
How Steady Are You On Your Feet?
The Importance of a Good Fall Prevention Plan

Did you know that falls are among the biggest risks to older adults? As we age, we go through several physical, cognitive, and sensory changes that can significantly impact our balance. An impaired balance means a higher chance of falling — and a higher chance of falling makes it more likely that you might suffer a severe injury.
Fortunately, there are several things you can do to improve your balance, no matter your age. At Hands On Physical Therapy, we offer dedicated fall prevention plans to address your fall-related risk factors. We’ll help you improve your strength, balance, and stability to stay healthy and active throughout your golden years!
To illustrate just how important a good fall prevention plan is, we want to share the stories of two patients, whom we’ll call Janice and Carol. Janice underwent a dedicated fall prevention plan; Carol didn’t.
You can also call us if you’d like more personalized information!
Carol’s Story: Shaken Confidence and One Bad Injury
Carol was 68 when she first visited us. Although she’d been fairly active when she was younger, she developed knee osteoarthritis in her early 60s, which led to her becoming much more sedentary. Her pain and restricted mobility caused her to fall and break her hip, and she worked with us on her rehabilitation.
We were understandably concerned about Carol’s fall risk, as she met several of the criteria:
• A history of falls (falling once doubles the likelihood that you’ll fall again)
• Weak legs and core
• Knee pain and impaired gait from osteoarthritis
Unfortunately, Carol’s insurance limited how frequently she could see a physical therapist, and rehabilitating her hip injury was her primary concern. While we did work with her to restore her strength and balance to where it was before her injury, she ran out of sessions before we could develop it further.
But perhaps the biggest issue for Carol was that her fall and subsequent injury really shook her confidence. While she felt safe performing exercises in our clinic, she worried about performing them at home, fretting that she would injure herself — or worse, fall again. As a result, she sank back into her sedentary lifestyle, which only worsened her arthritis symptoms and made it more likely that she would fall again.
If we’d been able to continue working with Carol, we could have improved her physical balance and helped build her confidence as well. How do we know this? Because it’s what happened with Janice.
Janice’s Story: Dedicated Fall Prevention to the Rescue
Janice’s background is strikingly similar to Carol’s. She was a little older when she developed osteoarthritis (late 60s), and she suffered her big fall when she was 73. Again, she initially visited us so we could help rehabilitate her after her injury.
Like Carol, Janice’s confidence was shattered by her fall. However, she noticed that working with us made her feel more confident in exercising and being generally active. After she finished her rehabilitation, she indicated she would like to continue with physical therapy. We were delighted to oblige!
We immediately suggested that Janice focus on a dedicated fall prevention plan, and we created a customized program that addressed her specific needs:
• Pain management helped control her osteoarthritis pain so she could work through her exercises.
• We continued the strength training program we had developed for her rehabilitation to restore strength throughout her lower body and core–crucial muscles in controlling balance.
• Focused balance training targeted the skills she needed most. We started her off with exercises that challenged her balance without putting her at risk, then increased the intensity as she improved (and Janice loved seeing her progress).
• Through gait training, we helped Janice improve her walking pattern, which had become impaired due to her OA pain. An improved gait helped her increase her overall mobility.
By the end of her program, Janice no longer feared falling the way she had before. In fact, she even enrolled in a local Tai Chi class to continue working on her strength and balance in a fun, supportive environment.

Can Balance Training Help You?
If you’re an older adult with multiple fall risk factors, a fall prevention program at Hands On Physical Therapy is the key to staying healthy and active.
Contact us today to learn more!
Patient
Success Spotlight
“Hands On Physical Therapy of Cary offers a welcoming environment. The therapists and receptionist are kind, friendly and very personable while maintaining their professionalism. They listen to your concerns and questions while working with you. They also have a therapy pool for patients and provide exercises to do at home. I highly recommend them.”
—Nury A.

Support Hurricane Helene Victims
Help Us Make A Difference
Our clinics are coming together to support those affected by Hurricane Helene. We are proud to serve as a drop-off location for food and supply donations to aid the victims in their time of need. Your contributions can make a big difference in the lives of those who have lost so much.
Nicholas, who works at our Cary office as front desk help, has been flying up on weekends to personally deliver the supplies and spend the day assisting with loading other vehicles.
Please check the list of requested items below and help us fill up our donation boxes. Every little bit counts!


Need Physical Therapy but Your Balance isn’t what It used to be?
Aquatic Therapy May Be Just What You Need!

Improving balance and stability is a common goal of aquatic therapy. Immersing a person in water reduces the force of their body weight on their joints. Depending on the circumstances, aquatic therapy can eliminate between 20% and 100% of a person’s body weight.
Contact Hands On Physical Therapy today to see
if aquatic therapy is right for you.


Healthy Recipe
Immunity-Boosting Citrus Smoothie
This smoothie is jam-packed with vitamin C and plenty of nutrients like fiber and antioxidants. Drink this to keep your immune system strong and energized all day long!
1 cup frozen mango chunks
Juice of 1 lemon
1/2 teaspoon ground turmeric
1/4 teaspoon ground cayenne pepper
3/4 cup fresh squeezed orange juice
2 teaspoons fresh grated ginger
1 small raw red beet, chopped
1 cup frozen raspberries
1 blood orange or grapefruit, peeled and segmented
1/2 cup pomegranate juice
Honey to taste (optional)
In a blender, combine the mango, lemon juice, turmeric, cayenne, ginger, and orange juice. Blend until completely smooth, adding more honey if needed to sweeten. Pour into a tall glass. Rinse the blender out. Combine the beets, raspberries, orange, and pomegranate juice. Blend until smooth and creamy, adding more pomegranate juice if needed to reach your desired consistency. Pour over the mango mixture and stir gently to swirl.
Exercise of the Month
Standing March
Start by standing up straight (place both hands on the back of a chair for support if needed). Slowly lift one knee up towards the ceiling until it reaches hip height and then lower it back down. Do the same with the other leg keeping the abdominals contracted the whole time. Repeat exercise 10 times.



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Cary
919.851.0711
Fuquay-Varina
919.557.2111
Zebulon
919.269.0107
Let’s Get You Better ASAP!
Don’t let pain dictate your life. Take the first step towards reclaiming your mobility and well-being with our expert support. Start your journey to a healthier you today.






