IntroductionCase history: Vascular ParkinsonismCase history: Polymyalgia rheumatica (PMR)Case history: Parkinson’s disease with significant postural dropConclusionReferences Introduction One in three adults over 65 years who live at home will have at least one fall in a year and 50% of these individuals will have multiple falls.1 This can have serious consequences as every year 3.4 million people suffer serious injury and possibly even death. After a hip fracture, 50% of patients don’t return to their baseline level of independence. Hence, the psycho-social implications associated with reduced confidence and isolation also need to be

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