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Balance, Falls, and Aging: What You Should Know Before an Injury Happens



A fall can change everything.



For older adults, falls are one of the leading causes of injury, hospital stays, and loss of independence. But many falls are preventable because they are often the result of gradual declines in strength, balance, coordination, or confidence.



The good news is this: many falls are preventable.



At Concho County Hospital, our Physical Therapy team focuses on identifying balance problems early and strengthening the systems that keep patients steady and safe.



Falls Rarely Happen Without Warning


Many people notice subtle changes before a fall ever occurs:




  • Feeling unsteady on uneven ground

  • Holding onto walls or furniture while walking

  • Avoiding stairs

  • Slower walking speed

  • Trouble standing up from a chair

  • Fear of falling



“Small changes in how we walk and move are important,” says Christine Maligaya, DPT. “They are often the first signs that balance, strength, or coordination needs attention. It’s better to address those concerns early than after an injury.”



Why Balance Changes With Age


Balance depends on multiple systems working together:




  • Muscle strength

  • Joint flexibility

  • Vision

  • Inner ear function

  • Nerve signaling

  • Reaction time



As we age, these systems can gradually decline. Illness, medication changes, surgery, or reduced activity can accelerate the process.



Even a short period of inactivity can weaken stabilizing muscles, increasing fall risk.



How Physical Therapy Helps Prevent Falls


Physical therapy is not only for recovery. It is also for prevention.



At Concho County Hospital, therapy begins with a one-on-one evaluation to assess:




  • Strength

  • Gait and walking pattern

  • Balance and stability

  • Endurance

  • Functional mobility



From there, a customized plan is developed. Treatment may include:




  • Targeted strengthening exercises

  • Balance retraining

  • Gait training

  • Movement retraining

  • Education on safe mobility strategies



“We focus on building strength and improving confidence,” says Christine Maligaya, DPT. “Our goal is to help patients move safely and maintain independence in their daily lives.”



For Adult Children and Caregivers


If you have noticed changes in a parent or loved one, it may be time to encourage an evaluation. Warning signs can include:




  • Recent near-falls

  • Increased reliance on furniture for support

  • Slower movement

  • Avoiding activities they once enjoyed



Addressing balance concerns early can prevent hospital stays, extended recovery, and long-term loss of independence.



Staying Active and Independent


Maintaining balance and strength supports everyday life. Whether that means walking outdoors, attending church, working around the home, or simply moving without fear, stability matters.



If you or a loved one has concerns about balance, weakness, or fall risk, it may be time for a professional evaluation.



Call 325-869-5911 to schedule an appointment with Concho County Hospital Physical Therapy and take a proactive step toward safer movement.