Every year more than two million Americans fall and sustain serious injury, costing in excess of three billion dollars.<\/p>\n\n\n\n
Hidden costs include pain, disability, lawsuits, deterioration in general well-being, and impact on other family members. Falls and the resulting injuries have become one of the elderly\u2019s most serious health issues. As our senior population continues to grow, falls and their consequences will increase in the future.
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The accumulation of injuries throughout life change or damage the central nervous system (CNS) and the body as a whole, and our bodies deteriorate through inactivity. Vision diminishes with advancing age, and this directly affects the sensory systems involved with movement. The number of sensory cells in the ears\u2019 balance system gradually decreases and cannot be replaced. The nerves that carry sensory information to the brain from the muscles, joints and skin can also deteriorate with age, and the complex brain interconnections lose connecting fibers and nerve cells. The ability of nerve endings to generate the chemicals responsible for the transmission of information also seems to be affected by aging. This process accelerates after the age of 50. Many diseases affect the CNS and sense organs. Hardening of the arteries (atherosclerosis) is probably the worst; it is accelerated by hypertension, smoking, and diabetes. Although it gradually increases during middle age, there is a point at which a slight additional decrease in blood flow may cause serious vascular impairment such as a stroke.<\/p>\n\n\n\n
Head injuries, sometimes caused by falls, can damage the sense organs in the inner ears, or the brain itself. The worst disability occurs when both sense organs and CNS structures are damaged simultaneously. Physical activity is very important for recovery from injury to the sensory systems. The general debility of aging can negatively affect recovery if it results in a decreased level of activity.<\/p>\n\n\n\n
Diseases of the eyes, such as glaucoma and cataracts, decrease visual sensory function and are a common problem in old age. Injuries to the knees, hips, and back often do not completely heal, leaving some limitation of motion. Arthritis can cause permanent crippling, nonreversible effects. Osteoporosis leads to bone weakness and increases the probability of serious injury from a fall, or might cause a spontaneous fracture and lead to a fall. Muscle strength gradually decreases with age. Joint tendons and ligaments lose their flexibility and limit motion. The combined ravages of bone and joint injury, arthritis, and inactivity can result in a body that cannot carry out motion commands initiated by the brain.
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As many of the problems responsible for falling develop during early and middle age, initial efforts to prevent injuries must be aimed at younger age groups. Many of the changes in muscle, bone and the central nervous system are not inevitable results of aging, but are brought on by inactive lifestyles and self-inflicted damage from smoking, poor diet, and lack of exercise. Although hardening of the arteries is occasionally hereditary, in most cases it can be reduced by diets low in cholesterol and saturated fatty acids, as well as regular physical exercise. This stimulates the muscles as well as the cardiovascular system and could greatly reduce this problem. If there is a family history of hardening of the arteries, medications to lower cholesterol are available. Early diagnosis and treatment of diabetes mellitus and hypertension can make a difference in the progression of atherosclerosis. Smoking cessation might also help reduce this disorder.<\/p>\n\n\n\n
Many of the medications used to treat hypertension, heart disease, allergy, insomnia, stomach acidity, and depression have side effects that influence brain function and can increase the likelihood of falling. In this time of specialization it is possible for one patient to receive prescriptions from several physicians that might have additive side effects on brain and sensory function. Patients should keep a complete list of all their medications and dosages, and make this list available to each physician they consult. Coordination of all medications through a single primary care physician would help avoid adverse drug reactions. Many pharmacies use computer systems to warn the pharmacist about potential drug interactions. This requires that the patient purchase all medications from the same pharmacy or list all medications with each pharmacy. Unfortunately some over-the-counter medications such as antihistamines, sleeping medications, analgesics, and cough suppressants can add to the side effects of prescription medications. Alcohol also affects movement and judgment and adversely interacts with many medications.
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Health<\/strong>:<\/p>\n\n\n\n Rehabilitation includes increasing the range of motion as well as physical strength. A very important part of rehabilitation is helping patients overcome their fear of falling and thus avoid further injury. Walkers and canes can aid stability, and adaptations in the home are important. Simple changes such as installing handholds in bathrooms or along walls could decrease the likelihood of falling and increase patient confidence. Removing the patient from a familiar environment, or drastically changing it, often hampers recovery.<\/p>\n\n\n\n As soon as possible, rehabilitation should be moved to an outpatient setting with participation of family members and home support groups. Rapid return to physical activity and social interaction with family and community can often stop the vicious spiral into inactivity, reclusiveness, and progressive deterioration.<\/p>\n\n\n\n Has it been a while since your last hearing check? Contact us today<\/a><\/strong> to schedule hearing exams for your whole family.<\/p>\n\n\n\n 601 E Hampden Ave, Ste 430 (303) 783-9220<\/a><\/p>\n\n\n\n\n
Home<\/strong>:<\/p>\n\n\n\n\n
What about patients who have already fallen? Although rehabilitation is not perfected, much can be done.<\/strong><\/p>\n\n\n\n\n
All correctable problems should be treated. Visual correction with proper eyeglasses, improvement of hearing by hearing aids, adjustment or elimination of medications, and correction of hypertension or any other disease that could impair balance must be accomplished.<\/p>\n\n\n\nOur Practice<\/h4>\n\n\n\n
Englewood<\/h3>\n\n\n\n
Englewood, CO 80113<\/p>\n\n\n\nCochlear Implant<\/h4>\n\n\n\n