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Falls and balance

Falls and balance physiotherapy

Falls are common as we age, but many can be prevented. Exercise that challenges your balance reduces falls, and we work with your pharmacist, podiatrist and GP on the other risks.

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Understanding the condition

Between one in four and one in three people aged 65 and over have at least one fall each year.1,4 In 2024-25, people aged 65 and over were hospitalised for fall injuries at 12 times the rate of adults aged 25 to 44, and home was the most common place.5 Common causes include weak muscles, poor balance, vision problems, medicines that cause drowsiness or dizziness, and trip hazards at home.1

A Cochrane review found that exercise reduces the rate of falls by about 23 per cent, and balance and functional exercise by about 24 per cent, with high-certainty evidence.2 The World Guidelines for Falls Prevention (2022) advise falls prevention and activity counselling for all older adults, and a multifactorial assessment for people at higher risk.3 Western Australia's Stay On Your Feet programme calls this Move, Improve, Remove.4 Many falls can be prevented, but not all, and no program removes risk completely.6

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Falls and balance physiotherapy

What to look out for, and how we help

Symptoms are a guide, not a diagnosis. Your GP confirms the diagnosis; our team helps you manage it day to day.

What you might notice

  • Feeling unsteady, or losing your balance when turning, reaching or stepping
  • Near misses, trips or stumbles, including on uneven ground or kerbs
  • Leg weakness, or needing your hands to get out of a chair
  • Dizziness or light-headedness when you stand up
  • Fear of falling, leading you to do less and become weaker
  • Urgent review: go to an emergency department or call 000 after a severe fall, or after any fall followed by a headache that is getting worse, fainting or drowsiness, vomiting that does not settle, a blackout or seizure, trouble walking steadily or speaking, or fluid or bleeding from the nose or ears, and see your doctor after any fall, even if you feel fine.

How our team helps

  • Falls risk and balance assessment covering strength, gait, balance, dizziness, footwear and your history of falls
  • Individual exercise programs that challenge your balance and build leg strength, progressed as you improve
  • Group classes for balance and strength training with others
  • Walking aid prescription, so your stick, frame or walker is the right type and fit
  • Coordination with pharmacists for medicines review and podiatrists for foot care and footwear
  • Reports for GPs, insurers and NDIS, and advice on eye checks and home safety through your care team

Your PDC care team

The teams and services that most often support people with this condition. They work from one shared plan, and one GP referral reaches all of them.

Allied health teams

Physiotherapy
Physiotherapy
Allied health team
Physiotherapy
Musculoskeletal treatment and rehabilitation to help you move better and manage pain.
Read more

Exercise Physiology
Exercise Physiology
Allied health team
Exercise Physiology
Safe, effective exercise programs designed by Accredited Exercise Physiologists for chronic condition management.
Read more

Related services

Related conditions

See all conditions

Sources and clinical review

Our care follows the World Guidelines for Falls Prevention and Management for Older Adults, Cochrane evidence on exercise, the WA Stay On Your Feet programme and current Australian physiotherapy guidance.

  1. Healthdirect Australia. Older people and falls [Internet]. Healthdirect Australia; 2025 [cited 2026 Oct 4].
  2. Sherrington C, Fairhall NJ, Wallbank GK, Tiedemann A, Michaleff ZA, Howard K, et al. Exercise for preventing falls in older people living in the community. Cochrane Database Syst Rev. 2019;1:CD012424.
  3. Montero-Odasso M, van der Velde N, Martin FC, et al. World guidelines for falls prevention and management for older adults: a global initiative. Age Ageing. 2022;51(9):afac205. doi:10.1093/ageing/afac205.
  4. Injury Matters. Stay On Your Feet Move Your Body Campaign [Internet]. Perth: Injury Matters; 2022 [cited 2026 Oct 4].
  5. Australian Institute of Health and Welfare. Injury in Australia: Falls [Internet]. Canberra: AIHW; last updated 18 June 2026 [cited 2026 Oct 4].
  6. WA Department of Health. Falls prevention and management in WA [Internet]. Perth: Government of Western Australia; 2024 [cited 2026 Oct 4].
  7. Falls Prevention Health Network, Department of Health, Western Australia. Health advice following a fall. Perth: Department of Health, Western Australia; May 2015 [cited 2026 Oct 4].
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Common questions

Can physio stop me falling?
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Physiotherapy cannot guarantee you will never fall, but exercise that challenges your balance and builds strength reduces the rate of falls. We assess your risks, set a program that suits you, and help you work with your GP, pharmacist and podiatrist on the rest.

What exercises improve balance for older people?
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Balance and functional exercise, such as standing with a narrower base, stepping, heel-to-toe walking and sit-to-stand, plus leg strengthening, reduces falls. Tai chi may also reduce falls, though that evidence is low certainty. Programs work best when they challenge your balance safely, so we tailor them to you.

How common are falls in people over 65?
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Between one in four and one in three people aged 65 and over fall at least once a year, depending on the source. Falls become more common with age, and most happen at home. Being unsteady, weak or taking certain medicines raises your risk.

Do I need a referral for falls and balance physio in Perth?
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No referral is needed for private appointments. With a GP Chronic Condition Management Plan, Medicare rebates apply to up to five eligible allied health services a calendar year. Private health extras, DVA and NDIS may also contribute, depending on your cover or eligibility.

What else can I do to reduce my risk of falling?
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Ask your doctor or pharmacist to review your medicines, have regular eye checks, wear well-fitting shoes, and make your home safer by fixing poor lighting, slippery surfaces and trip hazards. Staying active with balance and strength exercise is just as important.

Not sure where to start?

Tell us what is going on and we will point you to the right discipline, or to more than one. Most people start with a single appointment and leave with a plan the rest of the team can see.

Or go straight to a service

Phone (08) 6110 0570 · Medicare, NDIS, DVA and private options across our services

For GPs and health professionals

Referring a patient with this condition?

Send an online referral in under two minutes. One referral reaches every discipline at PDC Health Hub.