The Life-Changing Consequences of a Bad Fall
Lessons Barbara learned after her second bad fall,
products that helped her recover,
and her strategies for getting help.
This Bulletin shares the story of my second life-changing fall with a brief mention of the first one. As I wrote this, I was remembering the stories of five of my friends who have suffered emotional and physical pain from falls that resulted in lifelong consequences for four of them. With some 36 million falls being reported every year among adults sixty and older, there are a lot of folks in this āhad-a-bad-fall club.ā But even young adults can suffer a life-changing fall.
Iāve had only two tumbles worth mentioning since my first life-changing fall on black ice in 2010 when I hit my head, lost consciousness for a while, and ended up in the ER. This fall had lifelong consequences for me as a writer and was also the beginning of the balance issues I have today. (You can read about that fall here, and the benign brain tumor I learned I hadĀ while in the ER.)
As for my inconsequential fall in 2019, suffice it to say I didnāt break my hip when I landed on it because Iāve got strong bones; have never broken any bone, perhaps because Iāve taken calcium for decades.
The Consequences of One Misstep
As usual that day in October, I was going down six carpeted stairs to the entry-level of the house to turn on the porch light. Given my balance issues and arthritic ankles, I now go down these stairs sideways, with both hands on the decorative iron railing and taking it one step at a time, placing both feet on a step before progressing.
It was nearly dark then, but I neglected to turn the hallway light on and didnāt realize until I took the last step that I was on the stair step above it. I went down hard with my full body weight on the left foot and my right hand clinging tightly to the last vertical railing post as the momentum swung me left. Momentarily hanging about two feet from the floor, my only thought was that I had to land flat on my back instead of my hip or arthritic tailbone when I let go.
Whew! I thought as I lay there on my back considering my predicament. Nothing broken, my back isnāt hurting, and I didnāt hit my head; maybe I lucked out. But how do I get myself up in this limited space? The usual advice for getting up from a fall wouldnāt work for me on a hard floor with little to grab for support; also I canāt put my weight on my knee-replacement joints without intense pain. I must have wiggled around for more than ten minutes before coming up with my only option for getting up (other than to call for help). I grabbed the only nearby door knob with my left hand and the stair railing with the other and somehow got my butt on the bottom stair step. After that, it was simple to get to the next one and finally stand up.
The Results of this Fall
This fall gave me new mobility challenges, to say the least, prompting me to redefine what being mobile means to me: Itās āgetting from here to there any way I can.ā
It took a few days before I began to realize that this fall had done more damage than I could have imagined. It began with pain in my right shoulder and upper arm that soon had me calling my internist for a referral for physical therapy. Iām still taking PT as I write this. The shoulder is good now but the arm still needs help.
Three weeks after the fall, a new symptom manifested when my left ankle began to give me intense pain. I quickly ordered an ankle brace that helped until I could get an appointment with my podiatrist. He suspected Iād damaged the tendon that runs across the ankle and told me to stay off my feet as much as possible until I could get an MRI. Two weeks later the diagnosis was a ālongitudinal split tear involving the tibialis posterior tendon,ā one of the most common problems of the foot and ankle. By then, I was wearing my first pair of orthopedic shoes, which my podiatrist said were so good they negated the need for a CAM boot if I wore the ankle brace as well. He told me the tendon might heal in time, or not; that a lot of people who have pain but arenāt helped by physical therapy or donāt want to consider surgery simply live with it and take pain meds as necessary. Iāll have a follow-up MRI sometime in the future.
Meanwhile, Iām grateful to have no pain from the tendon tear, perhaps because the direction of it is longitudinal instead of across. But the lifelong consequence for me is that I may have to wear expensive orthopedic shoes for the rest of my life. (So much for wearing all my house slippers and tennis shoes again.)
I highly recommend the ComfiLife ankle brace and the shoes and boots I got from Orthofeet.com.Ā Although expensive, the shoes are worth the price. Due to my balance issuesāwhich therapy hasnāt helped much over the yearsāI now need a walking stick for support whenever I leave the house. I donāt need it inside because the strong ankle support of the shoes enables me to walk with more confidence and better posture too. They also make me less aware of the idiopathic polyneuropathy (constant tingling) in my feet.
A Cane vs. a Walking Stick. Moving from a cane to a walking stick was life-changing for me in a good way. The cane forced me to bend over a bit because it wasn't the right height, so my walking posture suffered and the cane also made me feel old. But my Dynamo Prime Stick Cane gives me the mental and physical support I need to walk anywhere without fear of falling. It can easily be adjusted to a height between 33 inches and 55 inches, so healthy young people use it for hiking, which makes it āa cool stickā not just for seniors. People often stop me on the street to comment on it and ask where I got it.
Things I Did After This and Other Falls
ā¢ I found a firm pillow and put it in the closet next to the stairway so Iāll have something to put under my knees if I ever fall in the entryway again. (A possibility since I plan to be in this house until I die.)
ā¢Ā I vowed to never again go down a darkened stairway without turning on the light.
ā¢ I learned the importance of seeing a doctor quickly to get a diagnosis instead of just hoping things would get better with time and a few Tylenol tablets.
When we live alone, itās a good idea to make plans for how we're going to get emergency help when we need it. Hereās what Iāve done.
ā¢ Instead of getting an annoying call button years ago to be worn around my neck or on my wrist, I chose to use my little Tracfone as my āhelp-Iāve-fallen-button.ā This less expensive option works for me because I carry the phone in my slacks or jeans pocket all day and can use it to call someone for help if needed. But note that I donāt recommend this phone for anything but emergency calls.
ā¢Ā I also have a smart cell phone I keep nearby all the time but use only for texting and emergency calls or GPS when Iām out and about. Sister Mollie and I devised a plan whereby I text her twice a day. If she doesnāt hear from me on schedule, she checks to make sure Iām okay. If I donāt respond, she will send me help. (Two friends have keys to my house.)
ā¢ The KnoxBox is my most comforting option for getting emergency help if I canāt get to the door. A fireman friend urged me to buy this inexpensive device and then installed it for me. It holds the keys to my front door, which are accessible to first responders with a special code the Fire Department has. Now someone can get to me without damaging my front door, take me to the ER if necessary, and then lock the house behind them.
A Helpful Video
Older people are advisedĀ to practice how to get up from the floor before they actually have to do this after a fall. This short video offers a good demonstration of how to do that.Ā
2024 Update
The PT I was taking when I wrote this article in Feb 2023 took care of my arm problem, and the orthopedic shoes that I thought I'd dread have turned out to be so comfortable and helpful to my balance that I wear them all day. But if Iām going someplace where I wonāt be on my feet all the timeāout to dinner or to a meetingāI can wear my favorite pre-fall oxfords or the new tennis shoes I bought just before my fall.
As for my comments about the āannoying call buttonā around my neck, I finally got one because my two sisters were worrying endlessly about me falling and hitting my head or otherwise being unable to call for help. I didnāt feel I needed it, but when I realized how concerned they were, it was hard to argue with them when they offered to pay for it to ease their worries. I have to admit that the one we all likedāMedical Guardian MGMini Lightāis so small and lightweight that Iām not aware of it around my neck. (I didn't want to wear anything on my arm,) It measures 1-1/4" x 2-1/4" and weighs less than an ounce.
Related Article: Do You Live Alone or Know Someone Who Does? If so, your life or theirs could depend on you having a plan to get immediate help in a medical emergency if the phone is out of reach.
Reader Mail
ā¢Ā āThis is such good information. Unfortunately from personal experience. Besides all the tips, my takeaway is your exemplary fortitude which is also valuable for the reader. Perseverance comes to mind also which all speaks to the person who has learned to thriveānot just surviveāthroughout her life. The writing, of course, speaks of innate intelligence and hard work!ā - Sylvia H.
ā¢Ā āI love this bulletin. You are one tough lady, but I already knew that. Even at my age, I turn on lights when I suspect Iāll need them and thatās with my 20/20 vision in both of my new eyes. Going slower and taking my time seems to be a way of life for me now, to the dismay of my wife. Love you lady, and stay out of dark hallways, up or down.ā - Joe B.
ā¢ āExcellent Bulletin today full of very useful tips and links! Thank you again for all the work you do to gather such great info to help others. I talked to my local fire department a few years ago about Knox boxes for residences, but they donāt do that in our small town. So my son found something similar that is firmly padlocked onto the porch railing and holds our front door key. It uses a 4-digit pin that I could give to responders to get the key. So much better than them having to destroy the steel door to get to me!ā (Amazon has a great selection of such lock boxes here.ā )- Rita W.
ā¢ āSorry to hear about your fall. I hope and pray for a full healing for you. Sounds like you've taken some really smart precautions for the future. Iām not surprised about that, youāre one smart cookie. I hope everything else is going well for you.ā - Dennis G.
ā¢ āAwesome advice and tips! At every annual physical, my doctor says, āDo not fall,ā I believe some falls come from a bad turn or movement that causes a leg or hip bone to break which, in turn, causes the fall. Though most will say the fall caused the break.ā - George B.
In my reply to George, I wrote: āI laughed when you said your doctor always tells you not to fall, as if any of us ever plan to fall. I had a follow-up PT session yesterday with my physical therapist, who Iād guess is in her thirties. While massaging the muscle in my upper arm, which had stiffened up, she casually said, āI had a fall over the weekend. Fell five steps as I was carrying a laundry basket downstairs. Probably moving too fast, and my foot caught on something, and down I went.ā She added that she didnāt do much damage except that she was sore all over. Probably the worst was hearing her husband criticize her for not being more careful. Only proves that young people can fall as easily as we oldies.ā
Previously published as a Brabec Bulletin on October 12, 2022; Updated November 2024.
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