Jadean Hoff, PT, DPT, NCS, CCCM
Falls are a serious risk for older adults, but the cause isn’t always obvious. Often, what looks like a simple stumble or trip may actually be caused by hidden dizziness linked to a common inner ear disorder called vertigo, also known as benign paroxysmal positional vertigo (BPPV).
Vertigo occurs when tiny calcium crystals in the inner ear, called otoconia, move out of place. This sends mixed signals to the brain about movement and balance.
Younger adults with vertigo often notice brief spinning sensations, but older adults typically feel unsteadiness or imbalance, making the problem easy to overlook. In fact, studies suggest that about 10% of adults over 65 may have undiagnosed BPPV.
As we age, the sensory hair cells in the inner ear naturally decline leading to changes in how we perceive motion and maintain balance. Additionally, the structures holding the calcium crystals together naturally degrade with the aging process, leading to a higher risk of the crystals shifting out of place entirely.
Other factors that can increase the risk of falls from vertigo in older adults include:
People over 65 are much less likely to experience the classic spinning sensation of vertigo than younger people. Instead, they may simply feel off-balance or unsteady, which can easily be mistaken for clumsiness or normal aging.
Because symptoms of vertigo can be subtle, vertigo is sometimes overlooked and undiagnosed. Falls, hip fractures, or other injuries may be treated without identifying and addressing the underlying vestibular problem.
Early detection of vertigo is crucial. At Gaylord, physical therapists use specialized vestibular assessment goggles to identify which ear and canal are affected. Once diagnosed, treatment is straightforward and highly effective. Gentle repositioning maneuvers guide the crystals back into place, often restoring balance in just one or two sessions.
Dizziness and falls are not a normal part of aging. Early assessment and treatment of vestibular conditions like vertigo can reduce fall risk, restore stability, and help older adults move confidently and safely.
If you or a loved one experiences unexplained imbalance or near-falls, schedule a vestibular evaluation today to protect health and independence.
This content is for educational purposes only and is meant to provide general information. It is not a substitute for professional medical advice, diagnosis, or treatment. Always consult your healthcare provider with any questions or concerns about your health. In case of a medical emergency, contact your doctor or call 911 right away.