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Beyond the Basics: How to Talk to Your Doctor About Fall Risks

  • Writer: Joel J. Digris, MSPT, Owner Achieva Rehabilitation
    Joel J. Digris, MSPT, Owner Achieva Rehabilitation
  • 14 hours ago
  • 2 min read

A patient talking to doctor about poor balance

Identifying a fall risk is only half the battle; the next—and most critical—step is having an informed conversation with your healthcare provider. Many seniors and caregivers hesitate to bring up balance issues because they fear a loss of independence, but being proactive is actually the best way to protect it. [1, 2]


At Achieva Rehabilitation, we serve as a bridge between you and your physician. In this follow-up guide, we’ll show you how to prepare for a successful doctor’s visit and exactly which questions to ask to lower your risk in Schuylkill County.


📋 Preparing for Your Appointment

A doctor’s visit can feel rushed. To make every minute count, come prepared with these three essential items:

  • A "Total" Medication List: Don't just list your prescriptions. Include over-the-counter meds (like sleep aids or allergy pills), vitamins, eye drops, and herbal supplements. These can often interact in ways that cause "hidden" dizziness.

  • Your "Fall History" Diary: If a fall or near-miss occurred, write down the details: What time was it? Were you dizzy? Had you just taken a pill?

  • A Goal Statement: Start the meeting by being direct. Say, "I want to stay independent in my home, but I’ve been feeling unsteady. Can we review my fall risk today?" [1, 3, 4, 5, 6]


💊 The Medication Connection: Classes to Watch

Certain medications are notorious for increasing fall risks, even those you’ve taken for years. Ask your doctor or pharmacist if any of your current medications fall into these categories: [7, 8]

  • Psychoactives: Medications for sleep, anxiety, or depression (e.g., benzodiazepines) often cause lingering drowsiness.

  • Blood Pressure Meds: These can sometimes cause a sudden drop in pressure when you stand up, leading to lightheadedness.

  • Antihistamines: Many common allergy and "PM" medications can affect your coordination and reaction time.

  • Pain Relievers: Opioids and certain muscle relaxants can significantly impact balance. [7, 9, 10, 11, 12, 13]


❓ Questions to Ask Your Doctor

Use these specific questions to guide the conversation:

  1. "Are any of my medications linked to an increased risk of falling?"

  2. "Could a lower dose or a different alternative work for me?"

  3. "Should I have my sitting and standing blood pressure checked?"

  4. "Can you refer me to a physical therapist for a professional gait and balance assessment?"

  5. "Do I need a blood test for Vitamin D or other levels that affect my strength?" [1, 2, 6, 9, 14, 15, 16]


Your Partners in Schuylkill County

You don't have to navigate these medical conversations alone. Achieva Rehabilitation is proud to serve families in Pottsville, Tamaqua, Schuylkill Haven, Frackville, and surrounding areas. Our in-home physical therapists can join your care team, providing the objective balance data your doctor needs to make the best decisions for your health. [2, 16]


Let’s stop the cycle of falls together. Call Achieva Rehabilitation at 1-888-929-7677 to schedule your in-home evaluation today.


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