When to seek professional Help: Ensuring safety in elderly mobility Physiotherapy at home

Maintaining mobility as we age is crucial for independence and quality of life. While many older adults strive to stay active, there comes a time when professional guidance can make a significant difference. Knowing when to seek the expertise of a physiotherapist, and how to complete treatment advice safely, is vital for effective progress.

We believe in empowering you with the knowledge to make informed decisions about your health and to create a safe environment for your rehabilitation journey.

When should you consider Physiotherapy?

It’s not always easy to know when a slight wobble or a bit of stiffness warrants professional attention. However, recognising the signs that indicate a need for physiotherapy can prevent more serious issues down the line. Consider consulting a physiotherapist if you or a loved one experience any of the following:

1. Persistent pain or discomfort

If you’re experiencing ongoing pain in your joints or muscles that limits your movement, a physiotherapist can assess the cause and develop a plan to alleviate it. Pain often leads to reduced activity, which can further worsen mobility.

2. Increased falls or near misses

A fall can be a warning sign. If you’ve had one or more falls, or frequently feel unsteady on your feet, an assessment by a multi-disciplinary team is often recommended. There are hundreds of reasons people fall and that is why it takes a team approach to assess and manage. A physiotherapist is part of the recommended review process, they can target balance deficits and implement targeted falls prevention strategies. To find out more about managing falls, click here

3. Difficulty with daily activities

Struggling with everyday tasks like getting out of a chair, walking up stairs, reaching for items, or getting dressed are clear indicators that mobility is declining. Too frequently, help is put in place, in the form of a care package, which at times, can increase dependence rather that increasing independence.
A physiotherapist can help you regain the confidence, strength and coordination needed for these essential activities.

4. Noticeable changes in walking pattern

If your walking has become slower, more shuffling, or you find yourself needing to hold onto furniture more often, these are signs that your walking has deteriorated. Physiotherapists are movement specialists, we are able to analyse your walking pattern and provide education and exercises to improve it. It is possible that your therapist may recommend additional walking aids to help with stability.

5. Recovery from a recent illness, surgery, or injury

After a hospital stay, surgery (such as a hip or knee replacement), or an injury, mobility can be significantly impacted. The British Geriatric Society report that 30% of individuals over the age of 65, experience deconditioning after a hospital stay.

To find out more about recovering from a joint replacement, click here

6. Managing a neurological condition

For individuals living with conditions such as, Parkinson’s disease, stroke, or multiple sclerosis, physiotherapy is an ongoing and vital part of managing symptoms and maintaining functional independence for as long as possible. To find out more about how Neurological Physiotherapy is different, click here

7. Reduced confidence in movement

Sometimes, the fear of falling or pain can lead to a significant reduction in activity, even if physical limitations aren’t severe. A physiotherapist can help rebuild confidence through graded exercises and education, encouraging safe and active participation in life.

How to ensure safety?

At-home physiotherapy offers convenience and allows you to work towards your goals in a familiar environment. Consider these essential tips for staying safe:

Prepare your environment

Before each session, take a few moments to ensure your space is safe and conducive to exercise:
• Clear the area: Remove clutter, loose rugs, electrical cords, or furniture that could be a trip hazard. You need enough space to move freely.
• Good lighting: Ensure the area is well-lit so you can clearly see your surroundings and equipment.
• Stable surfaces: If completing balance exercises, ensure it’s close to a sturdy piece of furniture or a wall. The kitchen worktop is often a good height and allows you to practice a number of different types of balance exercises. Avoid unstable items like lightweight chairs.
• Appropriate footwear: Wear supportive, non-slip shoes, even indoors. Avoid loose slippers, without a supportive back to them or walking in socks, even grip socks quickly loose their shape and grip.

Communicate openly with your Physiotherapist

Your physiotherapist is your partner in this journey. Open and honest communication is key to safe and effective treatment:
• Report pain or discomfort: Inform your therapist if an exercise causes pain, dizziness, or unusual discomfort. They can provide further information on whether to push through the discomfort and can modify the exercise or technique if appropriate to.
• Discuss your energy levels: Be honest about how you’re feeling. Fatigue can increase the risk of falls. Your therapist can adjust the intensity or duration of the session.
• Ask Questions: If you’re unsure about an exercise, its purpose, or how to perform it correctly, ask! Understanding is crucial for adherence and safety.
• Provide Feedback: Let your therapist know what feels easy, challenging, or uncomfortable. This helps them tailor the programme effectively.

Follow Instructions Carefully

Your physiotherapist provides specific instructions for a reason. Adhering to them is vital for your safety and progress:
• Proper Form: Focus on performing exercises with the correct technique, even if it means doing fewer repetitions. Incorrect form can lead to injury.
• Pace Yourself: Don’t rush through exercises. Take your time and focus on controlled movements.
• Use Aids as Directed:If your therapist recommends a walking aid or other assistive device, use it consistently and as instructed. They are there to support you.

Have a Safety Plan in Place

Even with precautions, it’s wise to be prepared for unexpected situations:
• Emergency Contact: Ensure someone knows you are having a session or have a phone readily accessible.
• Clear Pathways: Keep pathways to the bathroom and other frequently used areas always clear.
• Regular Breaks:Take breaks as needed during exercises to prevent fatigue and maintain focus.

Our Home-Based Physiotherapy Services are designed with your safety and comfort in mind. Our physiotherapists are trained to conduct thorough home assessments and adapt sessions to your specific environment, whether you’re in Benfleet, Southend, or anywhere across Essex and London.

Estuary Physio: Your Trusted Partner for Safe and Effective Mobility

At Estuary Physio, we are committed to providing expert, compassionate, and safe elderly mobility physiotherapy. Whether you’re considering professional help for the first time or looking for ways to enhance the safety of your at-home sessions, our team is here to support you.

We offer both convenient Home-Based Physiotherapy Services across Essex and London, and Clinic-Based Physiotherapy in Leigh-on-Sea. Our goal is to help you or your loved one maintain independence, improve mobility, and live a confident, active life.

Don’t hesitate to reach out to Estuary Physio today. We’re here to answer your questions and guide you towards a safer, more mobile future.

Suggested External Links: Royal College of Physicians click here

The information on this page has been reviewed for accuracy by Barry Ford BSc MCSP