Feeling less steady can change how you approach the day. You may avoid uneven paths, hold on more tightly on stairs or turn down an activity because you are worried about falling. Improving balance can help you feel more confident on your feet.
Those changes are worth discussing. Balance difficulties can have several causes, and a plan should consider more than one exercise performed beside the kitchen counter.
Begin improving balance with an assessment
Tell your GP or clinician if you have fallen, nearly fallen or noticed a new change in balance. Explain what happened, whether you felt dizzy and whether you were injured.
A falls assessment may consider medicines, vision, strength, walking and the home environment. This helps identify which support is appropriate. If you have unexplained falls or episodes of fainting, medical review is important.
Make exercise for improving balance suitable for you
Appropriate strength and balance exercise can form part of reducing fall risk. The starting level and supervision should reflect your ability and safety.
Avoid copying challenging balance tests from social media or practising unsupported if you feel unsteady. Ask where to stand, what support to use and when someone should be with you.
A useful programme has a clear purpose, such as becoming more confident with a particular daily task. Ask how progress will be reviewed and when the exercises should change.
Look at the environment too
Good lighting, clear walking routes and suitable footwear may make everyday movement easier. Discuss rugs, trailing cables or steps that you find difficult.
If you use a walking aid, ask whether it is suitable and adjusted correctly. Do not stop using support simply because you feel you ought to manage without it.
Some changes may be straightforward. Others may need an occupational therapist, a falls service or another professional. Your clinician can explain the options rather than expect you to solve everything yourself.
Include the worry after a fall
Losing confidence is important information. Tell us if fear has led you to stay indoors or avoid walking. The plan should take that into account and agree manageable steps, with appropriate support.
When to get urgent help
Sudden unsteadiness with facial drooping, arm weakness or speech changes can indicate a stroke. Call 999. A serious injury after a fall or inability to get up also needs urgent help.
For ongoing balance concerns, start with your GP to discuss the cause and whether a falls assessment is needed. Our physiotherapy service may support appropriate exercise, and home visits can be discussed if travel is difficult.
