Ageing and Balance

Ageing and Balance

Falls aren’t “just part of getting older.” They’re common, costly, and-crucially-preventable. Many falls are linked to dizziness, vertigo, or balance disorders. When those symptoms come from inner-ear (vestibular) problems, targeted treatment can reduce symptoms and help prevent future falls.

How common are falls?

  • Worldwide: Falls cause 684,000 deaths each year and 37 million injuries needing care.
  • Ireland: About 1 in 3 adults aged 65+ falls annually; almost 70% of serious falls happen at home. Nearly 40% of adults over 50 report a fall in 4 years, and hip fractures remain a major consequence.
Elderly person with balance issues and dizziness symptoms

Why do people fall?

  • Dizziness, vertigo, and balance disorders
  • Weakness, frailty, or inactivity
  • Medicines that affect balance or blood pressure
  • Poor vision/hearing, unsafe footwear, or home hazards

Falls due to Dizziness, vertigo, and Imbalance

  • Your inner ear helps you keep balance. When it’s not working properly, you may feel spinning (vertigo), unsteadiness, or “swimmy-headed”-all of which raise fall risk. Research shows dizziness itself independently predicts future falls in older adults.
  • Why this matters for falls: When vestibular problems are diagnosed and treated, people feel steadier-often reducing falls and fear of falling. In one study of patients presenting with dizziness, those who received tailored vestibular rehabilitation had markedly lower odds of falling over the next year.

What falls do to health and life

Most falls don’t cause serious harm, but they can lead to fractures (especially hips), head injury, hospital stays, and loss of independence. Fear of falling often leads people to cut back activity, which weakens muscles and increases future fall risk-a vicious cycle.

Final Thoughts

Falls are not inevitable. With exercise, medical review, and treatment of dizziness or balance problems – especially inner-ear disorders – you can stay steadier, safer, and more independent. This information is general and not a substitute for medical advice. If you’re concerned about balance or falls, consult your GP.

Ageing can affect the inner ear, which controls both hearing and balance. Vision, muscles and joints also change over time, which reduces steadiness. Together these changes make dizziness and unsteadiness more common in older adults.

The best treatment depends on the cause, which a formal assessment identifies. Options may include vestibular rehabilitation exercises and management of the underlying condition. A personalised plan gives the best chance of lasting improvement.

The audiologist reviews your symptoms and history, then tests how well your inner ear and balance system work. The tests are guided and tailored to your symptoms. Results are explained, followed by a suggested management plan.

Yes, a fall can be a sign of an underlying balance problem. An assessment can show whether the inner ear is involved. Finding the cause early helps prevent further falls.

The Audiology Clinic offers balance and dizziness assessment and management with Dr Deepak Kumar, Audiological Scientist. Clinics are available in Dublin, Naas, Mallow and Limerick. You can book by calling 01-9106913 or emailing info@audiologyclinic.ie.